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Evaluating a collaborative smoking cessation intervention in primary care (ENTER): study protocol for a

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Area of Science:

  • Public Health
  • Clinical Medicine
  • Health Economics

Background:

  • Tobacco consumption is a major preventable risk factor for chronic diseases.
  • Effective smoking cessation interventions are crucial for managing conditions like cardiovascular disease and COPD.
  • The German health insurance company AOK NORDWEST developed a collaborative intervention to reduce tobacco use.

Purpose of the Study:

  • To evaluate the effectiveness of a collaborative smoking cessation intervention.
  • To determine the cost-effectiveness of this intervention.
  • To assess the intervention's feasibility in a primary care setting.

Main Methods:

  • A cluster-randomized controlled trial involving 40 medical practices in Germany.
  • 800 adult patients, including heavy smokers and those with cardiovascular disease or COPD, were recruited.
  • Patients were randomized to an intervention group (physician-led motivation and referral) or a control group (usual care).
  • Primary outcome: cigarettes consumed in the past 30 days at 12 months. Secondary outcomes: smoking abstinence, quality of life, respiratory complaints.

Main Results:

  • Data collection occurred at baseline, 6, and 12 months post-intervention.
  • The study aims to provide evidence on the intervention's impact on smoking cessation rates.
  • Health economic analysis will determine the intervention's cost-effectiveness.

Conclusions:

  • The study will determine if the collaborative intervention is effective and feasible for smoking cessation in primary care.
  • Results will inform healthcare providers and insurers about evidence-based smoking cessation strategies.
  • Findings will contribute to understanding the economic value of such interventions.