Effectiveness of regular reporting of spirometric results combined with a smoking cessation advice by a primary care physician on smoking quit rate in adult smokers: a randomized controlled trial. ESPIROTAB study

BMC Family Practice

Study Protocol

Victoria Vila-Palau¹  Guida Rotllant-Estelrich¹  Victoria Marina-Ortega¹  Esther Valentin-Moya¹  Anna Cortada-Cabrera¹  Montserrat Olle-Borque¹  Alexis Tena-Domingo¹  Mar Rodriguez-Alvarez²  Elena Zurilla-Leonarte³  Silvia Martínez-González⁴  Mercedes Jiménez-González⁵  Adriana Ramos-Ordoñez⁶  Juan José Montero-Alia⁷  Laura Muñoz-Ortiz⁸  Antonio Negrete-Palma⁹  Pere Torán-Monserrat⁹  Eulàlia Borrell-Thió^1,10  Carme Forcada-Vega^1,11 

[1] Primary Healthcare Centre Canet de Mar, Catalan Health Institute, Plaça Universitat 1, 08640, Canet de Mar, (Barcelona), Spain;Primary Healthcare Centre Canet de Mar, Catalan Health Institute, Plaça Universitat 1, 08640, Canet de Mar, (Barcelona), Spain;Primary Healthcare Research Support Unit Metropolitana Nord, Catalan Health Institute-IDIAP Jordi Gol, Camí del Mig 36, 08303(Barcelona), Mataró, Spain;Primary Healthcare Centre Gatassa, Catalan Health Institute, Camí del Mig 36 (4a planta), 08303, Mataró, (Barcelona), Spain;Primary Healthcare Centre LLefià, Catalan Health Institute, Carretera Antiga de València s/n, 08913, Badalona, (Barcelona), Spain;Primary Healthcare Centre La Riera, Catalan Health Institute, La Riera 7, 08302, Mataró, (Barcelona), Spain;Primary Healthcare Centre Pineda de Mar, Catalan Health Institute, Carrer de Tarragona 49, 08397, Pineda de Mar, (Barcelona), Spain;Primary Healthcare Centre Rocafonda-Palau, Catalan Health Institute, Ronda Pintor Rafael Estrany 24, 08304, Mataró, (Barcelona), Spain;Primary Healthcare Research Support Unit Metropolitana Nord, Catalan Health Institute-IDIAP Jordi Gol, Camí del Mig 36, 08303(Barcelona), Mataró, Spain;Primary Healthcare Research Support Unit Metropolitana Nord, Catalan Health Institute-IDIAP Jordi Gol, Camí del Mig 36, 08303(Barcelona), Mataró, Spain;Primary Healthcare Centre Gatassa, Catalan Health Institute, Camí del Mig 36 (4a planta), 08303, Mataró, (Barcelona), Spain;Primary Healthcare Research Support Unit Metropolitana Nord, Catalan Health Institute-IDIAP Jordi Gol, Camí del Mig 36, 08303(Barcelona), Mataró, Spain;Primary Healthcare Centre Sant Roc, Catalan Health Institute, Carrer Vélez Rubio s/n, 08913, Badalona, (Barcelona), Spain;Primary Healthcare Service Mataró-Maresme, Catalan Health Institute, Carrer Verge de Guadalupe 2, 08303(Barcelona), Mataró, Spain;

关键词: Chronic Obstructive Pulmonary Disease;    Smoking Cessation;    Primary Care Physician;    Force Vital Capacity;    Peak Expiratory Flow Rate;   

DOI  :  10.1186/1471-2296-12-61

 received in 2011-05-20, accepted in 2011-06-28,  发布年份 2011

来源: Springer

【 摘 要 】

BackgroundUndiagnosed airflow limitation is common in the general population and is associated with impaired health and functional status. Smoking is the most important risk factor for this condition. Although primary care practitioners see most adult smokers, few currently have spirometers or regularly order spirometry tests in these patients. Brief medical advice has shown to be effective in modifying smoking habits in a large number of smokers but only a small proportion remain abstinent after one year. The aim of this study is to evaluate the effectiveness of regular reporting of spirometric results combined with a smoking cessation advice by a primary care physician on smoking quit rate in adult smokers.Methods/designIntervention study with a randomized two arms in 5 primary care centres. A total of 485 smokers over the age of 18 years consulting their primary care physician will be recruited.On the selection visit all participants will undergo a spirometry, peak expiratory flow rate, test of smoking dependence, test of motivation for giving up smoking and a questionnaire on socio-demographic data. Thereafter an appointment will be made to give the participants brief structured advice to give up smoking combined with a detailed discussion on the results of the spirometry. After this, the patients will be randomised and given appointment for follow up visits at 3, 6, 12 and 24 months. Both arms will receive brief structured advice and a detailed discussion of the spirometry results at visit 0. The control group will only be given brief structured advice about giving up smoking on the follow up. Cessation of smoking will be tested with the carbon monoxide test.DiscussionEarly identification of functional pulmonary abnormalities in asymptomatic patients or in those with little respiratory symptomatology may provide "ideal educational opportunities". These opportunities may increase the success of efforts to give up smoking and may improve the opportunities of other preventive actions to minimise patient risk. Comparing adult smokers in the intervention group with those in the control group, a minimum improvement expected with respect to the rates of smoking cessation would represent a large number of avoided morbimortality.Trial RegistrationClinicalTrials.gov: NCT01296295

【 授权许可】

CC BY   
© Rodriguez-Alvarez et al; licensee BioMed Central Ltd. 2011