The Danish Smoking Cessation Database

Rasmussen, Mette; Tønnesen, Hanne

doi:10.29102/clinhp.16006

Cited by 11 publications

(28 citation statements)

References 14 publications

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“…12 19 §Compliance with the programme was defined as having attended at least 75% of the scheduled meetings 17 or for Come & Quit at least four sessions. 8 Another analysis performed on 82 387 smokers comparing patients not wanting to be contacted or who were intentionally not followed up (36 100 smokers) with those who were (46 287 smokers) showed differences of up to 8.4 percentage points (see online supplementary appendix). The largest difference was geographic area, but time of collection, and planned relapse prevention also differed by more than 5 percentage points between the compared groups.…”

Section: Non-respondent Analysesmentioning

confidence: 99%

Effectiveness of the Gold Standard Programme compared with other smoking cessation interventions in Denmark: a cohort study

2017

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ObjectivesWe compared the effectiveness of the Gold Standard Programme (a comprehensive smoking cessation intervention commonly used in Denmark) with other face-to-face smoking cessation programmes in Denmark after implementation in real life, and we identified factors associated with successful quitting.DesignProspective cohort study.SettingA total of 423 smoking cessation clinics from different settings reported data from 2001 to 2013.ParticipantsIn total, 82 515 patients were registered. Smokers ≥15 years old and attending a programme with planned follow-up were included. Smokers who did not want further contact, who intentionally were not followed up or who lacked information about the intervention they received were excluded. A total of 46 287 smokers were included.InterventionsVarious real-life smoking cessation interventions were identified and compared: The Gold Standard Programme, Come & Quit, crash courses, health promotion counselling (brief intervention) and other interventions.Main outcomeSelf-reported continuous abstinence for 6 months.ResultsOverall, 33% (11 184) were continuously abstinent after 6 months; this value was 24% when non-respondents were considered smokers. The follow-up rate was 74%. Women were less likely to remain abstinent, OR 0.83 (CI 0.79 to 0.87). Short interventions were more effective among men. After adjusting for confounders, the Gold Standard Programme was the only intervention with significant results across sex, increasing the odds of abstinence by 69% for men and 31% for women. In particular, compliance, and to a lesser degree, mild smoking, older age and not being disadvantaged were associated with positive outcomes for both sexes. Compliance increased the odds of abstinence more than 3.5-fold.ConclusionsOver time, Danish smoking cessation interventions have been effective in real life. Compliance is the main predictor of successful quitting. Interestingly, short programmes seem to have relatively strong effects among men, but the absolute numbers are very small. Only the comprehensive Gold Standard Programme works across sexes.

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Section: Non-respondent Analysesmentioning

confidence: 99%

Effectiveness of the Gold Standard Programme compared with other smoking cessation interventions in Denmark: a cohort study

2017

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“…We performed a register-based cohort study using data from two national Danish registers: the Smoking Cessation Database 15 and the National Patient Register. 16 17 The Smoking Cessation Database was established to evaluate the effect of smoking cessation interventions offered throughout Denmark, and data has been prospectively collected since 2001.…”

Section: Methodsmentioning

confidence: 99%

“…Throughout the study period from 1 January 2006 to 31 December 2016, 302 smoking cessation clinics in different settings, such as hospitals, midwife interactions, municipal clinics, pharmacies, primary care facilities and other private institutions, reported data to the Smoking Cessation Database. 15 Approximately 80%–90% of the face-to-face interventions in Denmark are registered in the Smoking Cessation Database, and are considered a representative sample. 20 …”

Section: Methodsmentioning

confidence: 99%

“…GSP is the standard smoking cessation intervention in Denmark. 15 The GSP comprises five meetings held either in groups (2 hours/session) or as an individual session (first session lasting 40 min and approximately 20 min/sessions thereafter) over a 6-week period. The programme was presented by specially trained staff and was counselling-based with a clearly structured manual-based patient education programme.…”

Section: Methodsmentioning

confidence: 99%

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Effectiveness of the Gold Standard Programme (GSP) for smoking cessation on smokers with and without a severe mental disorder: a Danish cohort study

et al. 2018

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ObjectivesWe compared the effectiveness of an intensive smoking cessation intervention among smokers with and without a severe mental disorder (SMD) and identified factors associated with successful quitting. The main hypothesis was that smokers with an SMD would be less likely to stay continuously smoke-free for 6 months.DesignA prospective cohort study.SettingIn all, 302 smoking cessation clinics in Denmark from municipal clinics, pharmacies, hospitals, midwives, primary care facilities and other private providers who reported data to the national Danish Smoking Cessation Database from 2006 to 2016 participated in this study.ParticipantsA total of 38 293 patients from the Danish Smoking Cessation Database. Patients with an SMD were identified by linking data to the Danish National Patient Register. Diagnoses of organic mental disorders (F0 chapter) or intellectual disabilities (F7 chapter) were not included. Smokers ≥18 years old who were attending a Gold Standard Programme (GSP) with planned follow-up were included. Smokers not wanting contact after 6 months were excluded.InterventionsA comprehensive manual-based smoking cessation intervention comprising five meetings over a 6-week period (the GSP).Main outcome measuresSelf-reported continuous abstinence at the 6-month follow-up.ResultsIn all, 69% of the participants participated in the follow-up after 6 months. The overall rate of successful quitting was high but significantly lower in SMD smokers (29% vs 38%; OR 0.74; 95% CI 0.68 to 0.80). Variables associated with successful quitting were compliance (defined as attending ≥75% of the planned meetings), older age and male gender as well as not being disadvantaged, heavy smoking or recommendation of intervention by health professionals.ConclusionsOnly 29% of smokers with an SMD successfully quit smoking which was significantly lower than the 38% of smokers without an SMD. Compliance was the most important predictor for successful quitting.

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“…Good examples of result indicators, which are both measurable and clear on the role of EBM, are the successful follow-up-rates and quit-rates 6 months after smoking cessation intervention, such as is used by the National Danish Smoking Cessation Database (116).…”

Section: Quality Indicatorsmentioning

confidence: 99%

Fast-track implementation of clinical health promotion

Svane¹

2018

clinhp

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This thesis covers a project on fast-track implementation of clinical health promotion addressing daily smoking, malnutrition and overweight/obesity, hazardous alcohol consumption and insufficient physical activity. It took place in 36 hospitals in 8 countries, all of which were members of the International Network of Health Promoting Hospitals & Health Services (HPH) initiated by the World Health Organization (WHO). The overall aim of the research project was to add new evidence on the implementation of effective clinical health promotion services, such as smoking cessation interventions, in hospitals, for the benefit of patients, staff and communities. The thesis includes the following 4 scientific papers:

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The Danish Smoking Cessation Database

Abstract: After the initial research period, the organisation of the SCDB was anchored with a steering committee representing the National Health Authorities and other stakeholders, and a secretariat was included to make the daily decisions.

Cited by 11 publications

References 14 publications

Effectiveness of the Gold Standard Programme compared with other smoking cessation interventions in Denmark: a cohort study

Effectiveness of the Gold Standard Programme compared with other smoking cessation interventions in Denmark: a cohort study

Effectiveness of the Gold Standard Programme (GSP) for smoking cessation on smokers with and without a severe mental disorder: a Danish cohort study

Fast-track implementation of clinical health promotion

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