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| DC 欄位 | 值 | 語言 |
|---|---|---|
| dc.contributor.advisor | 郭柏秀 | |
| dc.contributor.author | Kuen-Hong Wu | en |
| dc.contributor.author | 吳坤鴻 | zh_TW |
| dc.date.accessioned | 2021-06-15T11:18:39Z | - |
| dc.date.available | 2019-08-26 | |
| dc.date.copyright | 2016-08-26 | |
| dc.date.issued | 2016 | |
| dc.date.submitted | 2016-08-19 | |
| dc.identifier.citation | Asher, M. K., Martin, R. A., Rohsenow, D. J., MacKinnon, S. V., Traficante, R., & Monti, P. M. (2003). Perceived barriers to quitting smoking among alcohol dependent patients in treatment. Journal of Substance Abuse Treatment, 24(2), 169-174.
Aveyard, P., & Bauld, L. (2011). Incentives for promoting smoking cessation: what we still do not know. Cochrane Database Syst Rev, 8. Bobo, J. K., Slade, J., & Hoffman, A. L. (1995). Nicotine addiction counseling for chemically dependent patients. Psychiatric Services, 46(9), 945-947. Cahill, K., & Perera, R. (2011). Competitions and incentives for smoking cessation. Cochrane Database of Systematic Reviews(4), Cd004307. doi: 10.1002/14651858.CD004307.pub4 Clemmey, P., Brooner, R., Chutuape, M. A., Kidorf, M., & Stitzer, M. (1997). Smoking habits and attitudes in a methadone maintenance treatment population. Drug Alcohol Depend, 44(2-3), 123-132. Dunn, K. E., Sigmon, S. C., Reimann, E. F., Badger, G. J., Heil, S. H., & Higgins, S. T. (2010). A contingency-management intervention to promote initial smoking cessation among opioid-maintained patients. Experimental and Clinical Psychopharmacology, 18(1), 37-50. doi: 10.1037/a0018649 Dunn, K. E., Sigmon, S. C., Thomas, C. S., Heil, S. H., & Higgins, S. T. (2008). VOUCHER‐BASED CONTINGENT REINFORCEMENT OF SMOKING ABSTINENCE AMONG METHADONE‐MAINTAINED PATIENTS: A PILOT STUDY. Journal of Applied Behavior Analysis, 41(4), 527-538. Nahvi, S., Richter, K., Li, X., Modali, L., & Arnsten, J. (2006). Cigarette smoking and interest in quitting in methadone maintenance patients. Addict behav, 31(11), 2127-2134. doi: 10.1016/j.addbeh.2006.01.006 Poling, J., Rounsaville, B., Gonsai, K., Severino, K., & Sofuoglu, M. (2010). The safety and efficacy of varenicline in cocaine using smokers maintained on methadone: a pilot study. American Journal on Addictions, 19(5), 401-408. doi: 10.1111/j.1521-0391.2010.00066.x Reid, M. S., Fallon, B., Sonne, S., Flammino, F., Nunes, E. V., Jiang, H., . . . Burgess, C. (2008). Smoking cessation treatment in community-based substance abuse rehabilitation programs. Journal of Substance Abuse Treatment, 35(1), 68-77. Richter, K. P., Gibson, C. A., Ahluwalia, J. S., & Schmelzle, K. H. (2001). Tobacco use and quit attempts among methadone maintenance clients. American Journal of Public Health, 91(2), 296-299. Romberger, D. J., & Grant, K. (2004). Alcohol consumption and smoking status: the role of smoking cessation. Biomedicine and Pharmacotherapy, 58(2), 77-83. doi: http://dx.doi.org/10.1016/j.biopha.2003.12.002 Shoptaw, S., Rotheram‐Fuller, E., Yang, X., Frosch, D., Nahom, D., Jarvik, M. E., . . . Ling, W. (2002). Smoking cessation in methadone maintenance. Addiction, 97(10), 1317-1328. Stead, L. F., Perera, R., Bullen, C., Mant, D., & Lancaster, T. (2008). Nicotine replacement therapy for smoking cessation. Cochrane Database of Systematic Reviews(1), Cd000146. doi: 10.1002/14651858.CD000146.pub3 Stein, M. D., Weinstock, M. C., Herman, D. S., Anderson, B. J., Anthony, J. L., & Niaura, R. (2006). A smoking cessation intervention for the methadone‐maintained. Addiction, 101(4), 599-607. Tuten, M., Fitzsimons, H., Chisolm, M. S., Nuzzo, P. A., & Jones, H. E. (2012). Contingent incentives reduce cigarette smoking among pregnant, methadone‐maintained women: Results of an initial feasibility and efficacy randomized clinical trial. Addiction, 107(10), 1868-1877. Volpp, K. G., Troxel, A. B., Pauly, M. V., Glick, H. A., Puig, A., Asch, D. A., . . . Audrain-McGovern, J. (2009). A randomized, controlled trial of financial incentives for smoking cessation. N Engl J Med, 360(7), 699-709. doi: 10.1056/NEJMsa0806819 Zirakzadeh, A., Shuman, C., Stauter, E., Hays, J. T., & Ebbert, J. O. (2013). Cigarette smoking in methadone maintained patients: an up-to-date review. Current Drug Abuse Reviews, 6(1), 77-84. 台灣版世界衛生組織生活品質問卷發展小組. (2000). 台灣版世界衛生組織生活品質問卷之發展簡介. [Introduction to the Development of the WHOQOL-Taiwan Version]. 中華公共衛生雜誌, 19(4), 315-324. doi: 10.6288/cjph2000-19-04-10 | |
| dc.identifier.uri | http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/49186 | - |
| dc.description.abstract | 研究目的：本研究探討權變管理相較照常治療組在接受美沙冬維持治療之鴉片類成癮個案戒菸之效應進行探討。
研究方法：本研究招募42位受試者，隨機分配各21位至權變管理組與照常治療組，並且進行追蹤26週。主要結果為香菸使用指標：呼氣一氧化碳濃度、Fagerstrom 尼古丁依賴量表（Fagerstrom Nicotine Dependence Scale FNDS）。次要結果為自陳每週香菸使用支數，FNDS總分，酒精使用指標：呼氣酒精濃度，與其他非法物質使用狀況。 研究結果：結果顯示權變管理組的的一氧化碳呼氣濃度，初始平均為14.7ppm，到第二十六週時降低為5.0ppm; 照常治療組的的一氧化碳呼氣濃度，初始平均為12.3ppm，到第二十六週時降低為8.0ppm.以mixed model檢定，未達統計顯著(p=0.67)。呼氣酒精呼氣酒精濃度，以混合模式檢定，權變管理組呼氣酒精濃度下降之趨勢顯著優於照常治療組(p=0.047)。 研究結論：應用權變管理之戒菸治療，對於鴉片類藥物依賴且接受美沙冬維持治療可能可能有幫助，需要進一步的研究設計，並收集更多個案來證實是否有此效果。前述治療，對於酒精使用之降低，也可能有幫助。 | zh_TW |
| dc.description.abstract | Objective：The study aims to investigate the efficacy of contingency management on smoking cessation for methadone maintained opioid dependent patients
Methods：Forty-two cases were recruited in the study and were randomly assigned to treatment-as-usual group and contingency management group. Twenty-one cases in each group. The cases received tobacco abstinence treatment for twenty-six weeks .Primary outcome measures were exhaled carbon monoxide level. Secondary outcomes were score of Fagerstrom Nicotine Dependence Scale (FNDS), self-reported daily consumption of cigarettes, exhaled alcohol concentration and use of amphetamine and opioids. Results: The exhaled carbon monoxide level decreased from 14.7ppm to 5.0ppm in the contingency management group and 12.3ppm to 8.0ppm in the treatment as usual group. No significant difference was found with linear mixed model analysis. (p=0.67) Exhaled alcohol concentration was decreased significantly more in the contingency management group than in the treatment as usual group with linear mixed model analysis. (p=0.047) Conclusions: Contingency management for tobacco abstinence treatment maybe effective for opioid dependent patients receiving methadone maintenance treatment. However, further study recruiting more cases is needed to confirm the efficacy. The treatment may also be helpful to reduce alcohol drinking among the population studied. | en |
| dc.description.provenance | Made available in DSpace on 2021-06-15T11:18:39Z (GMT). No. of bitstreams: 1 ntu-105-R99849037-1.pdf: 1523972 bytes, checksum: 11df074ea47b8e5c6a35c64574b8c6fd (MD5) Previous issue date: 2016 | en |
| dc.description.tableofcontents | 摘要 2
目錄 4 一、 研究介紹 5 二、 研究方法 8 三、 研究結果 13 四、 研究討論 15 文獻 20 表一 、人口學變項分佈 22 表二 、菸酒使用指標與生活品質組別初始差異 24 表三 、酒精與香菸使用指標於各組在實驗時間變化 25 表四 、呼氣一氧化碳濃度於各組在實驗時間變化 30 表五 、抽菸支數於各組在實驗時間變化 31 表六 、FNDS總分於各組在實驗時間變化 32 表七 、呼氣酒精濃度於各組在實驗時間變化 33 表八 、尿液安非他命與嗎啡反應於各組實驗前後變化 34 表九 、第十二週呼氣一氧化碳減少濃度於各組差異 35 圖一、收案流程 36 圖二、酒精吹氣測試於各組整體時間變化趨勢 37 圖三、一氧化碳吹氣測試於各組整體時間變化趨勢 38 圖四、抽菸支數於各組整體時間變化趨勢 39 圖五、FNDS總分於各組整體時間變化趨勢 40 | |
| dc.language.iso | zh-TW | |
| dc.subject | 隨機分配 | zh_TW |
| dc.subject | 美沙冬 | zh_TW |
| dc.subject | 戒菸 | zh_TW |
| dc.subject | 權變管理 | zh_TW |
| dc.subject | tobacco quitting | en |
| dc.subject | randomization | en |
| dc.subject | contingency management | en |
| dc.subject | methadone | en |
| dc.title | 權變管理對於接受美沙冬維持治療之鴉片類成癮個案戒菸之效應 | zh_TW |
| dc.title | The effect of contingency management on smoking cessation for methadone maintained opioid dependent patients | en |
| dc.type | Thesis | |
| dc.date.schoolyear | 104-2 | |
| dc.description.degree | 碩士 | |
| dc.contributor.oralexamcommittee | 李文宗,陳娟瑜,詹宏裕 | |
| dc.subject.keyword | 美沙冬,戒菸,權變管理,隨機分配, | zh_TW |
| dc.subject.keyword | methadone,tobacco quitting,contingency management,randomization, | en |
| dc.relation.page | 40 | |
| dc.identifier.doi | 10.6342/NTU201603433 | |
| dc.rights.note | 有償授權 | |
| dc.date.accepted | 2016-08-20 | |
| dc.contributor.author-college | 公共衛生學院 | zh_TW |
| dc.contributor.author-dept | 流行病學與預防醫學研究所 | zh_TW |
| 顯示於系所單位： | 流行病學與預防醫學研究所 | |
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