DSpace at RU >
University Library >
Academic bibliography >
|Title: ||General practice counseling for patients with chronic obstructive pulmonary disease to quit smoking: Impact after 1 year of two complex interventions|
|Author(s): ||Hilberink, S.R. (314280006)|
Jacobs, J.E. (202790711)
Breteler, M.H.M. (075282054)
Vries, H. de
Grol, R.P.T.M. (069606714)
|Publication year: ||2011|
|Document type: ||Article / Letter to editor|
|Journal: ||Patient Education and Counseling|
|Volume: ||vol. 83|
|Issue: ||iss. 1|
|Start page: ||p. 120|
|End page: ||p. 124|
|Related link(s): ||http://dx.doi.org/10.1016/j.pec.2010.04.009|
|Abstract: ||Objective: To evaluate two counseling programs in general practice to help smokers with chronic obstructive pulmonary disease (COPD) to quit smoking.
Methods: Cluster randomized controlled trial including 68 general practices (667 patients) using a randomly assigned intervention program with counseling and advice about nicotine replacement therapy (and additional bupropion-SR in one of the programs) or usual care. Usual care consisted of periodic regular check-ups and COPD information. The main outcome measure was biochemically verified point prevalence at 12 months.
Results: The two intervention groups were treated as one in the analysis because they were equally effective. The intervention resulted in a significantly self-reported higher success rate (14.5%) compared to usual care (7.4%); odds ratio = 2.1, 95% confidence interval = 1.1-4.1. Biochemically verified quit rates were 7.5% (intervention) and 3.4% (usual care); odds ratio = 2.3, 95% confidence interval = 0.9-6.0.
Conclusion: The program doubled the cessation rates (statistically nonsignificant). Too few participants used the additional bupropion-SR to prove its effectiveness.
Practice implications: The protocols can be used for COPD patients in general practice, but expectations should be modest. If quitting is unsuccessful, a stepped care approach should be considered.|
|Subject: ||Experimental Psychopathology and Treatment|
|Organization: ||SW OZ BSI KLP|
|Appears in Collections:||Academic bibliography|
Please use this identifier to cite or link to this item:
Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.