Behavior Change Techniques Used in Group-Based Behavioral Support by the English Stop-Smoking Services and Preliminary Assessment of Association with Short-term Quit Outcomes

被引:37
作者
West, Robert [1 ,2 ]
Evans, Adam [3 ]
Michie, Susan [2 ,4 ]
机构
[1] UCL, Canc Res UK Hlth Behaviour Res Ctr, Dept Epidemiol & Publ Hlth, London WC1E 6BT, England
[2] NHS Ctr Smoking Cessat & Training, London WC1E 6BT, England
[3] Univ Surrey, Dept Psychol, Guildford GU2 5XH, Surrey, England
[4] UCL, UCL Div Psychol & Language Sci, London WC1E 6BT, England
关键词
CESSATION; THERAPY;
D O I
10.1093/ntr/ntr120
中图分类号
R194 [卫生标准、卫生检查、医药管理];
学科分类号
摘要
Objective: To develop a reliable coding scheme for components of group-based behavioral support for smoking cessation, to establish the frequency of inclusion in English Stop-Smoking Service (SSS) treatment manuals of specific components, and to investigate the associations between inclusion of behavior change techniques (BCTs) and service success rates. Methods: A taxonomy of BCTs specific to group-based behavioral support was developed and reliability of use assessed. All English SSSs (n = 145) were contacted to request their group-support treatment manuals. BCTs included in the manuals were identified using this taxonomy. Associations between inclusion of specific BCTs and short-term (4-week) self-reported quit outcomes were assessed. Results: Fourteen group-support BCTs were identified with >90% agreement between coders. One hundred and seven services responded to the request for group-support manuals of which 30 had suitable documents. On average, 7 BCTs were included in each manual. Two were positively associated with 4-week quit rates: "communicate group member identities" and a "betting game" (a financial deposit that is lost if a stop-smoking "buddy" relapses). Conclusion: It is possible to reliably code group-specific BCTs for smoking cessation. Fourteen such techniques are present in guideline documents of which 2 appear to be associated with higher short-term self-reported quit rates when included in treatment manuals of English SSSs.
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收藏
页码:1316 / 1320
页数:5
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