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
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
Entity: Universitat Rovira i Virgili
Journal publication year: 2023
Publication Type: Journal Publications
Repositori URV