High intensity smoking cessation interventions

Cardiac patients of low socioeconomic status and low intention to quit profit most

N. Berndt*, H. de Vries, L. Lechner, F. Van Acker, E. S. Froelicher, F. Verheugt, A. Mudde, C. Bolman

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

Background Without assistance, smokers being admitted to the hospital for coronary heart disease often return to regular smoking within a year.

Objective This study assessed the 12-month effectiveness of a telephone and a face-to-face counselling intervention on smoking abstinence among cardiac patients. Differential effects for subgroups varying in their socioeconomic status and intention to quit smoking were also studied.

Methods A randomised controlled trial was used. During hospital stay, smokers hospitalised for coronary heart disease were assigned to usual care (n = 245), telephone counselling (n = 223) or face-to-face counselling (n = 157). Eligible patients were allocated to an intervention counselling group and received nicotine patches. After 12 months, self-reported continued abstinence was assessed and biochemically verified in quitters. Effects on smoking abstinence were tested using multilevel logistic regression analyses applying the intention-to-treat approach.

Results Compared with usual care, differential effects of telephone and face-to-face counselling on continued abstinence were found in patients with a low socioeconomic status and in patients with a low quit intention. For these patients, telephone counselling increased the likelihood of abstinence threefold (OR = 3.10, 95% CI 1.32-7.31, p = 0.01), whereas face-to-face counselling increased this likelihood fivefold (OR = 5.30, 95% CI 2.13-13.17, p <0.001). Considering the total sample, the interventions did not result in stronger effects than usual care.

Conclusion Post-discharge telephone and face-to-face counselling interventions increased smoking abstinence rates at 12 months compared with usual care among cardiac patients of low socioeconomic status and low quit intentions. The present study indicates that patients of high socioeconomic status and high quit motivation require different cessation approaches.

Original languageEnglish
Pages (from-to)24-32
Number of pages9
JournalNetherlands Heart Journal
Volume25
Issue number1
DOIs
Publication statusPublished - Jan 2017

Keywords

  • Coronary heart disease
  • Smoking cessation
  • Telephone counselling
  • Face-to-face counselling
  • Socioeconomic status
  • Intention to quit
  • CORONARY-HEART-DISEASE
  • 4 COUNTRY SURVEY
  • FOLLOW-UP
  • NICOTINE DEPENDENCE
  • INEQUALITIES
  • PREDICTORS
  • ABSTINENCE
  • RISK

Cite this

@article{9c88b172dbf04f159238a755dc59b9f3,
title = "High intensity smoking cessation interventions: Cardiac patients of low socioeconomic status and low intention to quit profit most",
abstract = "Background Without assistance, smokers being admitted to the hospital for coronary heart disease often return to regular smoking within a year.Objective This study assessed the 12-month effectiveness of a telephone and a face-to-face counselling intervention on smoking abstinence among cardiac patients. Differential effects for subgroups varying in their socioeconomic status and intention to quit smoking were also studied.Methods A randomised controlled trial was used. During hospital stay, smokers hospitalised for coronary heart disease were assigned to usual care (n = 245), telephone counselling (n = 223) or face-to-face counselling (n = 157). Eligible patients were allocated to an intervention counselling group and received nicotine patches. After 12 months, self-reported continued abstinence was assessed and biochemically verified in quitters. Effects on smoking abstinence were tested using multilevel logistic regression analyses applying the intention-to-treat approach.Results Compared with usual care, differential effects of telephone and face-to-face counselling on continued abstinence were found in patients with a low socioeconomic status and in patients with a low quit intention. For these patients, telephone counselling increased the likelihood of abstinence threefold (OR = 3.10, 95{\%} CI 1.32-7.31, p = 0.01), whereas face-to-face counselling increased this likelihood fivefold (OR = 5.30, 95{\%} CI 2.13-13.17, p <0.001). Considering the total sample, the interventions did not result in stronger effects than usual care.Conclusion Post-discharge telephone and face-to-face counselling interventions increased smoking abstinence rates at 12 months compared with usual care among cardiac patients of low socioeconomic status and low quit intentions. The present study indicates that patients of high socioeconomic status and high quit motivation require different cessation approaches.",
keywords = "Coronary heart disease, Smoking cessation, Telephone counselling, Face-to-face counselling, Socioeconomic status, Intention to quit, CORONARY-HEART-DISEASE, 4 COUNTRY SURVEY, FOLLOW-UP, NICOTINE DEPENDENCE, INEQUALITIES, PREDICTORS, ABSTINENCE, RISK",
author = "N. Berndt and {de Vries}, H. and L. Lechner and {Van Acker}, F. and Froelicher, {E. S.} and F. Verheugt and A. Mudde and C. Bolman",
year = "2017",
month = "1",
doi = "10.1007/s12471-016-0906-7",
language = "English",
volume = "25",
pages = "24--32",
journal = "Netherlands Heart Journal",
issn = "1568-5888",
publisher = "Bohn, Stafleu, van Loghum",
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High intensity smoking cessation interventions : Cardiac patients of low socioeconomic status and low intention to quit profit most. / Berndt, N.; de Vries, H.; Lechner, L.; Van Acker, F.; Froelicher, E. S.; Verheugt, F.; Mudde, A.; Bolman, C.

In: Netherlands Heart Journal, Vol. 25, No. 1, 01.2017, p. 24-32.

Research output: Contribution to journalArticleAcademicpeer-review

TY - JOUR

T1 - High intensity smoking cessation interventions

T2 - Cardiac patients of low socioeconomic status and low intention to quit profit most

AU - Berndt, N.

AU - de Vries, H.

AU - Lechner, L.

AU - Van Acker, F.

AU - Froelicher, E. S.

AU - Verheugt, F.

AU - Mudde, A.

AU - Bolman, C.

PY - 2017/1

Y1 - 2017/1

N2 - Background Without assistance, smokers being admitted to the hospital for coronary heart disease often return to regular smoking within a year.Objective This study assessed the 12-month effectiveness of a telephone and a face-to-face counselling intervention on smoking abstinence among cardiac patients. Differential effects for subgroups varying in their socioeconomic status and intention to quit smoking were also studied.Methods A randomised controlled trial was used. During hospital stay, smokers hospitalised for coronary heart disease were assigned to usual care (n = 245), telephone counselling (n = 223) or face-to-face counselling (n = 157). Eligible patients were allocated to an intervention counselling group and received nicotine patches. After 12 months, self-reported continued abstinence was assessed and biochemically verified in quitters. Effects on smoking abstinence were tested using multilevel logistic regression analyses applying the intention-to-treat approach.Results Compared with usual care, differential effects of telephone and face-to-face counselling on continued abstinence were found in patients with a low socioeconomic status and in patients with a low quit intention. For these patients, telephone counselling increased the likelihood of abstinence threefold (OR = 3.10, 95% CI 1.32-7.31, p = 0.01), whereas face-to-face counselling increased this likelihood fivefold (OR = 5.30, 95% CI 2.13-13.17, p <0.001). Considering the total sample, the interventions did not result in stronger effects than usual care.Conclusion Post-discharge telephone and face-to-face counselling interventions increased smoking abstinence rates at 12 months compared with usual care among cardiac patients of low socioeconomic status and low quit intentions. The present study indicates that patients of high socioeconomic status and high quit motivation require different cessation approaches.

AB - Background Without assistance, smokers being admitted to the hospital for coronary heart disease often return to regular smoking within a year.Objective This study assessed the 12-month effectiveness of a telephone and a face-to-face counselling intervention on smoking abstinence among cardiac patients. Differential effects for subgroups varying in their socioeconomic status and intention to quit smoking were also studied.Methods A randomised controlled trial was used. During hospital stay, smokers hospitalised for coronary heart disease were assigned to usual care (n = 245), telephone counselling (n = 223) or face-to-face counselling (n = 157). Eligible patients were allocated to an intervention counselling group and received nicotine patches. After 12 months, self-reported continued abstinence was assessed and biochemically verified in quitters. Effects on smoking abstinence were tested using multilevel logistic regression analyses applying the intention-to-treat approach.Results Compared with usual care, differential effects of telephone and face-to-face counselling on continued abstinence were found in patients with a low socioeconomic status and in patients with a low quit intention. For these patients, telephone counselling increased the likelihood of abstinence threefold (OR = 3.10, 95% CI 1.32-7.31, p = 0.01), whereas face-to-face counselling increased this likelihood fivefold (OR = 5.30, 95% CI 2.13-13.17, p <0.001). Considering the total sample, the interventions did not result in stronger effects than usual care.Conclusion Post-discharge telephone and face-to-face counselling interventions increased smoking abstinence rates at 12 months compared with usual care among cardiac patients of low socioeconomic status and low quit intentions. The present study indicates that patients of high socioeconomic status and high quit motivation require different cessation approaches.

KW - Coronary heart disease

KW - Smoking cessation

KW - Telephone counselling

KW - Face-to-face counselling

KW - Socioeconomic status

KW - Intention to quit

KW - CORONARY-HEART-DISEASE

KW - 4 COUNTRY SURVEY

KW - FOLLOW-UP

KW - NICOTINE DEPENDENCE

KW - INEQUALITIES

KW - PREDICTORS

KW - ABSTINENCE

KW - RISK

U2 - 10.1007/s12471-016-0906-7

DO - 10.1007/s12471-016-0906-7

M3 - Article

VL - 25

SP - 24

EP - 32

JO - Netherlands Heart Journal

JF - Netherlands Heart Journal

SN - 1568-5888

IS - 1

ER -