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Effectiveness of a structured motivational intervention including smoking cessation advice and spirometry information in the primary care setting: The ESPITAP study

  • Identification data

    Identifier: imarina:6386776
    Handle: https://hdl.handle.net/20.500.11797/imarina6386776
    Authors:
    Martin-Lujan FLl Pĩol-Moreso JMartin-Vergara NBasora-Gallisa JPascual-Palacios ISagarra-Alamo RLlopis EBasora-Gallisa MPedret-Llaberia R
    Abstract:
    Background: There is current controversy about the efficacy of smoking cessation interventions that are based on information obtained by spirometry. The objective of this study is to evaluate the effectiveness in the primary care setting of structured motivational intervention to achieve smoking cessation, compared with usual clinical practice. Methods. Design. Multicentre randomized clinical trial with an intervention and a control group. Setting. 12 primary care centres in the province of Tarragona (Spain). Subjects of study. 600 current smokers aged between 35 and 70 years with a cumulative habit of more than 10 packs of cigarettes per year, attended in primary care for any reason and who did not meet any of the exclusion criteria for the study, randomly assigned to structured intervention or standard clinical attention. Intervention. Usual advice to quit smoking by a general practitioner as well as a 20-minute personalized visit to provide detailed information about spirometry results, during which FEV1, FVC, FEF 25-75% and PEF measurements were discussed and interpreted in terms of theoretical values. Additional information included the lung age index (defined as the average age of a non-smoker with the same FEV1 as the study participant), comparing this with the chronological age to illustrate the pulmonary deterioration that results from smoking. Measurements. Spirometry during the initial visit. Structured interview questionnaire administered at the primary care centre at the initial visit and at 12-month follow-up. Telephone follow-up interview at 6 months. At 12-month follow-up, expired CO was measured in patients who claimed to have quit smoking. Main variables. Smoking cessation at 12 months. Analysis. Data will be analyzed on the basis of intention to treat

  • Others:

    Author, as appears in the article.: Martin-Lujan F; Ll Pĩol-Moreso J; Martin-Vergara N; Basora-Gallisa J; Pascual-Palacios I; Sagarra-Alamo R; Llopis E; Basora-Gallisa M; Pedret-Llaberia R
    Department: Medicina i Cirurgia Ciències Mèdiques Bàsiques
    URV's Author/s: Aparicio Llopis, Estefania / Basora Gallisa, Josep / Cabre Vila, Juan Jose / Martín Lujan, Francisco Manuel
    Keywords: Smokers Randomized controlled-trial Obstructive pulmonary-disease Natural-history Lung health Impact Copd Bronchodilator Air-flow obstruction Age
    Abstract: Background: There is current controversy about the efficacy of smoking cessation interventions that are based on information obtained by spirometry. The objective of this study is to evaluate the effectiveness in the primary care setting of structured motivational intervention to achieve smoking cessation, compared with usual clinical practice. Methods. Design. Multicentre randomized clinical trial with an intervention and a control group. Setting. 12 primary care centres in the province of Tarragona (Spain). Subjects of study. 600 current smokers aged between 35 and 70 years with a cumulative habit of more than 10 packs of cigarettes per year, attended in primary care for any reason and who did not meet any of the exclusion criteria for the study, randomly assigned to structured intervention or standard clinical attention. Intervention. Usual advice to quit smoking by a general practitioner as well as a 20-minute personalized visit to provide detailed information about spirometry results, during which FEV1, FVC, FEF 25-75% and PEF measurements were discussed and interpreted in terms of theoretical values. Additional information included the lung age index (defined as the average age of a non-smoker with the same FEV1 as the study participant), comparing this with the chronological age to illustrate the pulmonary deterioration that results from smoking. Measurements. Spirometry during the initial visit. Structured interview questionnaire administered at the primary care centre at the initial visit and at 12-month follow-up. Telephone follow-up interview at 6 months. At 12-month follow-up, expired CO was measured in patients who claimed to have quit smoking. Main variables. Smoking cessation at 12 months. Analysis. Data will be analyzed on the basis of intention to treat and the unit of analysis will be the individual smoker. Expected results. Among active smokers treated in primary care we anticipate significantly higher smoking cessation in the intervention group than in the control group. Discussion. Application of a motivational intervention based on structured information about spirometry results, improved abstinence rates among smokers seen in actual clinical practice conditions in primary care. Trial registration. ClinicalTrial.gov, number NCT01194596. © 2011 Francisco Martin-Lujan; licensee BioMed Central Ltd.
    Thematic Areas: Zootecnia / recursos pesqueiros Sociología Serviço social Saúde coletiva Química Public, environmental & occupational health Public health, environmental and occupational health Psicología Planejamento urbano e regional / demografia Odontología Nutrição Medicina iii Medicina ii Medicina i Interdisciplinar Geociências Farmacia Ensino Enfermagem Educação física Educação Economia Ciências biológicas iii Ciências biológicas ii Ciências biológicas i Ciências ambientais Ciência de alimentos Biotecnología Astronomia / física Antropologia / arqueologia Administração, ciências contábeis e turismo Administração pública e de empresas, ciências contábeis e turismo
    licence for use: https://creativecommons.org/licenses/by/3.0/es/
    ISSN: 14712458
    Author's mail: juanjose.cabre@urv.cat josep.basora@urv.cat paco.martin@urv.cat josep.basora@urv.cat
    Author identifier: 0000-0003-1082-6861 0000-0003-0359-3588
    Record's date: 2024-07-27
    Papper version: info:eu-repo/semantics/publishedVersion
    Licence document URL: https://repositori.urv.cat/ca/proteccio-de-dades/
    Papper original source: Bmc Public Health. 11
    APA: Martin-Lujan F; Ll Pĩol-Moreso J; Martin-Vergara N; Basora-Gallisa J; Pascual-Palacios I; Sagarra-Alamo R; Llopis E; Basora-Gallisa M; Pedret-Llaberia (2011). Effectiveness of a structured motivational intervention including smoking cessation advice and spirometry information in the primary care setting: The ESPITAP study. Bmc Public Health, 11(), -. DOI: 10.1186/1471-2458-11-859
    Entity: Universitat Rovira i Virgili
    Journal publication year: 2011
    Publication Type: Journal Publications

  • Keywords:

    Public Health, Environmental and Occupational Health,Public, Environmental & Occupational Health
    Smokers
    Randomized controlled-trial
    Obstructive pulmonary-disease
    Natural-history
    Lung health
    Impact
    Copd
    Bronchodilator
    Air-flow obstruction
    Age
    Zootecnia / recursos pesqueiros
    Sociología
    Serviço social
    Saúde coletiva
    Química
    Public, environmental & occupational health
    Public health, environmental and occupational health
    Psicología
    Planejamento urbano e regional / demografia
    Odontología
    Nutrição
    Medicina iii
    Medicina ii
    Medicina i
    Interdisciplinar
    Geociências
    Farmacia
    Ensino
    Enfermagem
    Educação física
    Educação
    Economia
    Ciências biológicas iii
    Ciências biológicas ii
    Ciências biológicas i
    Ciências ambientais
    Ciência de alimentos
    Biotecnología
    Astronomia / física
    Antropologia / arqueologia
    Administração, ciências contábeis e turismo
    Administração pública e de empresas, ciências contábeis e turismo

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