Design and baseline characteristics from the KAN-QUIT disease management intervention for rural smokers in primary care

PREVENTIVE MEDICINE

卷:47

Article

Cox, Lisa Sanderson¹  Cupertino, Ana-Paula¹  Mussulman, Laura M.¹  Nazir, Niaman¹  Greiner, K. Allen²  Mahnken, Jonathan D.³  Ahluwalia, Jasjit S.^4,5  Ellerbeck, Edward F.¹ 

[1] Univ Kansas, Sch Med, Dept Prevent Med & Publ Hlth, Kansas City, KS 66160 USA

[2] Univ Kansas, Sch Med, Dept Family Med, Kansas City, KS 66160 USA

[3] Univ Kansas, Sch Med, Dept Biostat, Kansas City, KS 66160 USA

[4] Univ Minnesota, Sch Med, Dept Med, Minneapolis, MN 55455 USA

[5] Univ Minnesota, Sch Med, Off Clin Res, Minneapolis, MN 55455 USA

关键词: disease management;    smoking cessation;    tobacco use;    nicotine dependence;    rural health;    primary care;   

DOI  :  10.1016/j.ypmed.2008.04.013

来源: Elsevier

【 摘 要 】

Objective. To describe the design, implementation, baseline data, and feasibility of establishing a disease management program for smoking cessation in rural primary care. Method. The study is a randomized clinical trial evaluating a disease management program for smoking cessation. The intervention combined pharmacothetapy, telephone counseling, and physician feedback, and repeated intervention over two years. The program began in 2004 and was implemented in 50 primary care clinics across the State of Kansas. Results. Of eligible patients, 73% were interested in study participation. 750 enrolled participants were predominantly Caucasian, female, employed, and averaged 47.2 years of age (SD = 13.1). In addition to smoking, 427 (57%) had at least one additional major risk factor for cardiovascular disease (diabetes, hypertension, high cholesterol, heart disease or stroke). Participants smoked on average 23.7 (SD = 10.4) cigarettes per day, were contemplating (61%) or preparing to quit (30%), were highly motivated and confident of their ability to quit smoking, and reported seeing their physicians multiple times in the past twelve months (Median=3.50; Mean=5.48; SD=6.58). Conclusion. Initial findings demonstrate the willingness of patients to enroll in a two-year disease management program to address nicotine dependence, even among patients not ready to make a quit attempt. These findings support the feasibility of identifying and enrolling rural smokers within the primary care setting. Published by Elsevier Inc.

【 授权许可】

Free