Evaluation of smoking cessation intervention in patients with chronic diseases in smoking cessation clinics

Zhou, Changxi; Wu, Lei; Liu, Qinghui; An, Huaijie; Jiang, Bin; Zuo, Fan; Zhang, Li; He, Yao

doi:10.1097/md.0000000000007459

Cited by 10 publications

(35 citation statements)

References 19 publications

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“…Pharmacotherapy can increase the success rate of quitting smoking ( 23 , 40 ). It is considered an important factor affecting SC success in another study ( 71 ), with the withdrawal rate reaching 44.0% at 9–12 weeks ( 72 , 73 ). However, in our study, it was not a factor affecting SC.…”

Section: Discussionmentioning

confidence: 99%

Characteristics and Predictors of Abstinence Among Smokers of a Smoking Cessation Clinic in Hunan China

Xie

Chang

et al. 2021

Front. Public Health

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Background: More than 300 million smokers make China the largest cigarette consumer globally, which is a huge economic burden. Smoking cessation (SC) clinics can offer counseling and follow-up services. The operational experience of SC clinics in China needs to be summarized and improved based on research evidence.Purpose: The objectives of this study were to describe quit rates among attendees of SC clinics in Hunan and assess predictors of successful SC.Methods: The participants in this study were smokers who visited the SC clinic of Hunan Cancer Hospital from February 1, 2015 to September 30, 2018. Individuals who received individual counseling and assessment from the SC clinic staff and were willing to quit smoking were eligible for inclusion. Those with critical illness or cancer were excluded. Application of smoking cessation clinic registration form (unified by Chinese Center for Disease Control and Prevention) was used to assess participants at the consultation. Follow-ups and counseling were performed over telephone at 1 week, 1 month, and 3 months after the initial cessation consultation or in times of need. Successful SC was checked for at 3 months after the start of SC.Results: A total of 328 smokers (mean age 45.67 ± 12.38 years) had participated. The abstinence rate at 3 months was 28.4%. Binary regression analysis revealed significant independent predictors to be the total numbers of SC follow up sessions, previous SC attempts, and participants' decision on when to quit smoking (The relative to quit immediately group, quit within 30 days, quit after 30 days, and undecided quit were less likely to succeed in quitting. while quit within seven days had no statistical significance.Conclusion: SC clinics can achieve a desirably high quit rate. Participant's previous attempts at quitting, three or more follow-ups, and the decision to quit immediately or within seven days were factors helpful in predicting the success of SC.

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Section: Discussionmentioning

confidence: 99%

Characteristics and Predictors of Abstinence Among Smokers of a Smoking Cessation Clinic in Hunan China

Xie

Chang

et al. 2021

Front. Public Health

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“…All of the studies were published between 2010 and 2019. Four studies were conducted in Hong Kong (Chan et al, 2012; Li et al, 2017, 2018; Leung et al, 2019), two in the United States (Ellerbeck et al, 2018; Hennrikus et al, 2010), two in China (Lou et al, 2013; Zhou et al, 2017), one in Australia (Reid et al, 2020) and one in India (Thankappan et al, 2013). In terms of design, nine studies were RCTs (Chan et al, 2012; Li et al, 2017, 2018; Ellerbeck et al, 2018; Hennrikus et al, 2010; Leung et al, 2019; Lou et al, 2013; Reid et al, 2020; Thankappan et al, 2013), and one was a non‐RCT (Zhou et al, 2017).…”

Section: Resultsmentioning

confidence: 99%

“…Four studies adopted pharmacological interventions, such as nicotine replacement therapy (NRT), in addition to counselling (Ellerbeck et al, 2018; Leung et al, 2019; Reid et al, 2020; Zhou et al, 2017). In eight studies, the interventions were delivered by healthcare professionals, including nurses and physicians (Chan et al, 2012; Li et al, 2017; Hennrikus et al, 2010; Leung et al, 2019; Lou et al, 2013; Reid et al, 2020; Thankappan et al, 2013; Zhou et al, 2017). Trained counsellors were the interventionists in the remaining two studies (Ellerbeck et al, 2018; Li et al, 2018).…”

Section: Resultsmentioning

confidence: 99%

“…Only one study was rated as having a low risk of bias (Ellerbeck et al, 2018). Five studies were rated as having a high risk of bias (Hennrikus et al, 2010; Leung et al, 2019; Lou et al, 2013; Reid et al, 2020; Zhou et al, 2017), mainly due to insufficient evidence of intervention allocation concealment, incomplete outcome data, large amounts of missing data or insufficient information to determine the adoption of an intention‐to‐treat analysis. The remaining four studies were rated as having some concerns of bias.…”

Section: Resultsmentioning

confidence: 99%

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Effectiveness of smoking cessation interventions for smokers with chronic diseases: A systematic review

Cheung

Xia

2021

Journal of Advanced Nursing

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Aims To systematically summarize seminal studies on the design and effectiveness of smoking cessation interventions targeted at patients with chronic diseases through a critical appraisal of the literature. Design A systematic review. Data Sources This review included literature identified through a search of six databases up to June 2020. Review Methods This review was conducted according to the Cochrane Handbook for Systematic Reviews of Interventions. The literature search was limited to English‐language articles on the effectiveness of smoking cessation interventions for smokers who were aged ≥18 years and diagnosed with chronic diseases. Data were extracted using the Cochrane Data collection form for intervention reviews of randomized controlled trials and non‐randomized controlled trials. The articles were subjected to a quality assessment. Results Ten relevant articles were identified. The designs of the interventions were highly heterogeneous, and only six articles reported a significant increase in smoking abstinence among patients with chronic diseases. In the target population, an intervention delivered by healthcare professionals on an intensive schedule was shown to more effectively induce smoking cessation, compared with minimal counselling. However, methodological flaws were identified in most of the included studies. Conclusion The findings of this review suggest that additional efforts are needed to design smoking cessation interventions for patients with chronic diseases and that further examination of the effectiveness and feasibility of these interventions is warranted. Impact What problem did the study address? This review evaluated the effectiveness of smoking cessation interventions targeted at patients with chronic diseases. What were the main findings? An intervention with an intensive schedule that was delivered by healthcare professionals was shown to more effectively induce smoking cessation in patients with chronic diseases, compared with minimal counselling. More attention and resources should be directed towards smokers with no intention to quit, especially those with chronic diseases. There is an urgent need for generic smoking cessation interventions that use novel approaches to address the unique needs of this population and to integrate such evidence‐based interventions into routine care. Where and on whom will the research have impact? The findings of this review may guide nurses, who play a prominent role in raising the issue of smoking cessation with patients, to design appropriate smoking cessation interventions for patients with chronic diseases. The resulting improvements in patients’ health would not only benefit patients themselves but also reduce the burden of chronic diseases on healthcare systems.

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“…Presently, limited evidence present on the effect of smoking cessation intervention (SCI) for smokers among young adults. [ 15 , 16 ] Previous published study investigated the effect of SCI for young people. It consisted of 28 clinical trials.…”

Section: Introductionmentioning

confidence: 99%

A retrospective study of smoking cessation intervention among university students

Yang

Jin²,

Yao³

et al. 2018

Medicine

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This retrospective study investigated the effect of smoking cessation intervention (SCI) among university students in China.Around 192 eligible smokers among university students were included, and were assigned to an intervention group (n = 100), and a control group (n = 92). All included subjects in both groups were recommended to increase fruits and vegetables consumptions. Additionally, participants in the intervention group also underwent SCI therapy for a total of 4 weeks. The outcome measurements consisted of a number of students quit smoking, daily cigarettes, quit attempts, mean days of smoking in the past 30 days, and also stage of change.After 4-week treatment, SCI neither can decrease the number of students quit smoking (P = .21), daily cigarettes (P = .21), quit attempts (P = .07), and mean days of smoking in past 30 days (P = .77), nor can enhance the stage of change (precontemplation, P = .18; contemplation, P = .59; preparation, P = .46).The results of this study showed that after 4-week therapy, SCI may be ineffective for smokers among university students in Chinese.

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Evaluation of smoking cessation intervention in patients with chronic diseases in smoking cessation clinics

Cited by 10 publications

References 19 publications

Characteristics and Predictors of Abstinence Among Smokers of a Smoking Cessation Clinic in Hunan China

Characteristics and Predictors of Abstinence Among Smokers of a Smoking Cessation Clinic in Hunan China

Effectiveness of smoking cessation interventions for smokers with chronic diseases: A systematic review

A retrospective study of smoking cessation intervention among university students

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