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Association between self-reported motivation to quit smoking with effectiveness of smoking cessation intervention among patients hospitalized for acute coronary syndromes in Switzerland

Guidelines recommend brief smoking cessation interventions for hospitalized smokers reporting low motivation-to-quit. However, an intensive smoking cessation intervention may improve smoking cessation for these smokers. We conducted a secondary analysis of a pre-post interventional study that tested...

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Autores principales: Worni-Schudel, Inge, Tzalis, Vasilis, Jakob, Julian, Tal, Kali, Gilgien-Dénéréaz, Lauriane, Gencer, Baris, Matter, Christian M., Lüscher, Thomas Felix, Windecker, Stephan, Mach, François, Humair, Jean-Paul, Rodondi, Nicolas, Nanchen, David, Auer, Reto
Formato: Online Artículo Texto
Lenguaje:English
Publicado: 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8683949/
https://www.ncbi.nlm.nih.gov/pubmed/34976644
http://dx.doi.org/10.1016/j.pmedr.2021.101583
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author Worni-Schudel, Inge
Tzalis, Vasilis
Jakob, Julian
Tal, Kali
Gilgien-Dénéréaz, Lauriane
Gencer, Baris
Matter, Christian M.
Lüscher, Thomas Felix
Windecker, Stephan
Mach, François
Humair, Jean-Paul
Rodondi, Nicolas
Nanchen, David
Auer, Reto
author_facet Worni-Schudel, Inge
Tzalis, Vasilis
Jakob, Julian
Tal, Kali
Gilgien-Dénéréaz, Lauriane
Gencer, Baris
Matter, Christian M.
Lüscher, Thomas Felix
Windecker, Stephan
Mach, François
Humair, Jean-Paul
Rodondi, Nicolas
Nanchen, David
Auer, Reto
author_sort Worni-Schudel, Inge
collection PubMed
description Guidelines recommend brief smoking cessation interventions for hospitalized smokers reporting low motivation-to-quit. However, an intensive smoking cessation intervention may improve smoking cessation for these smokers. We conducted a secondary analysis of a pre-post interventional study that tested the efficacy of a proactive approach systematically offering intensive smoking cessation intervention to all hospitalized smokers with acute coronary syndrome (ACS) compared to a reactive approach offering it only to smokers willing to quit. We analyzed data from one study site in Switzerland, which recorded motivation-to-quit smoking at study inclusion between 08.2009 and 02.2012. The primary outcome was smoking cessation at 1- and 5-year. We tested for interaction by participant’s motivation-to-quit score (low vs. high motivation), and calculated multivariable adjusted risk ratios (RR), stratified by motivation score. We obtained motivation scores for 230 smokers. Follow-up was 94% (217/230) at 1-year and 68% (156/230) at 5-year. Among participants with low motivation to quit, 19% of smokers in the reactive phase had quit at 1 year compared to 50% of smokers in the proactive phase (multivariable adjusted RR = 2.85, 95%CI:0.91–8.91). Among highly motivated smokers, rates did not differ between phases: 48% vs. 49% (multivariable adjusted RR = 1.02, 95%CI:0.75–1.39, p-value for interaction between motivation-to-quit categories = 0.10). At 5-year follow-up, the point estimates were similar. While our study has limitations inherent to the study design and sample size, we found that a proactive approach to offer systematic smoking cessation counseling for smokers with ACS reporting low motivation to quit was associated with higher smoking cessation rates at 1 year.
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spelling pubmed-86839492021-12-30 Association between self-reported motivation to quit smoking with effectiveness of smoking cessation intervention among patients hospitalized for acute coronary syndromes in Switzerland Worni-Schudel, Inge Tzalis, Vasilis Jakob, Julian Tal, Kali Gilgien-Dénéréaz, Lauriane Gencer, Baris Matter, Christian M. Lüscher, Thomas Felix Windecker, Stephan Mach, François Humair, Jean-Paul Rodondi, Nicolas Nanchen, David Auer, Reto Prev Med Rep Regular Article Guidelines recommend brief smoking cessation interventions for hospitalized smokers reporting low motivation-to-quit. However, an intensive smoking cessation intervention may improve smoking cessation for these smokers. We conducted a secondary analysis of a pre-post interventional study that tested the efficacy of a proactive approach systematically offering intensive smoking cessation intervention to all hospitalized smokers with acute coronary syndrome (ACS) compared to a reactive approach offering it only to smokers willing to quit. We analyzed data from one study site in Switzerland, which recorded motivation-to-quit smoking at study inclusion between 08.2009 and 02.2012. The primary outcome was smoking cessation at 1- and 5-year. We tested for interaction by participant’s motivation-to-quit score (low vs. high motivation), and calculated multivariable adjusted risk ratios (RR), stratified by motivation score. We obtained motivation scores for 230 smokers. Follow-up was 94% (217/230) at 1-year and 68% (156/230) at 5-year. Among participants with low motivation to quit, 19% of smokers in the reactive phase had quit at 1 year compared to 50% of smokers in the proactive phase (multivariable adjusted RR = 2.85, 95%CI:0.91–8.91). Among highly motivated smokers, rates did not differ between phases: 48% vs. 49% (multivariable adjusted RR = 1.02, 95%CI:0.75–1.39, p-value for interaction between motivation-to-quit categories = 0.10). At 5-year follow-up, the point estimates were similar. While our study has limitations inherent to the study design and sample size, we found that a proactive approach to offer systematic smoking cessation counseling for smokers with ACS reporting low motivation to quit was associated with higher smoking cessation rates at 1 year. 2021-10-07 /pmc/articles/PMC8683949/ /pubmed/34976644 http://dx.doi.org/10.1016/j.pmedr.2021.101583 Text en © 2021 The Author(s) https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Regular Article
Worni-Schudel, Inge
Tzalis, Vasilis
Jakob, Julian
Tal, Kali
Gilgien-Dénéréaz, Lauriane
Gencer, Baris
Matter, Christian M.
Lüscher, Thomas Felix
Windecker, Stephan
Mach, François
Humair, Jean-Paul
Rodondi, Nicolas
Nanchen, David
Auer, Reto
Association between self-reported motivation to quit smoking with effectiveness of smoking cessation intervention among patients hospitalized for acute coronary syndromes in Switzerland
title Association between self-reported motivation to quit smoking with effectiveness of smoking cessation intervention among patients hospitalized for acute coronary syndromes in Switzerland
title_full Association between self-reported motivation to quit smoking with effectiveness of smoking cessation intervention among patients hospitalized for acute coronary syndromes in Switzerland
title_fullStr Association between self-reported motivation to quit smoking with effectiveness of smoking cessation intervention among patients hospitalized for acute coronary syndromes in Switzerland
title_full_unstemmed Association between self-reported motivation to quit smoking with effectiveness of smoking cessation intervention among patients hospitalized for acute coronary syndromes in Switzerland
title_short Association between self-reported motivation to quit smoking with effectiveness of smoking cessation intervention among patients hospitalized for acute coronary syndromes in Switzerland
title_sort association between self-reported motivation to quit smoking with effectiveness of smoking cessation intervention among patients hospitalized for acute coronary syndromes in switzerland
topic Regular Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8683949/
https://www.ncbi.nlm.nih.gov/pubmed/34976644
http://dx.doi.org/10.1016/j.pmedr.2021.101583
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