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Supporting smoking cessation in chronic obstructive pulmonary disease with behavioral intervention: a randomized
Peian Lou1, Yanan Zhu, Peipei Chen
1The Xuzhou Center for Disease Control and Prevention, 142 West Erhuan Road, Xuzhou City, Jiangsu Province, People's Republic of China 221006. loupeian2004@yahoo.com.cn
BMC Family Practice
|June 28, 2013
Summary
Behavioral interventions significantly increased smoking cessation rates in Chinese patients with chronic obstructive pulmonary disease (COPD). Family members and healthcare providers who smoke are key factors influencing cessation success.
Area of Science:
- Pulmonology
- Public Health
- Behavioral Science
Background:
- Cigarette smoking is a primary risk factor for chronic obstructive pulmonary disease (COPD).
- Limited community-based smoking cessation programs exist for COPD patients in China.
- This study aimed to evaluate behavioral interventions for smoking cessation in Chinese COPD smokers.
Purpose of the Study:
- To assess the effectiveness of behavioral interventions in promoting smoking cessation among COPD patients in China.
- To identify factors influencing smoking cessation in this population.
Main Methods:
- A randomized controlled trial involving 3562 current smokers with COPD over two years.
- Intervention group received behavioral interventions; control group received usual care.
- Primary endpoint: continuous smoking abstinence from months 24-30, with follow-up to 48 months.
Main Results:
- Continuous smoking abstinence rates were significantly higher in the intervention group (46.4%) versus usual care (3.4%) from months 24-30 (p < 0.001).
- Sustained higher abstinence rates were observed up to 48 months (44.3% vs 5.1%).
- Smoking by family members or healthcare providers emerged as a significant factor impacting cessation.
Conclusions:
- Behavioral interventions effectively doubled smoking cessation rates in COPD patients.
- These interventions were well-accepted by general practitioners.
- Smoking behaviors of family members and healthcare providers are critical risk factors for successful smoking cessation in COPD patients.
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