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[Mid-term evaluation of a help program for smokers]

C Martín Cantera1, R Córdoba García, C Jane Julio

  • 1Medicina Familiar y Comunitaria, Universitat Autònoma de Barcelona.

Medicina Clinica
|February 21, 1998
PubMed
Summary
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Systematic health counseling significantly motivates smokers to quit, with over 18% achieving cessation and 32% reducing consumption by half. This long-term study confirms structured support in primary care enhances smoking cessation success.

Area of Science:

  • Public Health
  • Behavioral Science
  • Clinical Intervention

Background:

  • Medical counseling is an effective intervention for motivating smokers to quit.
  • This study evaluates the long-term impact of systematic, structured health counseling on smoking habits within primary healthcare settings.

Purpose of the Study:

  • To assess the long-term effectiveness (2 years and 9 months) of systematic health counseling for smoking cessation.
  • To determine the impact of structured, individualized follow-up on smoking behavior.

Main Methods:

  • A program of systematic counseling and follow-up was initiated in April 1990 in four primary care centers in Spain.
  • Adult smokers (15-65 years) were included, categorized into seven groups for individualized follow-up.
  • Data from April 1990 to January 1993 were analyzed, including participant demographics, visit frequency, and smoking consumption.

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Main Results:

  • Out of 683 identified smokers, 343 were included in the program. Included smokers had more visits (5.3 vs. 2.7) and longer follow-up (14.3 months).
  • Average daily cigarette consumption decreased from 18.4 to 13.3 cigarettes.
  • The study reported an 18.1% quit rate and a 32.6% reduction in consumption by over 50%.

Conclusions:

  • Systematic smoking cessation programs in primary care demonstrate a higher success rate compared to standard counseling.
  • Structured, long-term support is crucial for improving smoking cessation outcomes.