A Case Study of a Self-Help Intervention With Telephone Support for a Smoker With Weak Motivation to Quit

2007 ◽  
Vol 2 (2) ◽  
pp. 73-74
Author(s):  
Carmen Míguez ◽  
Elisardo Becoña
Keyword(s):  
Surgical Intervention ◽  
Telephone Support ◽  
Quit Smoking ◽  
Self Help ◽  
Cessation Intervention ◽  
Stop Smoking ◽  
Motivation To Quit ◽  
The Subject

AbstractSmokers who need help to stop smoking cannot always attend clinical treatment sessions, so it is important for other alternatives to be offered. We report a case study of a smoking cessation intervention administered to a 29-year-old male cigarette smoker who had made no previous attempts to quit and who did not want to stop smoking, but who was obliged to because he was about to undergo a surgical intervention. The intervention was a mailed behavioural program combined with telephone support, administered over a six-week period. The subject quit smoking after 4 weeks, and remained abstinent at 3-, 6-, and 12-month follow-ups. At the 12-month follow-up the carbon monoxide in expired air was used to verify his abstinence.

Self-Help versus Group Approaches to Smoking Cessation in the Workplace: Eighteen-Month Follow-up and Cost Analysis

1990 ◽  
Vol 4 (3) ◽  
pp. 187-192 ◽  
Author(s):  
Robert L. Bertera ◽  
Laura K. Oehl ◽  
Janet M. Telepchak
Keyword(s):  
Smoking Cessation ◽  
Cost Effectiveness ◽  
Demographic Characteristics ◽  
Relative Efficacy ◽  
Quit Smoking ◽  
Self Help ◽  
Stop Smoking ◽  
Quit Rate ◽  
Successful Quitter

This study evaluated the relative efficacy and cost-effectiveness of a stop smoking clinic and self-help kit, and characteristics of those who benefited most from each approach. Employees attended an orientation of quit smoking programs that included a brief description of the American Lung Association's “Freedom From Smoking” clinic and “Freedom From Smoking in 20 Days” self-help kit. Seventy registrants provided both baseline and 18-month follow-up information by questionnaire. The two methods attracted smokers with somewhat different socio-demographic characteristics. The combined quit rate for the two groups was 17 percent at 18 months. Cost per participant was twice as high for the clinic method ($32 vs. $16), but cost per successful quitter was similar in both groups (about $150). In light of these results, employees should continue to be offered a choice of self-help and clinic approaches to smoking cessation in order to reach the largest potential number of participants.

scholarly journals Prospective, Randomized, Controlled Trial Using Best-Selling Smoking-Cessation Book

2017 ◽  
Vol 96 (7) ◽  
pp. 258-263
Author(s):  
James P. Foshee ◽  
Anita Oh ◽  
Adam Luginbuhl ◽  
Joseph Curry ◽  
William Keane ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Smoking Cessation ◽  
Controlled Trial ◽  
Smoking Cessation Counseling ◽  
Randomized Controlled ◽  
Quit Smoking ◽  
Stop Smoking ◽  
Prospective Randomized Controlled Trial

Our prospective, randomized, controlled trial aimed to evaluate the efficacy of the self-help book, The Easy Way to Stop Smoking, by Allen Carr, in promoting smoking cessation in patients with head and neck cancer. We assessed active smokers for their willingness to read a smoking cessation book. Participants were randomized to either receive the book from our department or recommended to purchase the book. All patients received smoking cessation counseling at recruitment. Phone surveys were conducted at short- and long-term intervals to determine if the patients had purchased and/or read the book and whether they were still smoking. One hundred twelve patients were recruited, 52 of whom completed follow-up surveys. Those who received the book for free were more likely to read the book (p = 0.05). Reading the book did not correlate with successful smoking cessation (p = 0.81). Some 26% of the 27 patients who received the book quit smoking compared with 32% of the 25 patients who were recommended the book (p = 0.76). Patients who indicated motivation to quit smoking were more likely to succeed. In our study, smoking cessation did not appear to be influenced by reading The Easy Way to Stop Smoking. Despite 80.8% of the cohort indicating at least a readiness to quit smoking at recruitment, only 28.8% of patients managed to achieve successful smoking cessation at long-term follow-up. Patient motivation remains an important factor in achieving long-term smoking abstinence. Quitting smoking remains a daunting challenge for patients, with multiple interventions likely needed to achieve cessation.

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

1997 ◽  
Vol 11 (3) ◽  
pp. 198-207 ◽  
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.

scholarly journals Do New Zealand Māori and Pacific ‘walk the talk’ when it comes to stopping smoking? A qualitative study of motivation to quit

2013 ◽  
Vol 9 (2) ◽  
pp. 68-75 ◽  
Author(s):  
Marewa Glover ◽  
Vili Nosa ◽  
Dudley Gentles ◽  
Donna Watson ◽  
Janine Paynter
Keyword(s):  
New Zealand ◽  
Smoking Prevalence ◽  
Qualitative Approach ◽  
Pacific People ◽  
Effective Strategies ◽  
Quit Smoking ◽  
Stop Smoking ◽  
Quit Attempts ◽  
Motivation To Quit ◽  
Motivating Reasons

Introduction: In March 2011, the New Zealand government committed to the goal of reducing the prevalence of current smokers to less than 5% by 2025. Smoking prevalence is significantly higher for Māori and Pacific peoples. To ensure a proportionately larger decrease in smoking prevalence for Māori and Pacific peoples by 2025, more effective strategies for prompting cessation among these groups are needed. Aim: This study aimed to identify what motivates Māori and Pacific people to quit smoking so that communications and mass media quit campaigns can be more effective at triggering quitting among them. Method: A qualitative approach utilising focus groups (N = 168) was used to ask participants to rank reasons why people say they should quit smoking (the ‘talk’) which we compared with participants’ reasons for actually quitting (the ‘walk’). The results were plotted on a scatter graph using a method devised by the authors. Results: Health, children and pregnancy were perceived to be strong motivating reasons to quit and they were frequently cited as triggering past quit attempts. Cost was plotted high for Pacific but low for Māori especially for talk. ‘It stinks’ was cited as triggering past quit attempts, but was not perceived as a reason to quit. Conclusion: Emotionally important reasons and more immediate reasons for quitting are likely to be more effective at prompting Māori and Pacific peoples to stop smoking.

scholarly journals Smoking cessation counselling practices of family physicians in Jordan

2013 ◽  
Vol 8 (2) ◽  
pp. 85-90 ◽  
Author(s):  
Mousa Abdullah Alomari ◽  
Yousef Saleh Khader ◽  
Ali Shakir Dauod ◽  
Khaled Adel Abu-Hammour ◽  
Adi Harbi Khassawneh ◽  
...  
Keyword(s):  
Smoking Cessation ◽  
Smoking Status ◽  
Nicotine Patch ◽  
Family Physicians ◽  
Smoking Cessation Counselling ◽  
Quit Smoking ◽  
Self Help ◽  
Stop Smoking ◽  
Two Factors ◽  
Structured Questionnaire

Objectives: To assess the smoking cessation counselling practices of family physicians in Jordan and assess their perception about the availability of smoking cessation resources and about the barriers to effective smoking cessation practices. Methods: A pre-structured questionnaire was distributed to 124 family physicians practicing in teaching and Ministry of Health medical centres in Jordan. All participants were asked about their smoking cessation practices and about the barriers to effective smoking cessation practices. Results: Only 39.8% reported that they assess the willingness of the patients to quit smoking and 28.2% reported that they discuss counselling options with smokers. Considerably fewer percentages of physicians reported that they prepare their patients for withdrawal symptoms (11.6%), discuss pharmacotherapies (4.9%), describe a nicotine patch (5.0%), and provide patients with self-help materials (6.7%). The two factors cited most often by physicians as significant barriers to smoking cessation counselling were lack or too few available cessation programmes (90.3%) and limited training for physicians on tobacco and cessation interventions (90.3%). Conclusion: While a high proportion of Jordanian family physicians reported that they usually ask patients about smoking status and advise them to stop smoking, they do not regularly provide extensive assistance to help their patients to quit smoking. Lack or too few available cessation programmes and limited training for physicians on smoking cessation interventions were identified as the two major barriers to effective smoking cessation counselling.

scholarly journals Correlation Between The Knowledge On Health Effects Of Smoking And Motivation On Smoking Cessation In Ex-Smokers Of Lung Department Patients, Siloam General Hospital, Lippo Village.

Medicinus ◽  
2021 ◽  
Vol 8 (2) ◽  
pp. 38
Author(s):  
Clarinda Wong ◽  
Brian Lucas ◽  
Veli Sungono ◽  
Andree Kurniawan ◽  
Allen Widysanto
Keyword(s):  
Smoking Cessation ◽  
General Hospital ◽  
Health Effects ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Quit Smoking ◽  
Stop Smoking ◽  
Motivation To Quit ◽  
Level Of Knowledge ◽  
Motivation To Quit Smoking

<p><strong>Introduction:</strong><strong> </strong>Data from WHO showed that deaths caused by tobacco reaches approximately ± 6 million deaths annually. There are many information about the danger of smoking which spreading from various sources. The level of  knowledge about the danger of smoking can be associated with motivation to stop smoking. Therefore, motivation toward smoking cessation arises if someone knows the benefits that can be taken, through an adequate knowledge.</p><p><strong>Aim:</strong><strong> </strong>To determine the relationship between the level of knowledge on the health effects of  smoking with motivation to stop smoking in ex-smokers of lung department patients at Siloam General Hospital, Lippo Village.</p><p><strong>Methodology: </strong>This is a cross-sectional study, analyzing 138 ex-smokers of Siloam General Hospital’s lung department patients using consecutive sampling techniques.</p><p><strong>Results: </strong>the results showed 73.2% of people have good knowledge about the danger of smoking and 26.8% are not. Then, 58% of people have high motivation to stop smoking and 42% have low motivation. The results of statistical test using Chi Square showed a significant relationship between the level of knowledge and the motivation to quit smoking (OR = 4.293 [95% CI: 1,921-9,594], <em>P</em>&lt;.001). The results of the multivariate logistic regression test showed educational factors (<em>P</em>=0.014), and the frequency of smoking (<em>P</em>=0.007) also influence the motivation to stop smoking.</p><strong>Conclusion : </strong>There’s a significant relation between knowledge about the danger of smoking and the motivation to quit smoking.

scholarly journals Retraining automatic action tendencies for smoking using mobile phone-based approach-avoidance bias training: Study protocol for a randomized controlled study

2019 ◽  
Author(s):  
Alla Machulska ◽  
Kristian Kleinke ◽  
Tanja Joan Eiler ◽  
Armin Grünewald ◽  
Rainer Brück ◽  
...  
Keyword(s):  
Smoking Cessation ◽  
Mobile Phone ◽  
Outcome Measures ◽  
Smoking Cessation Intervention ◽  
Control Group ◽  
Quit Smoking ◽  
Cessation Intervention ◽  
Randomized Control ◽  
Bias Modification

Abstract Background: Automatic tendencies to approach drug-related cues have been linked to the development and maintainance of harmful drug taking behavior. Recent studies have demonstrated that these automatic approach tendencies can be targeted directly by means of Cognitive Bias Modification (CBM) approaches. Moreover, changing those approach tendencies may enhance treatment outcomes. However, training and therapy effects tend to be rather small and adherence to the training might be impaired by time-consuming multiple lab-training sessions. Here, we present a protocol for a randomized control design to improve CBM training efficiency and facilitate access to the training by providing mobile phone-based training sessions at home to current smokers motivated to quit smoking. Methods: Participants (n = 100) are current smokers who smoke at least 6 cigarettes per day for at least 6 months and are willing to quit smoking. All participants attend a brief behavioral smoking cessation intervention (TAU) and are randomly assigned either to an experimental (TAU + training) or a control group. Participants in the experimental condition are given access to a training app aimed at retraining automatic approach biases for smoking cues. Participants are instructed to perform the app-training outside the laboratory context on a daily basis for 14 consecutive days. Participants in the control group do not receive the training. Primary outcome measures are changes in smoking-related approach biases and reductions in daily nicotine consumption as assessed at baseline, post-training and at a six-week follow-up. Secondary outcome measures include approach biases for alternative stimuli or smoking stimuli to which participants were not exposed during training, attentional and association biases, biochemical outcomes, and self-reported smoking behavior, also measured at three different time points (baseline, post-training, follow-up). After completion of the study, smokers in the control condition will receive access to the training app. Discussion: This RCT is the first to test the effectiveness of an app-based CBM intervention as an adjunct to a brief smoking cessation intervention in smokers motivated to quit smoking. The results of this study can inform future research in the optimisation and advancement of CBM treatment for addiction. Trial registration: Registered with Current Controlled Trials: study ID ISRCTN15690771. Registered on 20 November 2018; http://www.isrctn.com/ISRCTN15690771 Key words: Approach Bias, Cogitive Bias Modification, cigarette smoking, nicotine addiction, Randomized Control Trial, smartphone apps

scholarly journals PREVENÇÃO E POSVENÇÃO DO SUICÍDIO: RELATOS DE PARENTES DE PESSOAS QUE MORRERAM POR SUICÍDIO

2021 ◽  
Vol 7 (1) ◽  
pp. 1-14
Author(s):  
Rosario Martinho Sunde ◽  
◽  
Doglas M. Alberto Paqueleque ◽  
Keyword(s):  
Suicide Prevention ◽  
Health Centers ◽  
Loved One ◽  
Care Services ◽  
Financial Conditions ◽  
Self Help ◽  
Informed Consent Form ◽  
Long Time

This article on suicide prevention and prevention is a case study involving relatives of people who died by suicide. This study aimed to evaluate suicide prevention and prevention strategies. A qualitative approach combined with an interview content analysis applied to 2 people (+18 years old) was used. The interviews were conducted at the participants' homes after being contacted and a free and informed consent form was presented. The results of this research lead us to conclude that after the death of a relative by suicide there are many marks between indignations, couplings, anguish and suffering for the disappearance of the loved one. We also realized that, due to lack of financial conditions, the problems related to grief are managed among family members through a circle of conversations and self-help, which can lead survivors to experience experiences of pain and grief for a long time. To this end, it is suggested to promote psychological care services for bereaved relatives to prevent cases of complicated grief and contagious suicide. To this end, health centers must create cooperation links with legal entities tracking cases of death by suicide for proper follow-up.

THE DYSFUNCTIONAL UTERINE BLEEDING (DUB) DUE TO ENDOMETRIAL HYPERPLASIA WITH BULKY UTERUS IN AYURVEDIC VIEW – CASE STUDY

2020 ◽  
Vol 8 (06) ◽  
Author(s):  
Dr DIVYA PAWAR ◽  
Sameer Gholap
Keyword(s):  
Endometrial Hyperplasia ◽  
Treatment Protocol ◽  
Hormonal Treatment ◽  
Uterine Bleeding ◽  
The Body ◽  
Dysfunctional Uterine Bleeding ◽  
The Subject ◽  
Special Health

ABSTRACT :- Endometrial is inner lining of uterus. Hyperplasia is excessive growth of cells. Endometrial Hyperplasia is excessive cell growth or thickness of inner lining of uterus. Endometrial hyperplasia is excessive or abnormal thickening of the lining of the uterus, which is most probable cause of Dysfunctional Uterine Bleeding (DUB). In most of the cases, it is benign in nature. The treatment of endometrial hyperplasia of uterus is mainly done by hormonal treatment (especially by progesterone) and by surgical treatment such as hysterectomy, which are having their own side effects. Ayurveda is a health care system sensitive to women’s special health needs. Women are far more sensitive to the rhythms and cycles of nature, Ayurveda is founded on the principle of keeping the body toned in time with nature, and naturally, women find Ayurveda very suitable. In Ayurveda, Endometrial hyperplasia of uterus can be correlated with Lohitakshara Yonivyapada. The present case revealed the Raktastambhaka, Shothhara evum Tridoshahara properties of some Ayurvedicmedicines viz. Pushyanuga Churna, Ashokarishta and Dashamoola Kashaya in a known case of DUB due to endometrial hyperplasia with Bulky Uterus. After 3 months of treatment sonography report showed no hyperplasia of uterus. AIMS AND OBJECTIVES To evaluate the efficacy of Shamana Aushadhi in the management of Dysfunctional Uterine Bleeding (DUB) due to Endometrial Hyperplasia MATERIALS AND METHODS It is a case study of the subject of 35 yrs age with Dysfunctional Uterine Bleeding (DUB) due to Endometrial Hyperplasia who has been treated with Shamana Chikitsa. RESULTS AND DISCUSSION The subject is on follow up and without any medicine on normal cyclic rhythm till date with overall feeling of wellbeing. There is improvement and no evidence recurrence of Dysfunctional Uterine Bleeding and Endometrial Hyperplasia. CONCLUSION The selected treatment protocol i.e. Shamana Aushadha is very effective in the management of Endometrial Hyperplasia KEYWORDS –​ Ayurveda, Lohitakshara Yonivyapada, Endometrial Hyperplasia, Raktastambhaka Drugs

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