哮喘联盟

   摘要
   研究目的：本研究旨在评估一项以循证为基础的戒烟干预在芝加哥伊利诺斯州一个多种族城市社区的可行性、可接受程度、有效性以及影响力。这项干预通过戒烟心理教育以提高吸烟者戒烟勇气（CTQ）。
   研究方法：2008年至2012年，1494名烟民（55%为非洲裔美国人）参加了6期全程（共945名）或3期短程（共549名）CTQ课程。
   研究结果：课程提高了烟民对有效戒烟治疗和无效戒烟治疗的认识。结果显示课程接受度优异：90%以上的参与者将会向其他烟民推荐CTQ课程；课程可行性良好：6期全程课程的完成率为53%，3期短程完成率为75%。全程和短程课程后意向戒烟率分别为19%和 17%（全程和短程课程完成者的戒烟率分别为36%和22%）。在完成课程的烟民中，戒烟药物的使用与高戒烟率相关。这一干预措施无种族间差异：非洲裔美国人与白人的课程完成率及戒烟率相同。成功戒烟的预测因素为戒烟意向性高且使用戒烟药物。
   结论：对于居住在城市、且大多数为少数民族的吸烟者，以社区为基础进行传播的CTQ课程在短期内已获得一定成功。其长期成果及成本效益需要进一步评估证实。
 

（刘国梁 审校）
Am J Public Health. 2014 Sep;104Suppl 4:S620-7. doi: 10.2105/AJPH.2014.302097.
 

Feasibility and effectiveness of a community-based smoking cessation intervention in a racially diverse, urban smoker cohort.
 

Asvat Y1, Cao D, Africk JJ, Matthews A, King A.
 

ABSTRACT
OBJECTIVES:We evaluated the feasibility, acceptability, and effectiveness, in addition to the effects of a psychoeducation-based orientation on smoking cessation knowledge for Courage to Quit (CTQ), an evidence-based smoking cessation intervention disseminated to racially diverse, urban community sites in Chicago, Illinois.
METHODS：Smokers (n = 1494; 55% African American) enrolled in 6-session full (n = 945) or 3-session short (n = 549) versions of CTQ in 2008 to 2012.
RESULTS：Orientation improved knowledge of efficacious and nonefficacious treatments. Acceptability was outstanding: more than 90% of participants would recommend CTQ. Feasibility was good: completion rates were 53% in the full and 75% in the short programs. Intent-to-treat quit rates were 19% in the full and 17% in the short programs (completer quit rates were 36% and 22%, respectively). Among completers, smoking cessation medication use was associated with higher quit rates. There were no racial disparities: African Americans and Whites showed similar completion and quit rates. Predictors of successful quitting were higher readiness to quit and smoking cessation medication use.
CONCLUSIONS：CTQ is moderately successful in the short term as delivered in community-based settings for urban-dwelling, largely minority smokers. Further evaluation of longer-term outcomes and cost effectiveness is warranted.
 

Am J Public Health. 2014 Sep;104Suppl 4:S620-7. doi: 10.2105/AJPH.2014.302097.