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Why do smokers diagnosed with COPD not quit smoking? - a qualitative study
Britt-Marie Eklund1, Siv Nilsson, Linnea Hedman
1The OLIN-studies, Norrbotten County Council, Luleå, Sweden. linnea.hedman@nll.se.
Tobacco Induced Diseases
|October 24, 2012
Summary
Individuals with Chronic Obstructive Pulmonary Disease (COPD) face significant challenges in smoking cessation. Understanding these difficulties and fostering internal motivation are key to successful, lasting smoking cessation.
Area of Science:
- Pulmonary Medicine
- Addiction Research
- Behavioral Science
Background:
- Chronic Obstructive Pulmonary Disease (COPD) is a prevalent and growing global health concern, projected to become a leading cause of death.
- Smoking is the primary risk factor for COPD, with approximately 50% of smokers developing the disease.
- Smoking cessation is crucial for improving prognosis in individuals with COPD.
Purpose of the Study:
- To explore the specific challenges faced by individuals with COPD who struggle to quit smoking.
- To identify barriers to successful smoking cessation in this patient population.
Main Methods:
- Qualitative content analysis of semi-structured interviews.
- Study involved ten participants (five women) with COPD, GOLD stage II, recruited from the Obstructive Lung Disease in Northern Sweden (OLIN) studies.
- Interviews were conducted in 2010.
Main Results:
- Participants described a lifelong smoking habit that was difficult to break, despite awareness of COPD's harmful effects.
- Life events and perceived external pressure to quit sometimes led to continued smoking or relapse.
- Participants desired support from family and healthcare providers but insisted on making the decision to quit independently.
Conclusions:
- Understanding the unique difficulties smokers with COPD experience is vital for effective smoking cessation interventions.
- Prioritizing the development of internal motivation for quitting may enhance the success of smoking cessation efforts.
- A phased approach, focusing on internal motivation before providing cessation assistance, may be more effective for lasting results.
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