关键词: behavioral health diabetes mellitus health promotion lifestyle change smoking

Mesh : Humans Smoking Cessation / methods Diabetes Mellitus / therapy Behavior Therapy / methods Motivational Interviewing / methods Cognitive Behavioral Therapy / methods

来  源:   DOI:10.1177/21501319241241470   PDF(Pubmed)

Abstract:
UNASSIGNED: Tobacco smoking exacerbates diabetes-related complications; its prevalence is notwithstanding substantial. Persons with diabetes face a number of barriers and challenges to quitting such as multiple lifestyle restrictions; tailored interventions are required for smoking cessation.
UNASSIGNED: To identify research on behavioral interventions for smoking cessation in diabetes.
UNASSIGNED: Studies had to be randomized controlled trials, quasiexperimental or systematic reviews. The behavioral interventions included were: the 5As, Cognitive-Behavioral Therapy, Motivational Interviewing, Contingency Management, Health Coaching and Counselling, as compared to standard care. The outcomes were self-reported and/or biochemically verified smoking cessation. CINAHL Complete, MEDLINE Complete, the Cochrane databases of systematic reviews and randomized controlled trials, PsychInfo and PubMed Central were searched until July, 2023. Keywords used included diabetes, smoking cessation and each of the behavioral interventions included.
UNASSIGNED: 1615 papers were identified. Three studies on the 5As/brief advice, 4 on Motivational Intervention and 1 on counseling were retained. The results on the 5As and Motivational Interviewing were conflicting. More intensive interventions appear to be more successful in achieving smoking cessation in smokers with diabetes.
UNASSIGNED: Future research should focus on the continued development and evaluation of structured smoking cessation interventions based on the 5As, Motivational interviewing and Cognitive Behavioral Therapy.
摘要:
吸烟会加剧与糖尿病有关的并发症;尽管其患病率很大。糖尿病患者在戒烟时面临许多障碍和挑战,如多种生活方式限制;戒烟需要量身定制的干预措施。
确定对糖尿病戒烟行为干预的研究。
研究必须是随机对照试验,准实验或系统评价。行为干预包括:5As,认知行为疗法,激励式面试,应急管理,健康辅导和咨询,与标准护理相比。结果是自我报告和/或生化验证的戒烟。CINAHL完成,MEDLINE完成,系统评价和随机对照试验的Cochrane数据库,PsychInfo和PubMedCentral被搜索到七月,2023年。使用的关键词包括糖尿病,戒烟和每一项行为干预措施都包括在内。
确定了1615篇论文。关于5As/简短建议的三项研究,保留了4项关于激励干预的内容和1项关于咨询的内容。5As和动机访谈的结果相互矛盾。更密集的干预措施似乎更成功地实现糖尿病吸烟者的戒烟。
未来的研究应侧重于基于5A的结构化戒烟干预措施的持续开发和评估,动机性访谈和认知行为疗法。
公众号