Forum for Science, Industry and Business

Sponsored by:     3M 
Search our Site:

 

Smoking cessation delivered at-home proves effective

03.03.2006


Counseling focused on level of motivation to quit leads to best outcomes



Providence, RI – A new study suggests that incorporating smoking cessation counseling into home-based medical care is an effective and feasible way to help people break the habit. Furthermore, counseling that focuses on a patient’s motivation to quit is more successful than following standard cessation guidelines. The study is published in a recent issue of Preventive Medicine by researchers at The Miriam Hospital’s Centers for Behavioral and Preventive Medicine.

"Home health care nurses have access to hard to reach and difficult to treat populations who are at the highest risk for smoking-related diseases," says lead author Belinda Borrelli, PhD, a psychologist at The Miriam Hospital and associate professor at Brown Medical School.


Ninety-eight home health care nurses from the Visiting Nurses Association of Rhode Island were randomly assigned to deliver one of two counseling techniques to 273 patients during routine medical visits – motivational enhancement or standard care.

Motivational enhancement explored a patient’s ambivalence to quitting and focused on building the confidence and motivation to quit. These patients also had their carbon monoxide levels measured in order to explain the disease risks associated with that level. The nurses educated patients on the dangers of carbon monoxide using everyday examples they could relate to.

"We communicated to the patients that the carbon monoxide they inhale from smoking cigarettes is the same poisonous gas that comes out of the tail pipe of their car," says Borrelli.

Standard care included the five "A’s" of quitting as developed by the Agency for Health Care Policy and Research (AHCPR) - ask about smoking, assess motivation to quit, advise to quit, assist with quitting, arrange follow-up.

"We found that while both types of home-based counseling resulted in individuals quitting smoking or making positive strides towards quitting, those in the motivational enhancement group outperformed the standard care group in every measure," says Borrelli.

Twelve months after the treatment, twice the number of patients in the motivational enhancement group reported continuous abstinence from smoking compared to those in the standard care group. Among patients who were not able to quit, 75 percent of those in the motivational enhancement group had made an attempt to quit compared to 55 percent of those in the standard care group. Furthermore, those in the motivational group reported smoking an average of seven less cigarettes per day versus three less per day of those in the standard care group.

"Home health care nurses form a trusting bond with their patients and are ideal vehicles to promote health behaviors," says Mary Linn Hamilton, CEO of the Visiting Nurses Association of Rhode Island. "By capitalizing on a teachable moment induced by the medical visit, the nurses found patients to be receptive to the counseling."

The authors note that since the counseling was provided as part of routine medical care, patients did not have to be ready and willing to quit to be in the study. In fact, approximately 36 % of the sample expressed no plans to quit at baseline, but were still willing to receive counseling from their nurse.

"Patients that enroll in smoking cessation programs on their own are highly motivated to quit, but represent a very small portion of the smoking population. Using an existing health channel to reach smokers who vary in their motivation level to quit could have a significant public health impact," says Borrelli.

According to recent statistics from the Centers for Disease Control, 20.9% of adults aged 18 and over are current smokers.

Megan Martin | EurekAlert!
Further information:
http://www.miriamhospital.org

More articles from Studies and Analyses:

nachricht Europe’s Demographic Future. Where the Regions Are Heading after a Decade of Crises
10.08.2017 | Berlin-Institut für Bevölkerung und Entwicklung

nachricht Scientists reveal source of human heartbeat in 3-D
07.08.2017 | University of Manchester

All articles from Studies and Analyses >>>

The most recent press releases about innovation >>>

Die letzten 5 Focus-News des innovations-reports im Überblick:

Im Focus: Fizzy soda water could be key to clean manufacture of flat wonder material: Graphene

Whether you call it effervescent, fizzy, or sparkling, carbonated water is making a comeback as a beverage. Aside from quenching thirst, researchers at the University of Illinois at Urbana-Champaign have discovered a new use for these "bubbly" concoctions that will have major impact on the manufacturer of the world's thinnest, flattest, and one most useful materials -- graphene.

As graphene's popularity grows as an advanced "wonder" material, the speed and quality at which it can be manufactured will be paramount. With that in mind,...

Im Focus: Exotic quantum states made from light: Physicists create optical “wells” for a super-photon

Physicists at the University of Bonn have managed to create optical hollows and more complex patterns into which the light of a Bose-Einstein condensate flows. The creation of such highly low-loss structures for light is a prerequisite for complex light circuits, such as for quantum information processing for a new generation of computers. The researchers are now presenting their results in the journal Nature Photonics.

Light particles (photons) occur as tiny, indivisible portions. Many thousands of these light portions can be merged to form a single super-photon if they are...

Im Focus: Circular RNA linked to brain function

For the first time, scientists have shown that circular RNA is linked to brain function. When a RNA molecule called Cdr1as was deleted from the genome of mice, the animals had problems filtering out unnecessary information – like patients suffering from neuropsychiatric disorders.

While hundreds of circular RNAs (circRNAs) are abundant in mammalian brains, one big question has remained unanswered: What are they actually good for? In the...

Im Focus: RAVAN CubeSat measures Earth's outgoing energy

An experimental small satellite has successfully collected and delivered data on a key measurement for predicting changes in Earth's climate.

The Radiometer Assessment using Vertically Aligned Nanotubes (RAVAN) CubeSat was launched into low-Earth orbit on Nov. 11, 2016, in order to test new...

Im Focus: Scientists shine new light on the “other high temperature superconductor”

A study led by scientists of the Max Planck Institute for the Structure and Dynamics of Matter (MPSD) at the Center for Free-Electron Laser Science in Hamburg presents evidence of the coexistence of superconductivity and “charge-density-waves” in compounds of the poorly-studied family of bismuthates. This observation opens up new perspectives for a deeper understanding of the phenomenon of high-temperature superconductivity, a topic which is at the core of condensed matter research since more than 30 years. The paper by Nicoletti et al has been published in the PNAS.

Since the beginning of the 20th century, superconductivity had been observed in some metals at temperatures only a few degrees above the absolute zero (minus...

All Focus news of the innovation-report >>>

Anzeige

Anzeige

Event News

Call for Papers – ICNFT 2018, 5th International Conference on New Forming Technology

16.08.2017 | Event News

Sustainability is the business model of tomorrow

04.08.2017 | Event News

Clash of Realities 2017: Registration now open. International Conference at TH Köln

26.07.2017 | Event News

 
Latest News

What the world's tiniest 'monster truck' reveals

23.08.2017 | Life Sciences

Treating arthritis with algae

23.08.2017 | Life Sciences

Witnessing turbulent motion in the atmosphere of a distant star

23.08.2017 | Physics and Astronomy

VideoLinks
B2B-VideoLinks
More VideoLinks >>>