Facilitators and barriers to smoking cessation: a qualitative study among health professionals in Germany.

IF 2.7 3区 医学 Q2 HEALTH CARE SCIENCES & SERVICES
Frederike Bokemeyer, Paulina Kiefer, Lea Schmidt, Kathleen Gali
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引用次数: 0

Abstract

Background: Tobacco consumption remains a leading cause of global morbidity and mortality and is a significant preventable health concern. Despite the known benefits of smoking cessation, many smokers face difficulties in maintaining abstinence and preventing relapse. In Germany, approximately 30% of individuals aged 14 and older are smokers, which reflects low smoking cessation rates and limited use of evidence-based smoking cessation interventions.

Purpose: This qualitative study aimed to explore experts' views on smoking cessation through interviews with health practitioners.

Methods: Fifteen semi-structured in-depth interviews were conducted with professionals from diverse fields, including medical doctors, psychologists, and addiction therapists, from July to November 2022. The data were analyzed using qualitative content analysis. A deductively developed categorization system was applied to identify sub-themes within categories and to systematically code the data. All data were thencategorized under two main categories: facilitators and barriers to smoking cessation.

Results: Key facilitators included the self-motivation of participants, the communication skills of the intervention leader, and the provision of knowledge about addiction mechanisms. Important barriers were smokers' fears of quitting, external environmental pressures, and inadequate counseling structures.

Conclusion: The findings suggest that improving smoking cessation interventions in Germany require comprehensive strategies involving both structural adjustments in health care settings and enhanced training for tobacco treatment specialists.

戒烟的促进因素和障碍:德国卫生专业人员的定性研究。
背景:烟草消费仍然是全球发病率和死亡率的主要原因,是一个重大的可预防的健康问题。尽管戒烟的好处众所周知,但许多吸烟者在保持戒烟和防止复发方面面临困难。在德国,大约30%的14岁及以上的人是吸烟者,这反映了戒烟率低和基于证据的戒烟干预措施的使用有限。目的:本质性研究旨在透过健康从业人员访谈,探讨专家对戒烟的看法。方法:从2022年7月至11月,对包括医生、心理学家和成瘾治疗师在内的不同领域的专业人员进行了15次半结构化深度访谈。采用定性内容分析法对数据进行分析。采用演绎法开发的分类系统来确定类别内的子主题并对数据进行系统编码。然后将所有数据分为两大类:戒烟促进者和戒烟障碍。结果:主要促进因素包括参与者的自我激励、干预领导者的沟通技巧和成瘾机制知识的提供。重要的障碍是吸烟者对戒烟的恐惧、外部环境压力和不充分的咨询结构。结论:研究结果表明,改善德国的戒烟干预措施需要全面的战略,包括卫生保健机构的结构调整和加强对烟草治疗专家的培训。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
BMC Health Services Research
BMC Health Services Research 医学-卫生保健
CiteScore
4.40
自引率
7.10%
发文量
1372
审稿时长
6 months
期刊介绍: BMC Health Services Research is an open access, peer-reviewed journal that considers articles on all aspects of health services research, including delivery of care, management of health services, assessment of healthcare needs, measurement of outcomes, allocation of healthcare resources, evaluation of different health markets and health services organizations, international comparative analysis of health systems, health economics and the impact of health policies and regulations.
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