One-Year Follow-up Results of Başkent University İzmir Zübeyde Hanım Hospital Smoking Cessation Outpatient Clinic

Abstract Background: Post-traumatic headache (PTH) is a common symptom following mild traumatic brain injury (mTBI). Patients at risk to develop acute PTH (aPTH) and further persistent PTH (pPTH) need to be recognized. Methods: This is a one-year follow-up of 127 patients with mTBI, aged 18 to 68, referred to outpatient clinic in the Helsinki University Hospital. Symptoms were assessed at the emergency department (ED), with structured interview at outpatient clinic visit and with Rivermead post-concussion symptom questionnaire at one, three, and 12 months after injury. Psychiatric disorders were assessed with Structured Clinical Interview for DSM-IV Axis I disorders at 3-4 months and return to work (RTW) from patient records. Results: At one month, 77/127 patients (61%) had aPTH. According to multiple logistic regression analysis, risk factors for aPTH were headache at the emergency department (ED) (OR 5.43), other pain (OR 3.19), insomnia (OR 3.23), and vertigo (OR 5.98). At three months, 17 patients (22% of aPTH patients) had developed pPTH, and at one year, 4 patients (24% of pPTH patients) still presented with pPTH. Risk factors for pPTH at three months were older age (OR 1.06) and current insomnia (OR 12.3). The frequency of psychiatric disorders did not differ between the groups. pPTH patients performed worse on their RTW. Conclusions: Risk factors for aPTH were insomnia, headache at ED, other pain, and vertigo and for pPTH, insomnia and older age. RTW rate was lower among pPTH patients.

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Multimodal treatment for smoking cessation with varenicline in alcoholic, methadone-maintained, and psychotic patients: A one-year follow-up

Tobacco Induced Diseases ◽

10.18332/tid/99541 ◽

2018 ◽

Vol 16 (December) ◽

Cited By ~ 2

Author(s):

Raich Antonia ◽

Pinet Cristina ◽

Ballbè Montse ◽

Mondon Silvia ◽

Tejedor Rosa ◽

...

Keyword(s):

Smoking Cessation ◽

Multimodal Treatment ◽

One Year

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Application in the dental office of a practical method of clinical-behavioural treatment for smoking cessation: a case report

Revista Odonto Ciência ◽

10.15448/1980-6523.2017.3.26317 ◽

2018 ◽

Vol 32 (3) ◽

pp. 140

Author(s):

Leonardo Essado Rios ◽

Maria Do Carmo Matias Freire ◽

Nádia Lago Costa

Keyword(s):

Smoking Cessation ◽

Practical Method ◽

Behavioural Treatment ◽

Behavioural Support ◽

Dental Office ◽

Chewing Gums ◽

Promote Smoking Cessation ◽

One Year ◽

Harmful Effects

INTRODUCTION: Smoking causes harmful effects to the oral cavity, therefore dentists play an important role in helping their patients to quit. OBJECTIVE: In this article, we aimed to report the application of a practical method of clinicalbehavioural treatment for smoking cessation which was performed by a Dental Surgeon in a male patient who wanted to stop smoking. CASE DESCRIPTION: Behavioural support was based on the Standard Treatment Program (STP) recommended by an English institution specialized in preparing health professionals to promote smoking cessation. Drug support involved Nicotine Replacement Therapy (NRT) by the combination of transdermal patches and chewing gums in different stages and dosages. The Fagerström Test was used to assess the patient’s level of nicotine dependence. Abstinence was monitored by assessing the patient’s level of expired carbon monoxide using a monoximeter. Success in promoting patient’s abstinence was observed during 40 days of treatment and one year of follow-up. Conclusion: The STP behavioural support methodology combined with NRT proved to be quite feasible and promising to be used by dentists in order to treat smoking in the dental office.

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Long-term effectiveness of smoking cessation courses for Turkish-speaking migrants in Switzerland

European Journal of Public Health ◽

10.1093/eurpub/ckaa166.268 ◽

2020 ◽

Vol 30 (Supplement_5) ◽

Author(s):

R Paz Castro ◽

C Salis Gross ◽

S Haug

Keyword(s):

Smoking Cessation ◽

Harm Reduction ◽

Cox Regression ◽

Health Inequity ◽

Cox Regression Analysis ◽

Migrant Populations ◽

Culturally Adapted ◽

One Year

Abstract Background Migrant populations usually report higher smoking rates. Among those migrant populations, Turkish- and Kurdish-speaking migrants are often overrepresented. Providing equal access to health services is one of major challenges of our time. The need for adapted smoking-cessation treatments for Turkish-speaking populations to achieve equity in health led, in 2006, to the development and implementation of the Tiryaki-Kukla smoking-cessation program in Switzerland. Since 2006, 5'305 Turkish-speaking migrants in Switzerland were reached with tobacco-related information and the offer of tailored treatment. In short, the treatment was grounded in behavioral therapy and was adapted from the weekly group-counseling sessions applied by the Cancer League Zurich. The adaptation focused on language, cultural and health literacy issues. The aims of the study were to evaluate one-year quit rates for smoking-cessation courses held from 2006 to 2018 and investigate whether certain characteristics predict long-term abstinence. Methods Evaluation of the program included a pre/post questionnaire (session 1/ 3 months after the quit day) and a follow-up telephone call twelve months after the quit day. To elucidate factors associated with long-term abstinence, Cox regression analysis and Weighted Generalized Equation Models were used. Results Of the 478 who participated in smoking-cessation courses, 45.4% declared themselves non-smokers at one-year follow-up. Characteristics associated with long-term abstinence were length of the course (eight vs. six sessions), adherence to the course, use of pharmacotherapy or NRT products, and baseline level of dependence. Conclusions Our findings are consistent with existing evidence supporting culturally-adapted smoking cessation interventions to reduce health inequity in migrant populations. However, achieving harm reduction in smokers with higher dependence scores remains challenging. Key messages A culturally-adapted smoking cessation course showed effective to reduce health inequity. One challenge remains: Achieving harm reduction in migrants with higher dependence scores.

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An adapted smoking-cessation intervention for Turkish-speaking migrants in Switzerland: Predictors of smoking outcomes at one-year follow-up

PLoS ONE ◽

10.1371/journal.pone.0247157 ◽

2021 ◽

Vol 16 (3) ◽

pp. e0247157

Author(s):

Raquel Paz Castro ◽

Michael P. Schaub ◽

Corina Salis Gross

Keyword(s):

Smoking Cessation ◽

Cox Regression ◽

Preliminary Evaluation ◽

Access To Health Services ◽

Cox Regression Analysis ◽

Migrant Populations ◽

Course Length ◽

One Year

Background Migrant populations usually report higher smoking rates. Among those migrant populations, Turkish- and Kurdish-speaking migrants are often overrepresented. Providing equal access to health services is one of the major challenges of our time. The need for adapted smoking-cessation treatments for Turkish-speaking populations to achieve equity in health led, in 2006, to the development and implementation of the Tiryaki-Kukla smoking-cessation program. The aims of the current study were to evaluate one-year quit rates for smoking-cessation courses held from 2006–2018 and investigate whether certain characteristics predict long-term smoking cessation or reduction. Methods Program evaluation included a pre/post questionnaire (session 1/ 3 months after the quit day) and a follow-up telephone call twelve months after the quit day. To elucidate factors associated with long-term smoking cessation and reduction, Cox regression analysis and Weighted Generalized Equation Models were used. Results Of the 478 who participated in smoking-cessation courses, 45.4% declared themselves non-smokers at one-year follow-up. This quit rate is higher than that achieved during the preliminary evaluation of the program involving 61 participants (37.7%). Predictors of long-term smoking cessation were course length (eight vs. six sessions) (95% CI = 1.04–1.36, p = .01), adherence to the course (95% CI = 0.98–0.99, p<0.01), use of pharmacotherapy or nicotine replacement therapy products (95% CI = 0.74–0.98, p = .02), and time passed in the morning until the first cigarette is smoked (95% CI5min = 1.17–1.77, p<0.001; 95% CI30min = 1.09–1.65, p<0.01). Predictors of change in cigarettes smoked per day among smokers were—the time passed until the first cigarette in the morning (5min p < .001; 30min p < .001; 60min p < .01)-, gender (p < .001), and level of motivation to quit at baseline (p = .04). Conclusions Our findings are consistent with existing evidence supporting adapted smoking cessation interventions to reduce health inequity in migrant populations. However, achieving harm reduction in smokers with higher dependence scores remains challenging.

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