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Related Experiment Videos

Weekly versus basic smoking cessation support in primary care: a randomised controlled trial.

Paul Aveyard1, Karen Brown, Cas Saunders

  • 1Cancer Research UK General Practice Research Group, Department of Clinical Pharmacology, University of Oxford, Oxford, UK. p.n.aveyard@bham.ac.uk

Thorax
|May 8, 2007
PubMed
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This study found that neither basic nor intensive behavioral support significantly improved smoking cessation rates beyond nicotine replacement therapy alone. Primary care nurses should focus on appropriate pharmacotherapy use and refer complex cases to specialists.

Area of Science:

  • Clinical Trials
  • Public Health
  • Behavioral Science

Background:

  • Evidence on the effectiveness of intensive versus basic behavioral support for smoking cessation is limited and conflicting.
  • The capacity of primary care nurses to deliver effective smoking cessation support requires further investigation.

Purpose of the Study:

  • To compare the effectiveness of intensive (weekly) versus basic behavioral support for smoking cessation.
  • To evaluate the role of primary care nurses in delivering smoking cessation interventions.

Main Methods:

  • A randomized controlled trial involving 925 smokers receiving nicotine patches was conducted in 26 UK general practices.
  • Participants were allocated to either basic or weekly behavioral support, with follow-up assessments at 4, 12, 26, and 52 weeks post-quit day.

Related Experiment Videos

Main Results:

  • No significant difference in sustained abstinence rates was observed between the basic and weekly support groups at any follow-up point.
  • Quit rates in both groups were comparable to those expected from nicotine replacement therapy alone.

Conclusions:

  • Neither basic nor intensive behavioral support, as delivered in this trial, proved effective in enhancing smoking cessation.
  • Primary care interventions should prioritize appropriate pharmacotherapy use, with referrals to specialists for individuals requiring more intensive support.