New methods for tobacco dependence treatment research.
Ann Behav Med
; 41(2): 192-207, 2011 Apr.
Article
em En
| MEDLINE
| ID: mdl-21128037
ABSTRACT
INTRODUCTION:
Despite advances in tobacco dependence treatment in the past two decades, progress has been inconsistent and slow. This paper reviews pervasive methodological issues that may contribute to the lack of timely progress in tobacco treatment science including the lack of a dynamic model or framework of the cessation process, inefficient study designs, and the use of distal outcome measures that poorly index treatment effects. The authors then present a phase-based cessation framework that partitions the cessation process into four discrete phases based on current theories of cessation and empirical data. These phases include (1) Motivation, (2) Precessation, (3) Cessation, and (4) Maintenance.DISCUSSION:
Within this framework, it is possible to identify phase-specific challenges that a smoker would encounter while quitting smoking, intervention components that would address these phase-specific challenges, mechanisms via which such interventions would exert their effects, and optimal outcome measures linked to these phase-specific interventions. Investigation of phase-based interventions can be accelerated by using efficient study designs that would permit more timely development of an optimal smoking cessation treatment package.
Texto completo:
1
Bases de dados:
MEDLINE
Assunto principal:
Projetos de Pesquisa
/
Tabagismo
/
Terapia Comportamental
/
Abandono do Hábito de Fumar
/
Avaliação de Resultados em Cuidados de Saúde
Tipo de estudo:
Prognostic_studies
Limite:
Humans
Idioma:
En
Revista:
Ann Behav Med
Assunto da revista:
CIENCIAS DO COMPORTAMENTO
Ano de publicação:
2011
Tipo de documento:
Article
País de afiliação:
Estados Unidos