Author, as appears in the article.: Martin-Lujan F; Basora-Gallisa J; Villalobos F; Martin-Vergara N; Aparicio-Llopis E; Pascual-Palacios I; Santigosa-Ayala A; Catalin RE; Rey-Reñones C; Solà R; ESPITAP Study Group Investigators

Department: Medicina i Cirurgia

URV's Author/s: Aparicio Llopis, Estefania / Basora Gallisa, Josep / Catalin, Roxana Elena / Martín Lujan, Francisco Manuel / Santigosa Ayala, Antoni / Solà Alberich, Rosa Maria

Keywords: Tarragona [tarragona (prv)] Tarragona [catalonia] Spirometry Spain Smoking cessation Smoking Respiratory disease Randomized controlled trial Public health Primary health care Participatory approach Multicenter study Motivation Middle aged Male Humans Human Female Epidemiology Controlled study Clinical trial Catalonia public health epidemiology

Abstract: Objective This 12-month study in a primary healthcare network aimed to assess the effectiveness of usual smoking cessation advice compared with personalised information about the spirometry results.Design Randomised, parallel, controlled, multicentre clinical trial.Setting This study involved 12 primary healthcare centres (Tarragona, Spain).Participants Active smokers aged 35-70 years, without known respiratory disease. Each participant received brief smoking cessation advice along with a spirometry assessment. Participants with normal results were randomised to the intervention group (IG), including detailed spirometry information at baseline and 6-month follow-up or control group (CG), which was simply informed that their spirometry values were within normal parameters.Main outcome Prolonged abstinence (12 months) validated by expired-CO testing.Results Spirometry was normal in 571 patients in 571 patients (45.9% male), 286 allocated to IG and 285 to CG. Baseline characteristics were comparable between the groups. Mean age was 49.8 (SD +/- 7.78) years and mean cumulative smoking exposure was 29.2 (+/- 18.7) pack-years. Prolonged abstinence was 5.6% (16/286) in the IG, compared with 2.1% (6/285) in the CG (p=0.03); the cumulative abstinence curve was favourable in the IG (HR 1.98; 95% CI 1.29 to 3.04).Conclusions In active smokers without known respiratory disease, brief advice plus detailed spirometry information doubled prolonged abstinence rates, compared with brief advice alone, in 12-month follow-up, suggesting a more effective intervention to achieve smoking cessation in primary healthcare.

Thematic Areas: Sociologia i política Serviço social Saúde coletiva Public, environmental & occupational health Public health, environmental and occupational health Psychology Planejamento urbano e regional / demografia Odontología Nutrição Medicina ii Medicina i Interdisciplinar General medicine Epidemiology Ensino Enfermagem Educação física Economics Economia Ciencias sociales Ciências biológicas iii Ciências biológicas ii Ciências biológicas i Ciências ambientais Ciência de alimentos Biotecnología

licence for use: https://creativecommons.org/licenses/by/3.0/es/

Author's mail: antoni.santigosa@urv.cat estefania.aparicio@urv.cat paco.martin@urv.cat josep.basora@urv.cat rosa.sola@urv.cat josep.basora@urv.cat antoni.santigosa@urv.cat roxanaelena.catalin@estudiants.urv.cat

Author identifier: 0000-0003-0542-0015 0000-0003-0359-3588 0000-0002-8359-235X

Record's date: 2023-02-19

Papper version: info:eu-repo/semantics/publishedVersion

Link to the original source: https://jech.bmj.com/content/75/10/1001

Licence document URL: http://repositori.urv.cat/ca/proteccio-de-dades/

Papper original source: Journal Of Epidemiology And Community Health. 75 (10): 1001-1009

APA: Martin-Lujan F; Basora-Gallisa J; Villalobos F; Martin-Vergara N; Aparicio-Llopis E; Pascual-Palacios I; Santigosa-Ayala A; Catalin RE; Rey-Reñones C; (2021). Effectiveness of a motivational intervention based on spirometry results to achieve smoking cessation in primary healthcare patients: randomised, parallel, controlled multicentre study. Journal Of Epidemiology And Community Health, 75(10), 1001-1009. DOI: 10.1136/jech-2020-216219

Article's DOI: 10.1136/jech-2020-216219

Entity: Universitat Rovira i Virgili

Journal publication year: 2021

Publication Type: Journal Publications