Characteristics of patients with COPD in three motivational stages related to smoking cessation

Hilberink, Sander R.; Jacobs, Jurgen; Schlosser, M.; Grol, Richard; Vries, Hein de

doi:10.1016/j.pec.2005.05.012

Cited by 62 publications

(63 citation statements)

References 46 publications

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“…Difficulty in breaking their smoking habits and the belief that their body needs nicotine after many years of smoking were mentioned by almost all current smokers in this study. Similar difficulties were reported by previous studies (Mikkelsen et al, 2004;Hilberink et al, 2006;Eklund et al, 2012). In addition, smoking was associated with specific events and positive feelings among our study participants, which made it even more difficult to quit smoking.…”

Section: Discussionsupporting

confidence: 90%

Why do Chinese people with COPD continue smoking: the attitudes and beliefs of Chinese residents of Vancouver, Canada

Poureslami¹,

Shum²,

FitzGerald³

2015

Divers Equal Health Care

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Chronic obstructive pulmonary disease (COPD) is currently one of the most common chronic lung diseases and a growing cause of global morbidity and mortality. Smoking is the most important risk factor for its development, and about 20% of smokers develop COPD. This study took place in Metro Vancouver, Canada. The aim of the study was to compare and contrast the smoking habits and associated beliefs among two groups of Chinese people after receiving a diagnosis of COPD: those who successfully stopped smoking and those who continued to smoking.Ninety one Mandarin or Cantonese speaking patients with COPD, of whom 24 were current smokers and 67 were former smokers, participated in individual semi-structured interviews. Participants were recruited with the assistance of primary care physicians and respirologists in the Metro Vancouver. Data were analyzed using hand coding for qualitative content analysis.Differences between the two groups were assessed.Smoking experience, social influences, addiction/habit, and the advantages and disadvantages of smoking were identified. In particular, differences between smokers and former smokers found in terms of beliefs that smoking helps relaxation and reduces COPD anxiety and stress, and that smoking is a psychological habit that cannot give up easily. Significant information on barriers to successful smoking cessation was also elucidated.This study suggests we need to first understand Chinese smokers' internal motivations to quit and then assist with culturally and linguistically relevant smoking cessation counselling. Further research is needed to determine if communication regarding tobacco use that is targeted toward the Chinese-speaking population in North America improves cessation rates.

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Section: Discussionsupporting

confidence: 90%

Why do Chinese people with COPD continue smoking: the attitudes and beliefs of Chinese residents of Vancouver, Canada

Poureslami¹,

Shum²,

FitzGerald³

2015

Divers Equal Health Care

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“…As we were not able to ask about the specific content of the advice in our study, we do not know whether the advice given was adapted to the needs of the smokers with COPD at that moment or not. Hilberink et al [32] found that it would be advantageous to tailor COPD counselling to two distinct groups -motivated and unmotivated smokers. Furthermore, Tøn-nesen et al [33] suggested the possibility that smokers with respiratory disease at some stage develop a 'tolerance', indicating that they might get tired of the quit advice which they receive repeatedly from GPs.…”

Section: Discussionmentioning

confidence: 99%

Do We Need Tailored Smoking Cessation Interventions for Smokers with COPD? A Comparative Study of Smokers with and without COPD Regarding Factors Associated with Tobacco Smoking

Eerd¹,

Rossem²,

Spigt³

et al. 2015

Respiration

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ever used pharmacological, behavioural and alternative smoking cessation treatments. Furthermore, smokers with COPD more often received triggers to quit from their environment and from their general practitioner, and they were more concerned about, and aware of, the health risks of smoking. Importantly, smokers with COPD reported higher levels of depression and cigarette dependence and a lower self-efficacy to refrain from smoking than smokers without COPD. Conclusion: Smokers with COPD differ from smokers without COPD on several factors which are associated with tobacco smoking and quitting. Taking into account these differences may help to increase the effectiveness of smoking cessation treatments for the specific group of smokers with COPD.

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“…Two population based studies have demonstrated that about 30-70% of smokers with COPD are still smokers [3,4]. Some studies have found that smokers with COPD have some specific smoking characteristics, see table 1 [3][4][5][6][7][8][9].…”

Section: Introductionmentioning

confidence: 99%

Smoking cessation treatment for COPD smokers: the role of counselling

Jiménez-Ruíz¹,

Fagerström²

2015

Monaldi Arch Chest Dis

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Smoking cessation is the only therapeutic intervention that can prevent COPD smokers from the chronic progression of their disorder. The most important intervention for helping these smokers to quit is a combination of counseling plus pharmacological treatment. The characteristics of the counseling should be different depending if this intervention is offered to smokers with a previous diagnosis of COPD or if the intervention is offered to smokers who have been recently diagnoses with COPD. The counseling of patients who have been recently diagnosed should include: a) explanation of the direct relationship between smoking and COPD, b) encouraging these patients to quit and c) using of spirometry and measurements of CO as a motivational tools. The counseling of patients who have been previously diagnosed should include: a) encouragement to make a serious quit attempt, b) an intervention that increases motivation, self-efficacy and self-esteem, c) and the intervention should also control depression and be directed to weight gain control.

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Characteristics of patients with COPD in three motivational stages related to smoking cessation

Cited by 62 publications

References 46 publications

Why do Chinese people with COPD continue smoking: the attitudes and beliefs of Chinese residents of Vancouver, Canada

Why do Chinese people with COPD continue smoking: the attitudes and beliefs of Chinese residents of Vancouver, Canada

Do We Need Tailored Smoking Cessation Interventions for Smokers with COPD? A Comparative Study of Smokers with and without COPD Regarding Factors Associated with Tobacco Smoking

Smoking cessation treatment for COPD smokers: the role of counselling

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