Success of a Smoking Cessation Program among Smoking Relatives of Patients with Serious Smoking-Related Pulmonary Disorders

Abstract

The aim of the study was to investigate the success of a smoking cessation program among the smoking relatives of patients with serious smoking-related disorders and to determine whether having a relative with such a disorder influences the rate of success of the program. The relatives of patients with chronic obstructive pulmonary disease (COPD) and lung cancer who wanted to quit smoking were included in the smoking cessation program (group I, n = 34). During the same period, the same number of subjects with relatives free of any smoking-related diseases were included as a control group (group II, n = 34). Intensive behavioral therapy and motivational support was given to all subjects. Nicotine replacement therapy was administered to 10 subjects (29.4%) in group I and 14 subjects (41.2%) in group II. The subjects were evaluated in the 1st, 2nd, 4th, 8th and 12th week and subsequently every 3 months for a year in the outpatient clinic and proactive telephone interviews were performed periodically. In group I, 23.5% of subjects had a relative with COPD, 61.8% had relatives with lung cancer, and 14.7% had relatives with both COPD and lung cancer. The rate of quitting smoking was 79.4 and 73.5% on the 15th day and 41.2 and 38.2% at the end of the 1st year in groups I and II, respectively (p > 0.05). We observed that having a relative with serious smoking-related disorders did not motivate smokers to quit smoking.

Intention to quit smoking: role of personal and family member cancer diagnosis

“…Research into the role of having a family member with a lifetime history of cancer on quitting intention has been sparse. One study showed that family members of cancer patients may be more aware of the negative health effects of smoking [31], but that this may not necessarily translate into increased readiness to quit or likelihood of maintaining abstinence [19,32]. A recent cross-sectional study conducted in Australia showed that approximately one-third (36%) of individuals with a friend or relative with cancer reported quitting smoking [18].…”

“…However, the impact of this circumstance is not clear. Two studies were found that compared smoking cessation rates among smokers with a family member who had a smoking-related disorder versus smokers without a family member with a smoking-related condition failed to show a between-group difference in quit rates [18,19]. The limited amount of research in this area renders the effect of having a family member who smokes with cancer on a smokers' quitting intention and behavior an open question.…”

Long-Term Results of Smoking Cessation Therapy

“…[16][17][18][19][20][21] In studies from Turkey, the level ranges between 10 and 55.2%. [22][23][24][25][26][27][28][29] One study showed that intensive clinical interventions maintained over 5 years reduced mortality by 5%. 30 International long-term studies report cessation levels between 28% and 37%.…”

Intensive Clinic Intervention Plus Psychodrama in Smoking Cessation and Effects on Cessation Outcome

“…1,3,7 However, despite intensive treatment programs, long-term abstinence (6 months or more) was under 50%. [15][16][17][18][19][20][21] Two studies reported high cessation rates (53.5% and 43.2%) at the end of the first year. 22,23 In both of those studies, the authors suggested that, multidisciplinary smoking cessation clinics with regular …”