TY - JOUR
T1 - Nurse-conducted smoking cessation with minimal intervention in a lung clinic
T2 - A randomized controlled study
AU - Tønnesen, P.
AU - Mikkelsen, K.
AU - Markholst, C.
AU - Ibsen, A.
AU - Bendixen, M.
AU - Pedersen, L.
AU - Fuursted, R.
AU - Hansen, L. H.
AU - Stensgaard, H.
AU - Schiøtz, R.
AU - Petersen, T.
AU - Breman, L.
AU - Clementsen, P.
AU - Evald, T.
PY - 1996/11/13
Y1 - 1996/11/13
N2 - This study aimed to evaluate the effect of a motivational, minimal intervention approach to smoking cessation in an open, randomized design conducted by nurses as routine work in a lung clinic. Subjects who smoked less than 10 cigarettes·day-1, and subjects who smoked ≤ 10 cigarettes·day-1 and who had refused to participate in a smoking cessation trial with nicotine replacement therapy, were randomly allocated to a motivational approach to smoking cessation or to a control group. The motivational approach consisted of a nurse-conducted 5 min consultation concerning reasons to quit smoking, brochures about smoking cessation and advice about how to quit. After 4-6 weeks, subjects in the motivational group received a letter encouraging them to quit smoking. After 1 year, all subjects were contacted by phone and smoking status reported. Subjects claiming to be abstinent attended the clinic for carbon monoxide verification. A total of 507 subjects were enrolled, 254 in the motivational group and 253 in the control group. The mean age of the motivational group was 51 yrs, 50% were males and they smoked a mean of 13 cigarettes·day-1. The mean age of the control group was 53 yrs, 61% were males and they smoked a mean of 12 cigarettes·day-1. At the 1 year follow-up, the success rate for point prevalence (no smoking at 1 year and during the preceding month) was 8, 7% in the motivational group versus 3.6% in the control group (p = 0.025). The 12 months sustained success rate (no smoking at all during the year) was 3.1 versus 1.2% (p = 0.22). The point prevalence for light smokers (< 10 cigarettes·day-1) was 13.9% in the motivational group versus 6.3% in control group (p = 0.12), and for heavy smokers (10 or more cigarettes·day-1) 5.2% versus 1.9% (p = 0.20). In conclusion, the effect of this nurse-conducted, minimal intervention, motivational approach seems promising as the quit rate at 1 year follow-up had doubled.
AB - This study aimed to evaluate the effect of a motivational, minimal intervention approach to smoking cessation in an open, randomized design conducted by nurses as routine work in a lung clinic. Subjects who smoked less than 10 cigarettes·day-1, and subjects who smoked ≤ 10 cigarettes·day-1 and who had refused to participate in a smoking cessation trial with nicotine replacement therapy, were randomly allocated to a motivational approach to smoking cessation or to a control group. The motivational approach consisted of a nurse-conducted 5 min consultation concerning reasons to quit smoking, brochures about smoking cessation and advice about how to quit. After 4-6 weeks, subjects in the motivational group received a letter encouraging them to quit smoking. After 1 year, all subjects were contacted by phone and smoking status reported. Subjects claiming to be abstinent attended the clinic for carbon monoxide verification. A total of 507 subjects were enrolled, 254 in the motivational group and 253 in the control group. The mean age of the motivational group was 51 yrs, 50% were males and they smoked a mean of 13 cigarettes·day-1. The mean age of the control group was 53 yrs, 61% were males and they smoked a mean of 12 cigarettes·day-1. At the 1 year follow-up, the success rate for point prevalence (no smoking at 1 year and during the preceding month) was 8, 7% in the motivational group versus 3.6% in the control group (p = 0.025). The 12 months sustained success rate (no smoking at all during the year) was 3.1 versus 1.2% (p = 0.22). The point prevalence for light smokers (< 10 cigarettes·day-1) was 13.9% in the motivational group versus 6.3% in control group (p = 0.12), and for heavy smokers (10 or more cigarettes·day-1) 5.2% versus 1.9% (p = 0.20). In conclusion, the effect of this nurse-conducted, minimal intervention, motivational approach seems promising as the quit rate at 1 year follow-up had doubled.
KW - Lung clinic
KW - Minimal intervention
KW - Motivation
KW - Nurse
KW - Smoking cessation
UR - http://www.scopus.com/inward/record.url?scp=10344221542&partnerID=8YFLogxK
U2 - 10.1183/09031936.96.09112351
DO - 10.1183/09031936.96.09112351
M3 - Article
C2 - 8947084
AN - SCOPUS:10344221542
VL - 9
SP - 2351
EP - 2355
JO - European Respiratory Journal
JF - European Respiratory Journal
SN - 0903-1936
IS - 11
ER -