Supporting smoking cessation in chronic obstructive pulmonary disease with behavioral intervention: a randomized controlled trial

BMC Family Practice

Research Article

Yanan Zhu¹  Jing Zhao¹  Hongmin Wu¹  Na Chen²  Ning Zhang²  Lei Zhang²  Peian Lou²  Pan Zhang²  Peipei Chen²  Jiaxi Yu² 

[1]Department of Respiratory Medicine, Hospital of Xuzhou medical college, 99 West Huaiai Road, 221006, Xuzhou City, Jiangsu Province, People's Republic of China

[2]The Xuzhou Center for Disease Control and Prevention, 142 West Erhuan Road, Xuzhou City, Jiangsu Province, 221006, People's Republic of China

关键词: Chronic obstructive pulmonary disease;    Smoker;    Behavioral intervention;    Smoking cessation;    Risk factors;   

DOI  :  10.1186/1471-2296-14-91

 received in 2013-03-20, accepted in 2013-06-18,  发布年份 2013

来源: Springer

【 摘 要 】

BackgroundCigarette smoking is the major risk factor for chronic obstructive pulmonary disease (COPD). But a fewer smoking cessation measures were conducted in communities for smokers with COPD in China. The aim of our study was to assess the preventive effects of behavioral interventions for smoking cessation and potential impact factors in smokers with COPD in China.MethodsIn a randomised controlled smoking cessation trial 3562 patients with COPD who were current smoker were allocated to intervention group received behavioral intervention and control group received the usual care for two years. The primary efficacy endpoint was the complete and continuous abstinence from smoking from the beginning of month 24 to the end of month 30. Participants were followed up at month 48.ResultsContinuous smoking abstinence rates from month 24 to 30 were significantly higher in participants receiving behavioral intervention than in those receiving usual care (46.4% vs 3.4%, p < 0.001). Continuous abstinence rates from months 24 to 36 (45.8% vs 4.0%) and months 24 to 48 (44.3% vs 5.1%) were also higher in participants receiving behavioral intervention than in those control group. Family members or family physicians/nurses smoking were first identified to influence smoking cessation.ConclusionsBehavioral intervention doubled the smoking cessation rate in patients with COPD and was complied well by the general practitioners. The family members and family physicians/nurses smoking were the main risk factors for smoking cessation.Trial registrationChinese Clinical Trials Registration (ChiCTR-TRC-12001958).

【 授权许可】

CC BY   
© Lou et al.; licensee BioMed Central Ltd. 2013