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 Study relating to materials testing Detecting damages in non-magnetic steel through magnetism
23.07.2018 | Technische Universität Kaiserslautern

nachricht Innovative genetic tests for children with developmental disorders and epilepsy
11.07.2018 | Christian-Albrechts-Universität zu Kiel

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: Robots as 'pump attendants': TU Graz develops robot-controlled rapid charging system for e-vehicles

Researchers from TU Graz and their industry partners have unveiled a world first: the prototype of a robot-controlled, high-speed combined charging system (CCS) for electric vehicles that enables series charging of cars in various parking positions.

Global demand for electric vehicles is forecast to rise sharply: by 2025, the number of new vehicle registrations is expected to reach 25 million per year....

Im Focus: The “TRiC” to folding actin

Proteins must be folded correctly to fulfill their molecular functions in cells. Molecular assistants called chaperones help proteins exploit their inbuilt folding potential and reach the correct three-dimensional structure. Researchers at the Max Planck Institute of Biochemistry (MPIB) have demonstrated that actin, the most abundant protein in higher developed cells, does not have the inbuilt potential to fold and instead requires special assistance to fold into its active state. The chaperone TRiC uses a previously undescribed mechanism to perform actin folding. The study was recently published in the journal Cell.

Actin is the most abundant protein in highly developed cells and has diverse functions in processes like cell stabilization, cell division and muscle...

Im Focus: Lining up surprising behaviors of superconductor with one of the world's strongest magnets

Scientists have discovered that the electrical resistance of a copper-oxide compound depends on the magnetic field in a very unusual way -- a finding that could help direct the search for materials that can perfectly conduct electricity at room temperatur

What happens when really powerful magnets--capable of producing magnetic fields nearly two million times stronger than Earth's--are applied to materials that...

Im Focus: World record: Fastest 3-D tomographic images at BESSY II

The quality of materials often depends on the manufacturing process. In casting and welding, for example, the rate at which melts solidify and the resulting microstructure of the alloy is important. With metallic foams as well, it depends on exactly how the foaming process takes place. To understand these processes fully requires fast sensing capability. The fastest 3D tomographic images to date have now been achieved at the BESSY II X-ray source operated by the Helmholtz-Zentrum Berlin.

Dr. Francisco Garcia-Moreno and his team have designed a turntable that rotates ultra-stably about its axis at a constant rotational speed. This really depends...

Im Focus: A molecular switch may serve as new target point for cancer and diabetes therapies

If certain signaling cascades are misregulated, diseases like cancer, obesity and diabetes may occur. A mechanism recently discovered by scientists at the Leibniz- Forschungsinstitut für Molekulare Pharmakologie (FMP) in Berlin and at the University of Geneva has a crucial influence on such signaling cascades and may be an important key for the future development of therapies against these diseases. The results of the study have just been published in the prestigious scientific journal 'Molecular Cell'.

Cell growth and cell differentiation as well as the release and efficacy of hormones such as insulin depend on the presence of lipids. Lipids are small...

All Focus news of the innovation-report >>>

Anzeige

Anzeige

VideoLinks
Industry & Economy
Event News

Within reach of the Universe

08.08.2018 | Event News

A journey through the history of microscopy – new exhibition opens at the MDC

27.07.2018 | Event News

2018 Work Research Conference

25.07.2018 | Event News

 
Latest News

NRL's sun imaging telescopes fly on NASA Parker Solar Probe

13.08.2018 | Physics and Astronomy

UT-ORNL team makes first particle accelerator beam measurement in six dimensions

13.08.2018 | Physics and Astronomy

ASU astrophysicist helps discover that ultrahot planets have starlike atmospheres

13.08.2018 | Physics and Astronomy

VideoLinks
Science & Research
Overview of more VideoLinks >>>