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首页> 外文期刊>Preventive Medicine: An International Journal Devoted to Practice and Theory >Integrating smoking cessation treatment into primary care: an effectiveness study.
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Integrating smoking cessation treatment into primary care: an effectiveness study.

机译：将戒烟治疗纳入初级保健：一项有效性研究。

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Background. Lack of interest has been cited as a reason not to offer cessation assistance to smokers, but research suggests that smokers accept treatments offered proactively. This study assessed acceptability, utilization, and effectiveness of free smoking cessation treatment among diverse primary care patients. Method. Medical assistants invited 4,174 adult smokers to participate. Enrollees (1,869) self-selected or were assigned to receive free nicotine patch therapy alone or in combination with the Committed Quitters(R) program, and for some, individual counseling. Results. In nearly 68% of cases, patients accepted a treatment invitation; 77% of eligible smokers enrolled; 85% of these picked up free patches. Given a choice of treatments, 75% of participants elected a psychosocial treatment in addition to patch therapy. Thirteen percent of treatment initiators achieved biochemically confirmed 7-day point-prevalence abstinence at 1 year, with no significant treatment effects. Minority patients showed greater initial interest but less utilization did than White patients. Conclusions. Free, readily accessible smoking cessation treatment offered in primary care settings was accepted and used by the majority of unselected smokers of diverse racial/ethnic origins. Psychosocial treatment components did not significantly increase abstinence rates. Barriers, rather than lack of interest, may keep minority smokers from using cessation treatments.
机译：背景。缺乏兴趣是不向吸烟者提供戒烟帮助的原因，但研究表明，吸烟者会主动接受戒烟治疗。这项研究评估了各种初级保健患者中免费戒烟治疗的可接受性，利用率和有效性。方法。医疗助手邀请了4,174名成年吸烟者参加。入选者（1,869）是自选的，或被分配为接受单独的尼古丁贴片疗法或与Committed Quitters（R）计划结合使用的免费尼古丁贴片疗法，并接受一些个人咨询。结果。在近68％的病例中，患者接受了治疗邀请。 77％的合格吸烟者入选;其中85％的用户免费获得了补丁。在选择治疗方法的基础上，有75％的参与者选择了除斑块疗法之外的社会心理治疗方法。 13％的治疗引发剂在1年时获得了生化确认的7天戒断，没有明显的治疗效果。与白人患者相比，少数患者显示出更高的初始兴趣，但利用率较低。结论。在初级保健机构中提供的免费，易于获得的戒烟治疗已被大多数来自不同种族/族裔的未选定吸烟者所接受和使用。社会心理治疗成分并未显着提高戒酒率。障碍而不是缺乏兴趣，可能会阻止少数烟民使用戒烟治疗。

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