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[Motivation of High-risk Patients to Stop Smoking in the DMP]

M Bleckwenn1, S Münster1, K Weckbecker1

  • 1Institut für Hausarztmedizin, Unikliniken Bonn, Bonn.

Gesundheitswesen (Bundesverband Der Arzte Des Offentlichen Gesundheitsdienstes (Germany))
|September 9, 2014
PubMed

Insights

Integrating ARRBIA heart into disease management programmes (DMP) is feasible for cardiovascular risk reduction. While a single intervention didn't change smoking behavior, it increased risk perception and motivation to quit.

Area of Science:

  • Cardiology
  • Public Health
  • Behavioral Science

Background:

  • Patients in disease management programmes (DMP) exhibit high cardiovascular risk.
  • Smoking is a primary preventable risk factor for cardiovascular disease.
  • Previous studies suggest multiple risk factor interventions can reduce overall risk.

Purpose of the Study:

  • To assess the feasibility of integrating the ARRBIA heart risk calculator into DMPs.
  • To evaluate the potential of ARRBIA heart to increase patient motivation for smoking cessation.
  • To investigate the impact of risk consulting on smoking behavior within DMPs.

Main Methods:

  • The MOTOR study involved 47 patients receiving risk consulting with ARRBIA heart and a smoking cessation intervention.
  • A control group of 33 patients received usual DMP care.
  • Interventions were tailored to patient motivation stages, with self-help materials provided.

Main Results:

  • ARRBIA heart integration into DMPs is feasible, requiring an average of 10 minutes per consultation.
  • Most physicians expressed willingness to continue using ARRBIA heart.
  • A single risk consulting session did not significantly alter smoking behavior but increased risk perception and motivation to quit.

Conclusions:

  • Integrating ARRBIA heart into DMPs is a viable strategy for delivering regular smoking brief interventions.
  • Further research is needed to evaluate the effectiveness of multiple risk consulting sessions on smoking behavior and overall cardiovascular risk.
  • The study highlights the potential of risk calculators in motivating smoking cessation within chronic disease management.
Abstract

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