An intervention study on a hospital-community integrated management model of tobacco dependence based on a community intervention trial

Frontiers in Psychiatry

Psychiatry

Han Liu¹  Mingyu Gu²  Kun Qiao²  Yutong Yang²  Xinyuan Bai²  Yao Wang²  Xingming Li²  Tingting Qin²  Qianying Jin³ 

[1] Beijing Friendship Hospital, Capital Medical University, Beijing, China;School of Public Health, Capital Medical University, Beijing, China;Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University, Hangzhou, Zhejiang, China;

关键词: smoking cessation;    community intervention trial;    smoking cessation clinic;    community health center;    integrated intervention;   

DOI  :  10.3389/fpsyt.2023.1029640

 received in 2022-10-26, accepted in 2023-02-20,  发布年份 2023

来源: Frontiers

【 摘 要 】

ObjectiveTo assess the effect of the hospital-community integrated management model of tobacco dependence on smoking cessation among community residents compared with a brief smoking cessation intervention.MethodsOur study recruited 651 smokers who were willing to quit in 19 communities in Beijing and conducted a 6-month smoking cessation intervention. The control group receiving a brief smoking cessation intervention and the pilot group receiving an integrated smoking cessation intervention. Intention-to-treat analysis (ITT) and generalized estimating equations were used to assess the effects of the integrated intervention and smoking cessation medication on average number of cigarettes smoked per day (ACSD) and smoking cessation rate.ResultsSimple effects analysis showed that smokers taking medication had significantly lower ACSD than those not taking medication at follow-up, the control group reduced smoking by 3.270, 4.830, and 4.760 cigarettes in the first, third and sixth months, respectively, while the pilot group reduced by 6.230, 5.820, and 4.100 cigarettes. The integrated intervention significantly reduced ACSD among medication-taking smokers at 1st month (reduced by 3.420, P < 0.05) and 3rd month (reduced by 2.050, P < 0.05), but had no significant effect among non-medication taking smokers. The 3rd month smoking cessation rate among medication-taking smokers was 27.0%, which was significantly higher than the smokers with brief smoking cessation intervention.ConclusionThe integrated hospital-community intervention can significantly promote smoking cessation among smokers taking medication, but the issue of payment for medication and additional labor compensation for medical staff should be addressed before its popularization.

【 授权许可】

Unknown   
Copyright © 2023 Qiao, Liu, Li, Jin, Wang, Gu, Bai, Qin and Yang.