转介或推荐后参与戒烟服务的情况:混合方法研究。

IF 3 2区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Ian Pope, Simrun Rashid, Hassan Iqbal, Pippa Belderson, Emma Ward, Lucy Clark, Tom Conway, Susan Stirling, Allan Clark, Sanjay Agrawal, Linda Bauld, Caitlin Notley
{"title":"转介或推荐后参与戒烟服务的情况:混合方法研究。","authors":"Ian Pope, Simrun Rashid, Hassan Iqbal, Pippa Belderson, Emma Ward, Lucy Clark, Tom Conway, Susan Stirling, Allan Clark, Sanjay Agrawal, Linda Bauld, Caitlin Notley","doi":"10.1093/ntr/ntae159","DOIUrl":null,"url":null,"abstract":"<p><strong>Introduction: </strong>Screening for smoking when people interact with healthcare services and referral of those who smoke to stop smoking services (SSSs) is a key component of efforts to tackle tobacco use. However, little is known about what happens after someone is referred or signposted to SSSs.</p><p><strong>Methods: </strong>As part of the Cessation of Smoking Trial in the Emergency Department (NCT04854616), those randomized to intervention (n = 505) were referred to local SSSs (along with receiving brief advice and an e-cigarette starter kit) and those randomized to control (n = 502) were given contact details for the same services (signposted). SSS engagement data were collected: (1) directly from participants and (2) from SSS, additional qualitative data came from 33 participant interviews.</p><p><strong>Results: </strong>Engagement with SSSs was very low. 3.2% (n = 16) of those in the intervention group and 2.4% (n = 12) in the control group reported attending a one-to-one support session. From SSS data, engagement was also low with 8.9% (n = 43) of those referred engaging and 3.1% (n = 15) going on to quit with SSS support. The majority of the 24 intervention participants interviewed did not recall being contacted by an SSS.</p><p><strong>Conclusions: </strong>Referral or signposting to SSSs within an Emergency Department-based trial resulted in very low levels of engagement. Barriers to engagement identified included participants not being contacted by SSSs and the support offered not meeting their needs.</p><p><strong>Implications: </strong>Referral or signposting of those who smoke to SSSs from the Emergency Department resulted in low rates of engagement in this large multicenter randomized controlled trial. To better support those who smoke, it may be more effective for smoking cessation advice to be offered \"in the moment\" within clinical settings, and follow-up to be proactively offered rather than relying on people being motivated to contact the services themselves or engaging when contacted.</p>","PeriodicalId":19241,"journal":{"name":"Nicotine & Tobacco Research","volume":" ","pages":"360-363"},"PeriodicalIF":3.0000,"publicationDate":"2025-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Engagement With Stop Smoking Services After Referral or Signposting: A Mixed-Methods Study.\",\"authors\":\"Ian Pope, Simrun Rashid, Hassan Iqbal, Pippa Belderson, Emma Ward, Lucy Clark, Tom Conway, Susan Stirling, Allan Clark, Sanjay Agrawal, Linda Bauld, Caitlin Notley\",\"doi\":\"10.1093/ntr/ntae159\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Introduction: </strong>Screening for smoking when people interact with healthcare services and referral of those who smoke to stop smoking services (SSSs) is a key component of efforts to tackle tobacco use. However, little is known about what happens after someone is referred or signposted to SSSs.</p><p><strong>Methods: </strong>As part of the Cessation of Smoking Trial in the Emergency Department (NCT04854616), those randomized to intervention (n = 505) were referred to local SSSs (along with receiving brief advice and an e-cigarette starter kit) and those randomized to control (n = 502) were given contact details for the same services (signposted). SSS engagement data were collected: (1) directly from participants and (2) from SSS, additional qualitative data came from 33 participant interviews.</p><p><strong>Results: </strong>Engagement with SSSs was very low. 3.2% (n = 16) of those in the intervention group and 2.4% (n = 12) in the control group reported attending a one-to-one support session. From SSS data, engagement was also low with 8.9% (n = 43) of those referred engaging and 3.1% (n = 15) going on to quit with SSS support. The majority of the 24 intervention participants interviewed did not recall being contacted by an SSS.</p><p><strong>Conclusions: </strong>Referral or signposting to SSSs within an Emergency Department-based trial resulted in very low levels of engagement. Barriers to engagement identified included participants not being contacted by SSSs and the support offered not meeting their needs.</p><p><strong>Implications: </strong>Referral or signposting of those who smoke to SSSs from the Emergency Department resulted in low rates of engagement in this large multicenter randomized controlled trial. To better support those who smoke, it may be more effective for smoking cessation advice to be offered \\\"in the moment\\\" within clinical settings, and follow-up to be proactively offered rather than relying on people being motivated to contact the services themselves or engaging when contacted.</p>\",\"PeriodicalId\":19241,\"journal\":{\"name\":\"Nicotine & Tobacco Research\",\"volume\":\" \",\"pages\":\"360-363\"},\"PeriodicalIF\":3.0000,\"publicationDate\":\"2025-01-22\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Nicotine & Tobacco Research\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1093/ntr/ntae159\",\"RegionNum\":2,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Nicotine & Tobacco Research","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1093/ntr/ntae159","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH","Score":null,"Total":0}
引用次数: 0

摘要

导言:在人们与医疗保健服务互动时进行吸烟筛查,并将吸烟者转介到戒烟服务机构(SSSs),是解决烟草使用问题的一个关键环节。然而,人们对被转诊或推荐到戒烟服务机构后的情况知之甚少:作为 "急诊科戒烟试验"(NCT04854616)的一部分,被随机分配到干预组(人数= 505)的患者被转介到当地的SSS(同时接受简短建议和电子烟启动包),而被随机分配到对照组(人数= 502)的患者则获得了相同服务的详细联系方式(推荐)。SSS参与数据的收集:1)直接来自参与者,2)来自SSS,其他定性数据来自33名参与者的访谈:结果:参与自力更生服务的人数很少。干预组中有 3.2%(人数=16)的参与者和对照组中有 2.4%(人数=12)的参与者表示参加过一对一的支持课程。从戒烟服务机构的数据来看,参与率也很低,8.9%(人数=43)的转介者参与了戒烟服务,3.1%(人数=15)的转介者在戒烟服务机构的支持下继续戒烟。在受访的 24 名干预参与者中,大多数人都不记得曾与戒烟服务机构联系过:结论:在一项基于急诊科的试验中,转介或推荐戒烟服务的参与度非常低。参与的障碍包括参与者未与戒烟服务机构取得联系,以及所提供的支持无法满足他们的需求:在这项大型多中心随机对照试验中,从急诊科转介或推荐吸烟者接受戒烟服务的参与率很低。为了更好地为吸烟者提供支持,在临床环境中 "即时 "提供戒烟建议,并积极主动地提供后续服务,而不是依靠吸烟者自己主动联系戒烟服务或在联系时参与戒烟服务,可能会更有效。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Engagement With Stop Smoking Services After Referral or Signposting: A Mixed-Methods Study.

Introduction: Screening for smoking when people interact with healthcare services and referral of those who smoke to stop smoking services (SSSs) is a key component of efforts to tackle tobacco use. However, little is known about what happens after someone is referred or signposted to SSSs.

Methods: As part of the Cessation of Smoking Trial in the Emergency Department (NCT04854616), those randomized to intervention (n = 505) were referred to local SSSs (along with receiving brief advice and an e-cigarette starter kit) and those randomized to control (n = 502) were given contact details for the same services (signposted). SSS engagement data were collected: (1) directly from participants and (2) from SSS, additional qualitative data came from 33 participant interviews.

Results: Engagement with SSSs was very low. 3.2% (n = 16) of those in the intervention group and 2.4% (n = 12) in the control group reported attending a one-to-one support session. From SSS data, engagement was also low with 8.9% (n = 43) of those referred engaging and 3.1% (n = 15) going on to quit with SSS support. The majority of the 24 intervention participants interviewed did not recall being contacted by an SSS.

Conclusions: Referral or signposting to SSSs within an Emergency Department-based trial resulted in very low levels of engagement. Barriers to engagement identified included participants not being contacted by SSSs and the support offered not meeting their needs.

Implications: Referral or signposting of those who smoke to SSSs from the Emergency Department resulted in low rates of engagement in this large multicenter randomized controlled trial. To better support those who smoke, it may be more effective for smoking cessation advice to be offered "in the moment" within clinical settings, and follow-up to be proactively offered rather than relying on people being motivated to contact the services themselves or engaging when contacted.

求助全文
通过发布文献求助,成功后即可免费获取论文全文。 去求助
来源期刊
Nicotine & Tobacco Research
Nicotine & Tobacco Research 医学-公共卫生、环境卫生与职业卫生
CiteScore
8.10
自引率
10.60%
发文量
268
审稿时长
3-8 weeks
期刊介绍: Nicotine & Tobacco Research is one of the world''s few peer-reviewed journals devoted exclusively to the study of nicotine and tobacco. It aims to provide a forum for empirical findings, critical reviews, and conceptual papers on the many aspects of nicotine and tobacco, including research from the biobehavioral, neurobiological, molecular biologic, epidemiological, prevention, and treatment arenas. Along with manuscripts from each of the areas mentioned above, the editors encourage submissions that are integrative in nature and that cross traditional disciplinary boundaries. The journal is sponsored by the Society for Research on Nicotine and Tobacco (SRNT). It publishes twelve times a year.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信