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Clinical setting-based smoking cessation programme and the quality of life in people living with HIV in Austria and Germany

PURPOSE: To report on the global quality of life (QOL) in people living with HIV (PLWHIV) and how a smoking cessation intervention influences the changes in QOL. METHODS: Participants were asked to fill out a questionnaire during visits to their HIV outpatient clinic consisting of sociodemographic i...

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Autores principales: Grabovac, Igor, Brath, Helmut, Schalk, Horst, Degen, Olaf, Dorner, Thomas E.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer International Publishing 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5548958/
https://www.ncbi.nlm.nih.gov/pubmed/28429240
http://dx.doi.org/10.1007/s11136-017-1580-y
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author Grabovac, Igor
Brath, Helmut
Schalk, Horst
Degen, Olaf
Dorner, Thomas E.
author_facet Grabovac, Igor
Brath, Helmut
Schalk, Horst
Degen, Olaf
Dorner, Thomas E.
author_sort Grabovac, Igor
collection PubMed
description PURPOSE: To report on the global quality of life (QOL) in people living with HIV (PLWHIV) and how a smoking cessation intervention influences the changes in QOL. METHODS: Participants were asked to fill out a questionnaire during visits to their HIV outpatient clinic consisting of sociodemographic information, general health data and the WHOQOL HIV-Bref. Exhaled carbon monoxide measurements were used to confirm the smoking status, based on which participants classified as smokers received a short 5 min structured intervention and were offered participation in a full smoking cessation programme consisting of five sessions. Follow-up was done 8 months after the baseline. RESULTS: Overall 447 (mean age = 45.5) participants took part with 221 being classified as smokers. A total of 165 (74.6%) participants received a short intervention and 63 (29.4%) agreed to participate in the full program. At baseline, differences in QoL were observed, where smokers had lower QoL in domains of physical (M = 16.1 vs. 15.3, p = 0.009) and psychological (M = 15.3 vs. 14.6, p = 0.021) well-being, independency level (M = 16.1 vs. 15.2, p = 0.003) and environment (M = 16.5 vs. 16.0, p = 0.036). At study end, 27 (12.2%) participants quit smoking; 12 (19.0%) participants of the full programme and 15 (14.7%) that received the short intervention. There were no significant differences in QoL between those that continued to smoke and quitters at follow-up. CONCLUSION: Quality of life results may be used to better understand the underlying motivation of PLWHIV who start cessation programs. In order to reduce the high prevalence and health burden that smoking causes in PLWHIV, it is necessary to introduce effective interventions that can be used in the clinical settings.
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spelling pubmed-55489582017-08-24 Clinical setting-based smoking cessation programme and the quality of life in people living with HIV in Austria and Germany Grabovac, Igor Brath, Helmut Schalk, Horst Degen, Olaf Dorner, Thomas E. Qual Life Res Article PURPOSE: To report on the global quality of life (QOL) in people living with HIV (PLWHIV) and how a smoking cessation intervention influences the changes in QOL. METHODS: Participants were asked to fill out a questionnaire during visits to their HIV outpatient clinic consisting of sociodemographic information, general health data and the WHOQOL HIV-Bref. Exhaled carbon monoxide measurements were used to confirm the smoking status, based on which participants classified as smokers received a short 5 min structured intervention and were offered participation in a full smoking cessation programme consisting of five sessions. Follow-up was done 8 months after the baseline. RESULTS: Overall 447 (mean age = 45.5) participants took part with 221 being classified as smokers. A total of 165 (74.6%) participants received a short intervention and 63 (29.4%) agreed to participate in the full program. At baseline, differences in QoL were observed, where smokers had lower QoL in domains of physical (M = 16.1 vs. 15.3, p = 0.009) and psychological (M = 15.3 vs. 14.6, p = 0.021) well-being, independency level (M = 16.1 vs. 15.2, p = 0.003) and environment (M = 16.5 vs. 16.0, p = 0.036). At study end, 27 (12.2%) participants quit smoking; 12 (19.0%) participants of the full programme and 15 (14.7%) that received the short intervention. There were no significant differences in QoL between those that continued to smoke and quitters at follow-up. CONCLUSION: Quality of life results may be used to better understand the underlying motivation of PLWHIV who start cessation programs. In order to reduce the high prevalence and health burden that smoking causes in PLWHIV, it is necessary to introduce effective interventions that can be used in the clinical settings. Springer International Publishing 2017-04-20 2017 /pmc/articles/PMC5548958/ /pubmed/28429240 http://dx.doi.org/10.1007/s11136-017-1580-y Text en © The Author(s) 2017 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.
spellingShingle Article
Grabovac, Igor
Brath, Helmut
Schalk, Horst
Degen, Olaf
Dorner, Thomas E.
Clinical setting-based smoking cessation programme and the quality of life in people living with HIV in Austria and Germany
title Clinical setting-based smoking cessation programme and the quality of life in people living with HIV in Austria and Germany
title_full Clinical setting-based smoking cessation programme and the quality of life in people living with HIV in Austria and Germany
title_fullStr Clinical setting-based smoking cessation programme and the quality of life in people living with HIV in Austria and Germany
title_full_unstemmed Clinical setting-based smoking cessation programme and the quality of life in people living with HIV in Austria and Germany
title_short Clinical setting-based smoking cessation programme and the quality of life in people living with HIV in Austria and Germany
title_sort clinical setting-based smoking cessation programme and the quality of life in people living with hiv in austria and germany
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5548958/
https://www.ncbi.nlm.nih.gov/pubmed/28429240
http://dx.doi.org/10.1007/s11136-017-1580-y
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