dc.contributor | Departament de Salut |
dc.contributor.author | Martín-Luján, F |
dc.contributor.author | Martin Vergara, Nuria |
dc.contributor.author | Aparicio, Estefania |
dc.contributor.author | Pascual Palacios, Irene |
dc.contributor.author | Catalin, Roxana Elena |
dc.contributor.author | ESPITAP Study Group Investigators |
dc.contributor.author | Villalobos, Felipe |
dc.contributor.author | Santigosa-Ayala, Antoni |
dc.contributor.author | Solà, Rosa |
dc.contributor.author | Basora, Josep |
dc.contributor.author | Rey-Reñones, Cristina |
dc.date.accessioned | 2022-09-21T09:05:52Z |
dc.date.available | 2022-09-21T09:05:52Z |
dc.date.issued | 2021-10 |
dc.identifier.citation | Martin-Lujan F, Basora-Gallisa J, Villalobos F, Martin-Vergara M, Aparicio-Llopis E, Pascual-Palacios I, et al. Effectiveness of a motivational intervention based on spirometry results to achieve smoking cessation in primary healthcare patients: randomised, parallel, controlled multicentre study. J Epidemiol Community Health. 2021 Oct;75(10):1001-1009. |
dc.identifier.issn | 0143-005X |
dc.identifier.uri | https://hdl.handle.net/11351/8232 |
dc.description | Smoking cessation; Spirometry; Primary healthcare |
dc.description.abstract | Objective: This 12-month study in a primary healthcare network aimed to assess the effectiveness of usual smoking cessation advice compared with personalised information about the spirometry results.
Design: Randomised, parallel, controlled, multicentre clinical trial.
Setting: This study involved 12 primary healthcare centres (Tarragona, Spain).
Participants: Active smokers aged 35–70 years, without known respiratory disease. Each participant received brief smoking cessation advice along with a spirometry assessment. Participants with normal results were randomised to the intervention group (IG), including detailed spirometry information at baseline and 6-month follow-up or control group (CG), which was simply informed that their spirometry values were within normal parameters.
Main outcome: Prolonged abstinence (12 months) validated by expired-CO testing.
Results: Spirometry was normal in 571 patients in 571 patients (45.9% male), 286 allocated to IG and 285 to CG. Baseline characteristics were comparable between the groups. Mean age was 49.8 (SD ±7.78) years and mean cumulative smoking exposure was 29.2 (±18.7) pack-years. Prolonged abstinence was 5.6% (16/286) in the IG, compared with 2.1% (6/285) in the CG (p=0.03); the cumulative abstinence curve was favourable in the IG (HR 1.98; 95% CI 1.29 to 3.04).
Conclusions: In active smokers without known respiratory disease, brief advice plus detailed spirometry information doubled prolonged abstinence rates, compared with brief advice alone, in 12-month follow-up, suggesting a more effective intervention to achieve smoking cessation in primary healthcare. |
dc.language.iso | eng |
dc.publisher | BMJ Journals |
dc.relation.ispartofseries | Journal of Epidemiology and Community Health;75(10) |
dc.rights | Attribution-NonCommercial 4.0 International |
dc.rights.uri | https://creativecommons.org/licenses/by-nc/4.0/ |
dc.source | Scientia |
dc.subject | Tabaquisme - Tractament |
dc.subject | Espirometria |
dc.subject | Aparell respiratori - Proves funcionals |
dc.subject.mesh | Smoking Cessation |
dc.subject.mesh | Spirometry |
dc.title | Effectiveness of a motivational intervention based on spirometry results to achieve smoking cessation in primary healthcare patients: randomised, parallel, controlled multicentre study |
dc.type | info:eu-repo/semantics/article |
dc.identifier.doi | 10.1136/jech-2020-216219 |
dc.subject.decs | cese del hábito de fumar |
dc.subject.decs | espirometría |
dc.relation.publishversion | https://doi.org/10.1136/jech-2020-216219 |
dc.type.version | info:eu-repo/semantics/publishedVersion |
dc.audience | Professionals |
dc.contributor.authoraffiliation | [Martin-Lujan F] Direcció d’Atenció Primària, Camp de Tarragona, Institut Català de la Salut (ICS), Tarragona, Spain. Unitat de Suport a la Recerca Tarragona-Reus, Fundació Institut Universitari per a la Recerca a l’Atenció Primària de Salut Jordi Gol i Gurina (IDIAPJGol), Reus, Spain. School of Medicine and Health Sciences, Universitat Rovira i Virgili, Reus, Spain. [Basora-Gallisa J,Rey-Reñones C] Unitat de Suport a la Recerca Tarragona-Reus, Fundació Institut Universitari per a la Recerca a l’Atenció Primària de Salut Jordi Gol i Gurina (IDIAPJGol), Reus, Spain. School of Medicine and Health Sciences, Universitat Rovira i Virgili, Reus, Spain. [Villalobos F, Martin-Vergara N] Unitat de Suport a la Recerca Tarragona-Reus, Fundació Institut Universitari per a la Recerca a l’Atenció Primària de Salut Jordi Gol i Gurina (IDIAPJGol), Reus, Spain. [Aparicio-Llopis E] School of Medicine and Health Sciences, Universitat Rovira i Virgili, Reus, Spain. [Pascual-Palacios I] Institut Català de la Salut (ICS), Salou Primary Health-Care Centre, Salou, Spain. [Santigosa-Ayala A] Unitat de Suport a la Recerca Tarragona-Reus, Fundació Institut Universitari per a la Recerca a l’Atenció Primària de Salut Jordi Gol i Gurina (IDIAPJGol), Reus, Spain. School of Medicine and Health Sciences, Universitat Rovira i Virgili, Reus, Spain. Institut Català de la Salut (ICS), Sant Salvador Primary Health-Care Centre, Tarragona, Spain. [Catalin RE] Unitat de Suport a la Recerca Tarragona-Reus, Fundació Institut Universitari per a la Recerca a l’Atenció Primària de Salut Jordi Gol i Gurina (IDIAPJGol), Reus, Spain. Institut Català de la Salut (ICS), Bonavista-La Canonja Primary Health-Care Centre, Tarragona, Spain. [Solà R] Hospital Universitari Sant Joan de Reus, Reus, Spain. Institut d’Investigació Sanitària Pere Virgili (IISPV), Reus, Spain. Functional Nutrition, Oxidation and Cardiovascular Disease (NFOC- SALUT) group, Universitat Rovira i Virgili, Reus, Spain |
dc.identifier.pmid | 33883199 |
dc.rights.accessrights | info:eu-repo/semantics/openAccess |