Integrated Tobacco Cessation Counseling in a Diabetes Self-management Training Program

Abstract

Structured tobacco cessation efforts can be readily integrated into established diabetes education programs without a negative impact on diabetes care or delivery of diabetes education. However, an intervention of moderate intensity for smoking cessation was no more effective than usual care in assisting patients with tobacco cessation after 6-month follow-up. Whether a more intensive intervention, targeting patients expressing a readiness to discontinue tobacco use, and/or a longer duration or a more cumulative effect of treatment will be more effective must be evaluated.

Continued smoking abstinence in diabetic patients in primary care: A cluster randomized controlled multicenter study

“…The 1-year abstinence rate was 20% in the intervention group and 7% in the control group, which is lower than 26.1% and 17.8% achieved in our study. In the randomized trial of Hokanson et al [16] based on face-to-face motivational interviewing plus telephone counselling and offering medication, the abstinence rate was marginally significant at 3 months (24% vs. 9%, p = 0.077) but there was no significant difference between groups at 6 months. However none of these studies used an intensive individualized intervention adapted according to the stage of the patient.…”

“…Table 2 compares characteristics among patients in intervention and control groups. Both groups showed similar characteristics regarding mean age at smoking initiation (17.6 [6.2] vs. 17.9 [6.0], p = 0.518), median (Q1-Q3) number of cigarettes smoked daily in the last 2 weeks (16.5 [8][9][10][11][12][13][14][15][16][17][18][19][20] vs. 15 [10][11][12][13][14][15][16][17][18][19][20], p = 0.531). Education level, comorbidities, diabetesrelated complications, duration of diabetes, and previous attempts to quit smoking were similar in the two groups.…”

“…However, systematic interventions to help diabetic patients stop smoking are difficult since many are not motivated to quit [13]. Also, the number of studies assessing the effectiveness of diabetic-specific smoking cessation programs is low [14][15][16], particularly in primary care [17,18], despite diabetic patients visiting their family physicians periodically for routine check-ups. According to the World Health Organization [19], the optimal level of service delivery should be based on a diabetes team comprised of a physician and a professional educator in the primary care setting.…”

Physical Activity, Health Status and Risk of Hospitalization in Patients with Severe Chronic Obstructive Pulmonary Disease

“…It is likely that the specific instrument used to evaluate anxiety may have a significant impact in explaining the findings across studies. The use of behavioral interventions in severe COPD that may reduce anxiety may be a significant research question to test, given our results and the positive results of behavioral interventions in other chronic diseases, such as diabetes [22,23,24]. It is unknown whether treatment of anxiety symptoms would reduce the risk of hospitalization in patients with severe COPD.…”

La entrevista motivacional en el tratamiento del tabaquismo: una revisión

“…Los resultados mostraron que recibir educación para la salud, tener más edad, y un alto peso corporal incrementaron significativamente la probabilidad de abandonar el tabaco, mientras que ser mujer, tener bajos ingresos y no completar todas las sesiones motivacionales redujeron la probabilidad de abandonar el tabaco. Hokanson, Anderson, Hennrikus, Lando y Kendall (2006) evaluaron el impacto de una intervención para dejar de fumar usando la EM en pacientes que siguen un programa educacional para la diabetes. La muestra estaba formada por 114 sujetos adultos fumadores y con diabetes tipo 2.…”