Comparison of two smoking cessation interventions for inpatients
ABSTRACT Objective: This study aimed to compare the effectiveness of two cognitive behavioral therapy-based smoking cessation interventions initiated during hospitalization and to evaluate the factors related to relapse after discharge. Methods: This was a prospective randomized study involving 90...
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| Format: | Article |
| Language: | English |
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Sociedade Brasileira de Pneumologia e Tisiologia
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| Series: | Jornal Brasileiro de Pneumologia |
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| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1806-37132018000300195&lng=en&tlng=en |
| _version_ | 1828159832111185920 |
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| author | Antonio Carlos Ferreira Campos Angela Santos Ferreira Nani Vilma Aparecida da Silva Fonseca Eduardo Nani Silva Marcos César Santos de Castro Wolney de Andrade Martins |
| author_facet | Antonio Carlos Ferreira Campos Angela Santos Ferreira Nani Vilma Aparecida da Silva Fonseca Eduardo Nani Silva Marcos César Santos de Castro Wolney de Andrade Martins |
| author_sort | Antonio Carlos Ferreira Campos |
| collection | DOAJ |
| description | ABSTRACT Objective: This study aimed to compare the effectiveness of two cognitive behavioral therapy-based smoking cessation interventions initiated during hospitalization and to evaluate the factors related to relapse after discharge. Methods: This was a prospective randomized study involving 90 smokers hospitalized in a university hospital. We collected data related to sociodemographic characteristics, reasons for admission, smoking-related diseases, smoking history, the degree of nicotine dependence (ND), and the level of craving. Patients were divided into two treatment groups: brief intervention (BrInter, n = 45); and intensive intervention with presentation of an educational video (InInterV, n=45). To assess relapse, all patients were assessed by telephone interview in the first, third, and sixth months after discharge. Abstinence was confirmed by measurement of exhaled carbon monoxide (eCO). Results: Of the 90 patients evaluated, 55 (61.1%) were male. The mean age was 51.1 ± 12.2 years. The degree of ND was elevated in 39 (43.4%), and withdrawal symptoms were present in 53 (58.9%). The mean eCO at baseline was 4.8 ± 4.5 ppm. The eCO correlated positively with the degree of ND (r = 0.244; p = 0.02) and negatively with the number of smoke-free days (r = −0.284; p = 0.006). There were no differences between the groups in terms of the variables related to socioeconomic status, smoking history, or hospitalization. Of the 81 patients evaluated at 6 months, 33 (40.7%) remained abstinent (9 and 24 BrInter and InInterV group patients, respectively; p = 0.001), and 48 (59.3%) had relapsed (31 and 17 BrInter and InInterV group patients, respectively; p= 0.001). Moderate or intense craving was a significant independent risk factor for relapse, with a relative risk of 4.0 (95% CI: 1.5-10.7; p < 0.00001). Conclusions: The inclusion of an educational video proved effective in reducing relapse rates. Craving is a significant risk factor for relapse. |
| first_indexed | 2024-04-12T00:08:29Z |
| format | Article |
| id | doaj.art-b106a50a50f14fc5b9172649a9660b24 |
| institution | Directory Open Access Journal |
| issn | 1806-3756 |
| language | English |
| last_indexed | 2024-04-12T00:08:29Z |
| publisher | Sociedade Brasileira de Pneumologia e Tisiologia |
| record_format | Article |
| series | Jornal Brasileiro de Pneumologia |
| spelling | doaj.art-b106a50a50f14fc5b9172649a9660b242022-12-22T03:56:02ZengSociedade Brasileira de Pneumologia e TisiologiaJornal Brasileiro de Pneumologia1806-375644319520110.1590/s1806-37562017000000419S1806-37132018000300195Comparison of two smoking cessation interventions for inpatientsAntonio Carlos Ferreira CamposAngela Santos Ferreira NaniVilma Aparecida da Silva FonsecaEduardo Nani SilvaMarcos César Santos de CastroWolney de Andrade MartinsABSTRACT Objective: This study aimed to compare the effectiveness of two cognitive behavioral therapy-based smoking cessation interventions initiated during hospitalization and to evaluate the factors related to relapse after discharge. Methods: This was a prospective randomized study involving 90 smokers hospitalized in a university hospital. We collected data related to sociodemographic characteristics, reasons for admission, smoking-related diseases, smoking history, the degree of nicotine dependence (ND), and the level of craving. Patients were divided into two treatment groups: brief intervention (BrInter, n = 45); and intensive intervention with presentation of an educational video (InInterV, n=45). To assess relapse, all patients were assessed by telephone interview in the first, third, and sixth months after discharge. Abstinence was confirmed by measurement of exhaled carbon monoxide (eCO). Results: Of the 90 patients evaluated, 55 (61.1%) were male. The mean age was 51.1 ± 12.2 years. The degree of ND was elevated in 39 (43.4%), and withdrawal symptoms were present in 53 (58.9%). The mean eCO at baseline was 4.8 ± 4.5 ppm. The eCO correlated positively with the degree of ND (r = 0.244; p = 0.02) and negatively with the number of smoke-free days (r = −0.284; p = 0.006). There were no differences between the groups in terms of the variables related to socioeconomic status, smoking history, or hospitalization. Of the 81 patients evaluated at 6 months, 33 (40.7%) remained abstinent (9 and 24 BrInter and InInterV group patients, respectively; p = 0.001), and 48 (59.3%) had relapsed (31 and 17 BrInter and InInterV group patients, respectively; p= 0.001). Moderate or intense craving was a significant independent risk factor for relapse, with a relative risk of 4.0 (95% CI: 1.5-10.7; p < 0.00001). Conclusions: The inclusion of an educational video proved effective in reducing relapse rates. Craving is a significant risk factor for relapse.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1806-37132018000300195&lng=en&tlng=enAbandono do hábito de fumarTabagismoPacientes internadosHospitalização |
| spellingShingle | Antonio Carlos Ferreira Campos Angela Santos Ferreira Nani Vilma Aparecida da Silva Fonseca Eduardo Nani Silva Marcos César Santos de Castro Wolney de Andrade Martins Comparison of two smoking cessation interventions for inpatients Jornal Brasileiro de Pneumologia Abandono do hábito de fumar Tabagismo Pacientes internados Hospitalização |
| title | Comparison of two smoking cessation interventions for inpatients |
| title_full | Comparison of two smoking cessation interventions for inpatients |
| title_fullStr | Comparison of two smoking cessation interventions for inpatients |
| title_full_unstemmed | Comparison of two smoking cessation interventions for inpatients |
| title_short | Comparison of two smoking cessation interventions for inpatients |
| title_sort | comparison of two smoking cessation interventions for inpatients |
| topic | Abandono do hábito de fumar Tabagismo Pacientes internados Hospitalização |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1806-37132018000300195&lng=en&tlng=en |
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