首页 | 本学科首页   官方微博 | 高级检索  
   检索      


High intensity smoking cessation interventions: Cardiac patients of low socioeconomic status and low intention to quit profit most
Authors:N Berndt  H de Vries  L Lechner  F Van Acker  E S Froelicher  F Verheugt  A Mudde  C Bolman
Institution:1.Department of Psychology and Educational Sciences,Open University of the Netherlands,Heerlen,the Netherlands;2.Cellule d’Expertise Médicale, General Inspectorate of Social Security,Ministry of Social Security,Luxembourg,Luxembourg;3.Department of Health Promotion, Caphri School for Public Health and Primary Care,Maastricht University,Maastricht,the Netherlands;4.Department of Remedial Education,Artesis Plantijn Hogeschool Antwerpen,Antwerpen,Belgium;5.Department of Physiological Nursing, School of Nursing, and Department of Epidemiology and Biostatistics, School of Medicine,University of California San Francisco,California,USA;6.Department of Cardiology,Onze Lieve Vrouwe Gasthuis,Amsterdam,the Netherlands
Abstract:

Background

Without assistance, smokers being admitted to the hospital for coronary heart disease often return to regular smoking within a year.

Objective

This study assessed the 12-month effectiveness of a telephone and a face-to-face counselling intervention on smoking abstinence among cardiac patients. Differential effects for subgroups varying in their socioeconomic status and intention to quit smoking were also studied.

Methods

A randomised controlled trial was used. During hospital stay, smokers hospitalised for coronary heart disease were assigned to usual care (n = 245), telephone counselling (n = 223) or face-to-face counselling (n = 157). Eligible patients were allocated to an intervention counselling group and received nicotine patches. After 12 months, self-reported continued abstinence was assessed and biochemically verified in quitters. Effects on smoking abstinence were tested using multilevel logistic regression analyses applying the intention-to-treat approach.

Results

Compared with usual care, differential effects of telephone and face-to-face counselling on continued abstinence were found in patients with a low socioeconomic status and in patients with a low quit intention. For these patients, telephone counselling increased the likelihood of abstinence threefold (OR = 3.10, 95?% CI 1.32–7.31, p = 0.01), whereas face-to-face counselling increased this likelihood fivefold (OR = 5.30, 95?% CI 2.13–13.17, p < 0.001). Considering the total sample, the interventions did not result in stronger effects than usual care.

Conclusion

Post-discharge telephone and face-to-face counselling interventions increased smoking abstinence rates at 12 months compared with usual care among cardiac patients of low socioeconomic status and low quit intentions. The present study indicates that patients of high socioeconomic status and high quit motivation require different cessation approaches.
Keywords:
本文献已被 SpringerLink 等数据库收录!
设为首页 | 免责声明 | 关于勤云 | 加入收藏

Copyright©北京勤云科技发展有限公司  京ICP备09084417号