Introduction

Nicotine replacement therapy (NRT) use to support client smoking quit attempts is low and inconsistent at alcohol and other drug (AOD) treatment services. This study examined predictors of any NRT use and combination NRT use among AOD clients who were smokers.

Methods

The study was part of a cluster-RCT of an organisational change intervention to introduce smoking cessation support as part of routine treatment in 32 AOD services. The intervention provided AOD services with free NRT and training. Service clients completed baseline (n = 896), 8-week (n = 471) and 6.5-month (n = 427) follow-up surveys. Mixed-model logistic regression examined whether baseline socio-demographic and smoking variables were associated with single and combination NRT use.

Results

At 8-weeks follow-up 57% (n = 269/471), and at 6.5-months 33% (n = 143/427) of participants reported using at least one form of NRT. Odds of NRT use at 8-weeks follow-up were greater among participants from treatment vs control group (OR = 3.69, 95%CI 1.8–7.4; p < 0.001), higher vs lower nicotine dependence (OR = 1.74 95%CI 1.1–2.8; p = 0.024), or those motivated to quit (OR = 1.18 95%CI 1.0–1.4; p = 0.017). At 6.5-months, only the treatment arm remained significant. Combination NRT use at the 8-week follow-up was higher among those in treatment vs control group (OR = 2.75 95%CI 1.4–5.6; p = 0.005), or with higher vs lower nicotine dependence (OR = 2.12 95%CI 1.2–3.8; p = 0.014). No factors were associated with combination NRT use at 6.5-months.

Conclusions

An organisational change intervention that supplied AOD services with NRT training and products to provide to clients during treatment significantly increases client single form and combination NRT use in the short term.

中文翻译：

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参加戒烟随机对照试验的酒精和其他毒品使用者中尼古丁替代疗法使用的方式和预测因素

介绍

用于支持客户戒烟尝试的尼古丁替代疗法（NRT）偏低，而且在酒精和其他药物（AOD）治疗服务上也不一致。这项研究调查了吸烟的AOD客户中任何使用NRT以及结合使用NRT的预测因素。

方法

该研究是一项组织变革干预措施的集群RCT的一部分，该干预措施将戒烟支持作为常规治疗的一部分引入了32种AOD服务中。该干预为AOD服务提供了免费的NR​​T和培训。服务客户完成了基线调查（n = 896），8周（n = 471）和6.5个月（n = 427）的随访调查。混合模型逻辑回归分析了基线社会人口统计学和吸烟变量是否与单次使用和联合使用NRT相关联。

结果

在8周的随访中，有57％（n = 269/471），在6.5个月的随访中，有33％（n = 143/427）的参与者报告使用了至少一种NRT。治疗组与对照组相比，在8周随访中使用NRT的几率更高（OR = 3.69，95％CI 1.8-7.4； p <0.001），尼古丁依赖性更高或更低（OR = 1.74 95％CI 1.1） –2.8； p = 0.024），或有动机戒烟的人（OR = 1.18 95％CI 1.0–1.4； p = 0.017）。在6.5个月时，仅治疗组保持显着水平。治疗组与对照组相比，在8周随访中联合使用NRT较高（OR = 2.75 95％CI 1.4-5.6； p = 0.005），尼古丁依赖性较高或较低（OR = 2.12 95％CI 1.2–3.8； p = 0.014）。在6.5个月时使用NRT的联合使用没有相关因素。

结论

为AOD服务提供NRT培训和产品以在治疗期间向客户提供的组织变更干预措施在短期内显着增加了客户单一形式和NRT组合使用的机会。