Cargando…
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...
Autores principales: | , , , , , , , , , , , , , |
---|---|
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 |
_version_ | 1784617519782297600 |
---|---|
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. |
format | Online Article Text |
id | pubmed-8683949 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
record_format | MEDLINE/PubMed |
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 |
work_keys_str_mv | AT wornischudelinge associationbetweenselfreportedmotivationtoquitsmokingwitheffectivenessofsmokingcessationinterventionamongpatientshospitalizedforacutecoronarysyndromesinswitzerland AT tzalisvasilis associationbetweenselfreportedmotivationtoquitsmokingwitheffectivenessofsmokingcessationinterventionamongpatientshospitalizedforacutecoronarysyndromesinswitzerland AT jakobjulian associationbetweenselfreportedmotivationtoquitsmokingwitheffectivenessofsmokingcessationinterventionamongpatientshospitalizedforacutecoronarysyndromesinswitzerland AT talkali associationbetweenselfreportedmotivationtoquitsmokingwitheffectivenessofsmokingcessationinterventionamongpatientshospitalizedforacutecoronarysyndromesinswitzerland AT gilgiendenereazlauriane associationbetweenselfreportedmotivationtoquitsmokingwitheffectivenessofsmokingcessationinterventionamongpatientshospitalizedforacutecoronarysyndromesinswitzerland AT gencerbaris associationbetweenselfreportedmotivationtoquitsmokingwitheffectivenessofsmokingcessationinterventionamongpatientshospitalizedforacutecoronarysyndromesinswitzerland AT matterchristianm associationbetweenselfreportedmotivationtoquitsmokingwitheffectivenessofsmokingcessationinterventionamongpatientshospitalizedforacutecoronarysyndromesinswitzerland AT luscherthomasfelix associationbetweenselfreportedmotivationtoquitsmokingwitheffectivenessofsmokingcessationinterventionamongpatientshospitalizedforacutecoronarysyndromesinswitzerland AT windeckerstephan associationbetweenselfreportedmotivationtoquitsmokingwitheffectivenessofsmokingcessationinterventionamongpatientshospitalizedforacutecoronarysyndromesinswitzerland AT machfrancois associationbetweenselfreportedmotivationtoquitsmokingwitheffectivenessofsmokingcessationinterventionamongpatientshospitalizedforacutecoronarysyndromesinswitzerland AT humairjeanpaul associationbetweenselfreportedmotivationtoquitsmokingwitheffectivenessofsmokingcessationinterventionamongpatientshospitalizedforacutecoronarysyndromesinswitzerland AT rodondinicolas associationbetweenselfreportedmotivationtoquitsmokingwitheffectivenessofsmokingcessationinterventionamongpatientshospitalizedforacutecoronarysyndromesinswitzerland AT nanchendavid associationbetweenselfreportedmotivationtoquitsmokingwitheffectivenessofsmokingcessationinterventionamongpatientshospitalizedforacutecoronarysyndromesinswitzerland AT auerreto associationbetweenselfreportedmotivationtoquitsmokingwitheffectivenessofsmokingcessationinterventionamongpatientshospitalizedforacutecoronarysyndromesinswitzerland |