Efectividad de la intervención grupal para la deshabituación tabáquica. Ensayo clínico aleatorizado

Camarelles, Francisco; Asensio, Ángel; Jiménez-Ruíz, Carlos A.; Becerril, Beatriz; Rodero, Dolores; Vidaller, Olga

doi:10.1016/s0025-7753(02)73312-5

Cited by 26 publications

(8 citation statements)

References 11 publications

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“…48,52 In our study, adherence to the support group was even lower, with only 33.1% of the individuals attending all the meetings over 1 month. Poor adherence is also a problem in group treatment of other addictions; for example, only around 20% of alcoholics in Brazil continue attending Alcoholics Anonymous meetings after 6 months of follow-up.…”

Section: Discussioncontrasting

confidence: 55%

Assessment of changes in nicotine dependence, motivation, and symptoms of anxiety and depression among smokers in the initial process of smoking reduction or cessation: a short-term follow-up study

Figueiró

Bortolon

Benchaya

et al. 2013

Trends Psychiatry Psychother.

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Avaliação de mudanças na dependência da nicotina, motivação e sintomas de ansiedade e depressão em fumantes no processo inicial de redução ou cessação do tabagismo: estudo de seguimento de curto prazo Assessment of changes in nicotine dependence, motivation, and symptoms of anxiety and depression among smokers in the initial process of smoking reduction or cessation: a short-term follow-up study Abstract Introduction: The first days of a quit attempt represent an important challenge to long-term abstinence, especially because of the changes that take place over this period. Objective: To examine whether smokers who have recently changed their smoking behavior show changes in the intensity of nicotine dependence, motivational stage, or symptoms of anxiety and depression relative to smokers without recent changes in smoking behavior. Methods: Smokers attending a support group for smoking cessation in Porto Alegre, southern Brazil, were invited to participate. The program consisted of four weekly sessions. Smokers answered questionnaires covering intensity of nicotine dependence, stage of motivation, and symptoms of anxiety and depression at baseline and in the fourth week. Urine was collected at both time points, tested for cotinine concentration, and used to determine the final status of smokers. Results: Of the 54 smokers included in the study, 20 (37%) stopped smoking or decreased tobacco use. Both smokers who stopped or reduced tobacco use and those who did not change their behavior presented a decrease in nicotine dependence scores (p = 0.001). Conversely, only the smokers who changed behavior presented an increase in scores in the maintenance stage (p < 0.001). Conclusion: When modifying tobacco use, smokers face a difficult process, marked by several changes. A better understanding of these changes and their implications for treatment are discussed.

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Section: Discussioncontrasting

confidence: 55%

Assessment of changes in nicotine dependence, motivation, and symptoms of anxiety and depression among smokers in the initial process of smoking reduction or cessation: a short-term follow-up study

Figueiró

Bortolon

Benchaya

et al. 2013

Trends Psychiatry Psychother.

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“…As for smoking behavior, two studies in our country have compared both types of interventions. The first was a clinical trial in which higher smoking cessation rates were obtained after six months with the group intervention than with the individual intervention, but the observed differences were not statistically significant [12]. The second was a quasi-experimental "pre-post" study without a control group in a specialized smoking cessation unit in which group therapy yielded a smoking cessation rate of 39% at 12 months, or better than the rate obtained in any study with the individual intervention [13].…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of intensive group and individual interventions for smoking cessation in primary health care settings: a randomized trial

Ramos¹,

Ripoll²,

Estrades³

et al. 2010

BMC Public Health

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ObjectivesPrimary: To compare the effectiveness of intensive group and individual interventions for smoking cessation in a primary health care setting; secondary: to identify the variables associated with smoking cessation.MethodsThree-pronged clinical trial with randomisation at the individual level. We performed the following: an intensive individual intervention (III), an intensive group intervention (IGI) and a minimal intervention (MI). Included in the study were smokers who were prepared to quit smoking. Excluded from the study were individuals aged less than 18 years or with severe mental conditions or terminal illnesses. The outcome measure was continued abstinence at 12 months confirmed through CO-oximetry (CO). The analysis was based on intention to treat.ResultsIn total, 287 smokers were recruited: 81 in the III, 111 in the IGI, and 95 in the MI. Continued abstinence at 12 months confirmed through CO was 7.4% in the III, 5.4% in the IGI, and 1% in the MI. No significant differences were noted between III and MI on the one hand, and between IGI and MI on the other [RR 7.04 (0.9-7.2) and RR 5.1 (0.6-41.9), respectively]. No differences were noted between IGI and III [RR 0.7 (0.2-2.2)]. In multivariate analysis, only overall visit length showed a statistically significant association with smoking cessation.ConclusionsThe effectiveness of intensive smoking interventions in this study was lower than expected. No statistically significant differences were found between the results of individual and group interventions.Trial registration numberISRCTN32323770

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“…La alta tasa de empleo de fármacos útiles (superior al 95%), unido al hecho de que a todos los participantes se les ofreciera TSN puntual a modo de rescate, podría explicar las mayores tasas de abstinencia a largo plazo que se obtienen en el presente trabajo, en comparación con otros que siguen programas similares 18,19 .…”

Section: Discussionunclassified

Evaluación de una intervención para dejar de fumar en personas con enfermedad mental

Bardeci¹,

Otero²,

Amo³

et al. 2013

Rev. Esp. Salud Publica

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El presente trabajo no ha recibido ninguna subvención o ayuda.Los autores no tienen conflictos de interés relacionados con la materia del trabajo. Rev Esp Salud Pública 2013; 87:629-638. N.º6 Noviembre-Diciembre 2013 RESUMENFundamentos: Una alta proporción de quienes solicitan ayuda para dejar de fumar padecen trastornos psiquiátricos. El objetivo del trabajo es conocer si las intervenciones grupales recomendadas para la atención de personas fumadoras son efectivas en pacientes con antecedentes de patología psiquiátrica y si ello supone un factor pronóstico negativo. Métodos:Estudio descriptivo longitudinal con un año de seguimiento. Se evaluaron los grupos de deshabituación realizados en atención primaria durante el período 2006-11, incluyendo a 267 fumadores, 97 de ellos con antecedentes personales de patología psiquiátrica. Se realizaron cinco sesiones presenciales de 90 minutos (hasta 6ª semana abstinencia) y seguimiento telefónico posterior de 12 meses. La abstinencia fue comprobada por cooximetría en las sesiones presenciales y auto-declarada posteriormente. Análisis estadístico: descripción de variables cualitativas y cuantitativas, análisis comparativo de las mismas entre los dos grupos y regresión logística binaria según cesación.Resultados: La tasa de abstinencia continua declarada al año fue 39,7%, en mujeres del 43,1% y en hombres 35,1%; p: 0,18). Las personas fumadoras sin historia psiquiátrica presentaron tasas de abstinencia del 42,9% y las que sí la tenían del 34,0% (p: 0,16). No hubo interacción entre las variables sexo y patología psiquiátrica. Quienes presentaban antecedentes psiquiátricos recayeron en las 6 primeras semanas tras la abstinencia en el 23,7% y quienes no los tenían:10,6% [(p:0,019;OR:1,90 [LC95%:1,36)]; a partir de entonces las tasas de recaída fueron similares recayendo el 44,1% y un 42,5%, respectivamente (p>0,8).Conclusiones: Las personas con patología psiquiátrica asociada o previa parecen encontrar más dificultades para dejar de fumar pero la intervención es efectiva en ambos grupos.Palabras clave: Tabaquismo. Atención Primaria de salud. Trastornos mentales. Terapia en grupo.

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Efectividad de la intervención grupal para la deshabituación tabáquica. Ensayo clínico aleatorizado

Cited by 26 publications

References 11 publications

Assessment of changes in nicotine dependence, motivation, and symptoms of anxiety and depression among smokers in the initial process of smoking reduction or cessation: a short-term follow-up study

Assessment of changes in nicotine dependence, motivation, and symptoms of anxiety and depression among smokers in the initial process of smoking reduction or cessation: a short-term follow-up study

Effectiveness of intensive group and individual interventions for smoking cessation in primary health care settings: a randomized trial

Evaluación de una intervención para dejar de fumar en personas con enfermedad mental

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