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首页> 外文期刊>Preventive Medicine: An International Journal Devoted to Practice and Theory >An academic detailing intervention to disseminate physician-delivered smoking cessation counseling: smoking cessation outcomes of the Physicians Counseling Smokers Project.
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An academic detailing intervention to disseminate physician-delivered smoking cessation counseling: smoking cessation outcomes of the Physicians Counseling Smokers Project.

机译：一项详细的学术干预措施，以传播医生提供的戒烟咨询：医师咨询吸烟者项目的戒烟结果。

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Little is known about the effectiveness of interventions to disseminate smoking cessation interventions among a population of primary care physicians. This study's objective was to determine the effect of a community-based academic detailing intervention on the quit rates of a population-based sample of smokers.This community-based, quasi-experimental study involved representative samples of 259 primary care physicians and 4295 adult smokers. An academic detailing intervention was delivered to physicians in intervention areas over a period of 15 months. Analyses were performed on the data from the 2346 subjects who reported at least one physician visit over 24 months. Multivariate regression analyses were conducted to determine the impact of the intervention on self-reported smoking quit rates, reported by adjusted odds ratios.Among smokers reporting a physician visit during the study period, there was a borderline significant effect for those residing in intervention areas versus control areas (OR = 1.35; 95% CI.99-1.83; P = 0.057). Among a subgroup of 819 smokers who reported a visit with an enrolled physician, we observed a significant effect for those residing in intervention areas (OR = 1.80; 95% CI 1.16-2.75; P = 0.008).An academic detailing intervention to enhance physician delivered smoking cessation counseling is an effective strategy for disseminating smoking cessation interventions among community-based practices.
机译：对于在初级保健医生人群中推广戒烟干预措施的效果知之甚少。本研究的目的是确定以社区为基础的详细研究干预措施对以人群为基础的吸烟者戒烟率的影响。这项以社区为基础的准实验研究涉及259名初级保健医生和4295名成年吸烟者的代表性样本。在15个月的时间内，向干预领域的医生提供了详细的学术干预。对来自2346名受试者的数据进行了分析，这些受试者报告在24个月内至少有一位医师就诊。进行多元回归分析以确定干预措施对自我报告的戒烟率的影响（通过调整后的优势比报告）。在研究期间，在报告医生就诊的吸烟者中，居住在干预区的吸烟者与对照组相比有明显的显着影响对照区域（OR = 1.35; 95％CI.99-1.83; P = 0.057）。在报告有就诊医师就诊的819名吸烟者的亚组中，我们观察到对干预区居民的影响显着（OR = 1.80; 95％CI 1.16-2.75; P = 0.008）。提供的戒烟咨询是在社区实践中传播戒烟干预措施的有效策略。

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