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Effectiveness of Smoking Cessation Using Motivational Interviewing in Patients Consulting a Pulmonologist

BACKGROUND: We aimed to investigate the role of the physician in practice and the factors that influence the success rate of smoking cessation. METHODS: This study retrospectively analyzed 126 adult smokers who had visited the outpatient department of pulmonology, and received motivational interview...

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Autores principales: Lim, Gajin, Park, Inki, Park, Sungjae, Song, Sookhee, Kim, Hyeok, Kim, Suhyun
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Korean Academy of Tuberculosis and Respiratory Diseases 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4092159/
https://www.ncbi.nlm.nih.gov/pubmed/25024721
http://dx.doi.org/10.4046/trd.2014.76.6.276
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author Lim, Gajin
Park, Inki
Park, Sungjae
Song, Sookhee
Kim, Hyeok
Kim, Suhyun
author_facet Lim, Gajin
Park, Inki
Park, Sungjae
Song, Sookhee
Kim, Hyeok
Kim, Suhyun
author_sort Lim, Gajin
collection PubMed
description BACKGROUND: We aimed to investigate the role of the physician in practice and the factors that influence the success rate of smoking cessation. METHODS: This study retrospectively analyzed 126 adult smokers who had visited the outpatient department of pulmonology, and received motivational interviewing with or without supplement drugs. The findings include continuous smoking abstinence rate, which was evaluated at 6, 12 and 24 weeks, and the factors associated with continuous abstinence for 6 months or longer. RESULTS: The patients with only motivational interviewing accounted for 57.9%, while the nicotine patch therapy was applied to 30.2%; and varenicline was prescribed to 11.9%. The smoking cessation success rates of at 6, 12, and 24 weeks were 55.6%, 47.6%, and 33.3%, respectively. However, even in the failure group at six months, tobacco consumption was decreased under 10 cigarettes per day in 42.1% (53/126). In multivariate logistic regression analysis, degree of Fagerstöm Test for Nicotine Dependence (p=0.034; odds ratio, 3.607; 95% confidence interval [CI], 1.102-1.807), the absence of smoking-related lung disease (p=0.008; odds ratio, 4.693; 95% CI, 1.497-14.707), and education level (p=0.001; odds ratio, 181.420; 95% CI, 8.414-3,911.502) were the predictors of successful smoking cessation. CONCLUSION: An improved continuous smoking abstinence rate can be obtained by motivational interviewing, regardless of the association with pharmacotherapy.
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spelling pubmed-40921592014-07-14 Effectiveness of Smoking Cessation Using Motivational Interviewing in Patients Consulting a Pulmonologist Lim, Gajin Park, Inki Park, Sungjae Song, Sookhee Kim, Hyeok Kim, Suhyun Tuberc Respir Dis (Seoul) Original Article BACKGROUND: We aimed to investigate the role of the physician in practice and the factors that influence the success rate of smoking cessation. METHODS: This study retrospectively analyzed 126 adult smokers who had visited the outpatient department of pulmonology, and received motivational interviewing with or without supplement drugs. The findings include continuous smoking abstinence rate, which was evaluated at 6, 12 and 24 weeks, and the factors associated with continuous abstinence for 6 months or longer. RESULTS: The patients with only motivational interviewing accounted for 57.9%, while the nicotine patch therapy was applied to 30.2%; and varenicline was prescribed to 11.9%. The smoking cessation success rates of at 6, 12, and 24 weeks were 55.6%, 47.6%, and 33.3%, respectively. However, even in the failure group at six months, tobacco consumption was decreased under 10 cigarettes per day in 42.1% (53/126). In multivariate logistic regression analysis, degree of Fagerstöm Test for Nicotine Dependence (p=0.034; odds ratio, 3.607; 95% confidence interval [CI], 1.102-1.807), the absence of smoking-related lung disease (p=0.008; odds ratio, 4.693; 95% CI, 1.497-14.707), and education level (p=0.001; odds ratio, 181.420; 95% CI, 8.414-3,911.502) were the predictors of successful smoking cessation. CONCLUSION: An improved continuous smoking abstinence rate can be obtained by motivational interviewing, regardless of the association with pharmacotherapy. The Korean Academy of Tuberculosis and Respiratory Diseases 2014-06 2014-06-28 /pmc/articles/PMC4092159/ /pubmed/25024721 http://dx.doi.org/10.4046/trd.2014.76.6.276 Text en Copyright©2014. The Korean Academy of Tuberculosis and Respiratory Diseases. All rights reserved. http://creativecommons.org/licenses/by-nc/3.0/ It is identical to the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/)
spellingShingle Original Article
Lim, Gajin
Park, Inki
Park, Sungjae
Song, Sookhee
Kim, Hyeok
Kim, Suhyun
Effectiveness of Smoking Cessation Using Motivational Interviewing in Patients Consulting a Pulmonologist
title Effectiveness of Smoking Cessation Using Motivational Interviewing in Patients Consulting a Pulmonologist
title_full Effectiveness of Smoking Cessation Using Motivational Interviewing in Patients Consulting a Pulmonologist
title_fullStr Effectiveness of Smoking Cessation Using Motivational Interviewing in Patients Consulting a Pulmonologist
title_full_unstemmed Effectiveness of Smoking Cessation Using Motivational Interviewing in Patients Consulting a Pulmonologist
title_short Effectiveness of Smoking Cessation Using Motivational Interviewing in Patients Consulting a Pulmonologist
title_sort effectiveness of smoking cessation using motivational interviewing in patients consulting a pulmonologist
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4092159/
https://www.ncbi.nlm.nih.gov/pubmed/25024721
http://dx.doi.org/10.4046/trd.2014.76.6.276
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