Articles producció científica> Medicina i Cirurgia

Effectiveness of the spirometry-based motivational intervention to quit smoking: RESET randomised trial

  • Identification data

    Identifier: imarina:9331789
    Authors:
    Martín-Luján, FSantigosa-Ayala, APallejà-Millán, MRey-Reñones, CVillalobos, FSolà, RRESET Study
    Abstract:
    The effectiveness of providing feedback on spirometry results for smoking cessation remains inconclusive according to the current evidence.To assess the effectiveness of a motivational intervention based on spirometry results in achieving prolonged smoking abstinence (12 months post-intervention).A randomised, controlled, observer-blinded, multicentre clinical trial was conducted (from January 2012 to December 2015) in 20 primary healthcare centres in the Tarragona province, Spain.Participants, active smokers aged 35-70 without known respiratory disease, were recruited from primary healthcare centres by family doctors and nurses. They were randomly assigned to either the intervention group (IG = 308) or the control group (CG = 306). Both groups received brief smoking cessation counselling. Additionally, the IG underwent spirometry and received detailed information about the results, including lung age. The primary outcome was prolonged abstinence, defined as lasting at least 12 months and validated through cotinine measurement in urine.The prolonged abstinence rate was 7.8% in the IG, compared to 2.6% in the CG (p = 0.004). At 12 months, in the multivariate analysis, the intervention was identified as an independent factor for smoking cessation (OR 2.8; 95%CI 1.2 to 7.7), a trend maintained throughout the follow-up (HR 2.74; 95%CI 1.13 to 6.62). Moreover, according to the Prochaska and DiClemente model, the preparation or action phase to quit was also associated with smoking cessation (HR 2.55, 95%CI 1.07 to 6.09).A primary care-delivered intervention involving brief counselling and detailed spirometry information proves effective in increasing abstinence rates among active smokers without known respiratory disease. Additionally, smoking cessation is also influenced by
  • Others:

    Author, as appears in the article.: Martín-Luján, F; Santigosa-Ayala, A; Pallejà-Millán, M; Rey-Reñones, C; Villalobos, F; Solà, R; RESET Study
    Department: Medicina i Cirurgia
    URV's Author/s: Cabre Vila, Juan Jose / Martín Lujan, Francisco Manuel / Santigosa Ayala, Antoni / Solà Alberich, Rosa Maria
    Keywords: Spirometry Smoking cessation Smoking Public health Primary healthcare Motivational interventions Lung age Humans Health behavior Counseling spirometry smokers public health primary healthcare motivational interventions level
    Abstract: The effectiveness of providing feedback on spirometry results for smoking cessation remains inconclusive according to the current evidence.To assess the effectiveness of a motivational intervention based on spirometry results in achieving prolonged smoking abstinence (12 months post-intervention).A randomised, controlled, observer-blinded, multicentre clinical trial was conducted (from January 2012 to December 2015) in 20 primary healthcare centres in the Tarragona province, Spain.Participants, active smokers aged 35-70 without known respiratory disease, were recruited from primary healthcare centres by family doctors and nurses. They were randomly assigned to either the intervention group (IG = 308) or the control group (CG = 306). Both groups received brief smoking cessation counselling. Additionally, the IG underwent spirometry and received detailed information about the results, including lung age. The primary outcome was prolonged abstinence, defined as lasting at least 12 months and validated through cotinine measurement in urine.The prolonged abstinence rate was 7.8% in the IG, compared to 2.6% in the CG (p = 0.004). At 12 months, in the multivariate analysis, the intervention was identified as an independent factor for smoking cessation (OR 2.8; 95%CI 1.2 to 7.7), a trend maintained throughout the follow-up (HR 2.74; 95%CI 1.13 to 6.62). Moreover, according to the Prochaska and DiClemente model, the preparation or action phase to quit was also associated with smoking cessation (HR 2.55, 95%CI 1.07 to 6.09).A primary care-delivered intervention involving brief counselling and detailed spirometry information proves effective in increasing abstinence rates among active smokers without known respiratory disease. Additionally, smoking cessation is also influenced by the individual's stage of change.ClinicatTrials.gov NCT02153047.
    Thematic Areas: Primary health care Medicine, general & internal Medicine (miscellaneous) General medicine Family practice
    licence for use: https://creativecommons.org/licenses/by/3.0/es/
    Author's mail: antoni.santigosa@urv.cat juanjose.cabre@urv.cat antoni.santigosa@urv.cat paco.martin@urv.cat rosa.sola@urv.cat
    Author identifier: 0000-0003-1082-6861 0000-0003-0359-3588 0000-0002-8359-235X
    Record's date: 2024-10-12
    Papper version: info:eu-repo/semantics/publishedVersion
    Link to the original source: https://www.tandfonline.com/doi/full/10.1080/13814788.2023.2276764
    Licence document URL: https://repositori.urv.cat/ca/proteccio-de-dades/
    Papper original source: European Journal Of General Practice. 29 (1): 2276764-2276764
    APA: Martín-Luján, F; Santigosa-Ayala, A; Pallejà-Millán, M; Rey-Reñones, C; Villalobos, F; Solà, R; RESET Study (2023). Effectiveness of the spirometry-based motivational intervention to quit smoking: RESET randomised trial. European Journal Of General Practice, 29(1), 2276764-2276764. DOI: 10.1080/13814788.2023.2276764
    Article's DOI: 10.1080/13814788.2023.2276764
    Entity: Universitat Rovira i Virgili
    Journal publication year: 2023
    Publication Type: Journal Publications
  • Keywords:

    Family Practice,Medicine (Miscellaneous),Medicine, General & Internal,Primary Health Care
    Spirometry
    Smoking cessation
    Smoking
    Public health
    Primary healthcare
    Motivational interventions
    Lung age
    Humans
    Health behavior
    Counseling
    spirometry
    smokers
    public health
    primary healthcare
    motivational interventions
    level
    Primary health care
    Medicine, general & internal
    Medicine (miscellaneous)
    General medicine
    Family practice
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