Promoting smoking cessation through the Quit and Win contest - comparing telephone brief advice, SMS message, and self-help approaches to smoking cessation

ObjectiveThis 12-month study in a primary healthcare network aimed to assess the effectiveness of usual smoking cessation advice compared with personalised information about the spirometry results.DesignRandomised, parallel, controlled, multicentre clinical trial.SettingThis study involved 12 primary healthcare centres (Tarragona, Spain).ParticipantsActive smokers aged 35–70 years, without known respiratory disease. Each participant received brief smoking cessation advice along with a spirometry assessment. Participants with normal results were randomised to the intervention group (IG), including detailed spirometry information at baseline and 6-month follow-up or control group (CG), which was simply informed that their spirometry values were within normal parameters.Main outcomeProlonged abstinence (12 months) validated by expired-CO testing.ResultsSpirometry was normal in 571 patients in 571 patients (45.9% male), 286 allocated to IG and 285 to CG. Baseline characteristics were comparable between the groups. Mean age was 49.8 (SD ±7.78) years and mean cumulative smoking exposure was 29.2 (±18.7) pack-years. Prolonged abstinence was 5.6% (16/286) in the IG, compared with 2.1% (6/285) in the CG (p=0.03); the cumulative abstinence curve was favourable in the IG (HR 1.98; 95% CI 1.29 to 3.04).ConclusionsIn active smokers without known respiratory disease, brief advice plus detailed spirometry information doubled prolonged abstinence rates, compared with brief advice alone, in 12-month follow-up, suggesting a more effective intervention to achieve smoking cessation in primary healthcare.Trial registration numberNCT01194596.

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Standardized, individualized, interactive, and personalized self-help programs for smoking cessation.

Health Psychology ◽

10.1037/0278-6133.12.5.399 ◽

1993 ◽

Vol 12 (5) ◽

pp. 399-405 ◽

Cited By ~ 441

Author(s):

James O. Prochaska ◽

Carlo C. DiClemente ◽

Wayne F. Velicer ◽

Joseph S. Rossi

Keyword(s):

Smoking Cessation ◽

Self Help

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A randomized controlled trial of a smoking cessation self-help intervention for dual users of tobacco cigarettes and E-cigarettes: Intervention development and research design

Contemporary Clinical Trials ◽

10.1016/j.cct.2017.06.014 ◽

2017 ◽

Vol 60 ◽

pp. 56-62 ◽

Cited By ~ 5

Author(s):

Lauren R. Meltzer ◽

Vani N. Simmons ◽

Steven K. Sutton ◽

David J. Drobes ◽

Gwendolyn P. Quinn ◽

...

Keyword(s):

Randomized Controlled Trial ◽

Smoking Cessation ◽

Research Design ◽

Controlled Trial ◽

Intervention Development ◽

Randomized Controlled ◽

Self Help

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The experience of general practitioners with Very Brief Advice in the treatment of tobacco addiction

npj Primary Care Respiratory Medicine ◽

10.1038/s41533-020-00200-0 ◽

2020 ◽

Vol 30 (1) ◽

Author(s):

Onno C. P. van Schayck ◽

Lynn Bindels ◽

Ancka Nijs ◽

Bo van Engelen ◽

Adrienne van den Bosch ◽

...

Keyword(s):

Health Care ◽

Smoking Cessation ◽

General Practitioners ◽

Premature Death ◽

Routine Care ◽

Positive Experience ◽

Telephone Interviews ◽

Stop Smoking ◽

Tobacco Addiction ◽

Brief Advice

Abstract Although tobacco smoking is the world’s most important preventable cause of many chronic diseases (including COPD and asthma) and premature death, many physicians do not routinely apply smoking cessation in the daily health care of their patients. Two widely felt important concerns of physicians are that smoking cessation as part of a treatment is time-consuming and may jeopardize their relationship with patients. Very Brief Advice (VBA) is a non-confrontational method, which could assist general practitioners (GPs) as a simple, quick first step in getting patients to stop smoking. In this study, we investigated the opinions and experiences of GPs with VBA in their routine care in two rounds of telephone interviews with 19 GPs. The interviews were recorded and transcribed and subsequently analysed with NVivo12. We observed that the GPs had a very positive experience with using VBA. They found the method to be efficient as to the time involved, patient-friendly and easy to implement.

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On the Front Line of Smoking Cessation: Pharmacists' Practices and Self-Perception

Canadian Pharmacists Journal / Revue des Pharmaciens du Canada ◽

10.1177/171516350513800308 ◽

2005 ◽

Vol 138 (3) ◽

pp. 32-38 ◽

Cited By ~ 5

Author(s):

Joan M. Brewster ◽

Mary Jane Ashley ◽

Claudine Laurier ◽

Rachel Dioso ◽

J. Charles Victor ◽

...

Keyword(s):

Smoking Cessation ◽

Community Pharmacists ◽

Front Line ◽

Patient Counselling ◽

Quit Smoking ◽

Patient Interaction ◽

Quitting Smoking ◽

Knowledge Practice ◽

Canadian Provinces ◽

Brief Advice

Background: Pharmacists can be effective in helping patients to quit smoking, and opportunities for such interaction have been facilitated by legislative change making nicotine replacement therapy (NRT) available without prescription in Canada. However, there are no previous studies of Canadian pharmacists' preparation for, perception of, or practices regarding their roles in smoking cessation. Methods: Practising community pharmacists in four Canadian provinces were surveyed about their tobacco-related education and knowledge, practice environment, perceptions of their roles and practices related to helping people quit smoking, and factors perceived to facilitate tobacco-related practice. Results: A corrected response rate of 72% was obtained, giving a weighted n of 960 responses. Most pharmacists reported good or excellent knowledge of the health effects of smoking and the use of NRT in smoking cessation. Fewer reported being knowledgeable about behavioural approaches to quitting smoking. Advising patients about NRT was seen as a more important role for pharmacists than giving patients pamphlets or behavioural counselling. Pharmacists' reported practices corresponded to their knowledge and judged importance of roles; pharmacists were not proactive in approaching patients about smoking, but when smokers were identified, pharmacists gave brief advice about the use of NRT. Respondents reported that their smoking cessation practice was facilitated by their own knowledge and skills, patients' interest in quitting, opportunities for patient interaction, and the support of pharmacy management for patient counselling. Conclusions: Improving pharmacist education in patient counselling and behavioural approaches to smoking cessation would help to develop skills in initiating discussions about smoking and would give pharmacists a wider range of options to help patients quit smoking.

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Adding live, reactive telephone counselling to self-help literature does not increase smoking cessation

Evidence-Based Medicine ◽

10.1136/ebm1054 ◽

2010 ◽

Vol 15 (2) ◽

pp. 53-54 ◽

Cited By ~ 2

Author(s):

T. Coleman

Keyword(s):

Smoking Cessation ◽

Telephone Counselling ◽

Self Help

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Preliminary Investigation of a Culturally Specific Smoking Cessation Intervention for Hispanic Smokers

American Journal of Health Promotion ◽

10.4278/0890-1171-11.3.198 ◽

1997 ◽

Vol 11 (3) ◽

pp. 198-207 ◽

Cited By ~ 36

Author(s):

Jeffrey S. Nevid ◽

Rafael A. Javier

Keyword(s):

Smoking Cessation ◽

Smoking Cessation Intervention ◽

The Self ◽

Smoking History ◽

Culturally Specific ◽

Significant Group ◽

Self Help ◽

Cessation Intervention ◽

Self Help Group

Purpose. The purpose of this study was to compare a culturally specific, multicomponent behavioral smoking cessation program for Hispanic smokers with a low-intensity, enhanced self-help control condition. Design. Participants who completed pretreatment assessment were randomly assigned to treatment conditions. Smoking status was evaluated at posttreatment, 6-month follow-up, and 12-month follow-up intervals. Setting. The study was based in predominantly Hispanic neighborhoods in Queens, New York. Participants. Ninety-three Hispanic smokers participated: 48 men and 45 women. Intervention. The multicomponent treatment involved a clinic-based group program that incorporated a culturally specific component consisting of videotaped presentations of culturally laden smoking-related vignettes. The self-help control program was enhanced by the use of an introductory group session and follow-up supportive telephone calls. Measures. Smoking outcomes were based on cotinine-validated abstinence and self-reported smoking rates. Predictors of abstinence were examined, including sociodemographic variables, smoking history, nicotine dependence, acculturation, partner interactions, reasons for quitting, self-efficacy, and linguistic competence. Results. Significant group differences in cotinine-validated abstinence rates in favor of the multicomponent group were obtained, but only at posttreatment. With missing data included and coded for nonabstinence, validated abstinence rates at posttreatment were 21% for the multicomponent group and 6% for the self-help group. At the 6-month follow-up, the rates were 13% for the multicomponent group and 9% for the self-help group. By the 12-month follow-up, the rates declined to 8% and 7% for the multicomponent and self-help groups, respectively. A dose-response relationship between attendance at group sessions and abstinence status was shown at posttreatment and 6-month follow-up intervals. Conclusions. The results of the present study failed to show any long-term benefit from use of a clinic-based, culturally specific multicomponent smoking cessation intervention for Hispanic smokers relative to a minimal-contact, enhanced self-help control.

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