Recent manuscripts
Archive
Aims and Scope
Editorial Board
Open Access
Indexing
Contact us
Authorship & COI
Publication Ethics
Data Policies
Supporting Diversity
Instructions to authors (PDF)
Manuscript Types
Manuscript Formatting
Professional Editing Service
How to submit
Supplements & Special Issues
Preprints
TID on Twitter
RESEARCH PAPER
Effectiveness of advice from physician and nurse on smoking cessation stage in Taiwanese male smokers attending a community-based integrated screening program
| 1 | Department of Public Health, Chung Shan Medical University, Taichung, Taiwan |
| 2 | Department of Family and Community Medicine, Chung Shan Medical University Hospital, Taichung, Taiwan, ROC |
| 3 | School of Oral Hygiene, College of Oral Medicine, Taipei Medical University, Taipei, Taiwan |
| 4 | Department of Health Care Management, College of Management, Chang Gung University, Taoyuan, Taiwan |
| 5 | Department of Health Industry Management, Kainan University, Taoyuan, Taiwan |
| 6 | Graduate Institute of Epidemiology and Preventive Medicine, College of Public Health, National Taiwan University, Taipei, Taiwan |
CORRESPONDING AUTHOR
Dih-Ling Luh
Department of Public Health, Chung Shan Medical University, No.110, Sec. 1, Chien-Kuo N. Road, Taichung 40201, Taiwan
Department of Public Health, Chung Shan Medical University, No.110, Sec. 1, Chien-Kuo N. Road, Taichung 40201, Taiwan
Submission date: 2015-10-22
Acceptance date: 2016-04-12
Publication date: 2016-04-23
Tobacco Induced Diseases 2016;14(April):15
KEYWORDS
ABSTRACT
Background:
A screening program provides a teachable moment for primary prevention such as encouraging smoking cessation. However, little is known about the efficacy of smoking cessation intervention delivered to the general population through a community-based screening program.
Methods:
A quasi-experimental untreated control design with pre-test and post-test was conducted with 42 subjects receiving advice from physician and nurses (the PNA group), 39 receiving an informational leaflet (the leaflet group), and 308 control subjects.
Results:
The overall rate of reaching the action stage was 25 %, 5.7 %, and 7.8 in the PNA group, the leaflet group, and the control group, respectively. In approximately 45–60 % of all participants, the stage remained unchanged. Such an association between the intervention groups and stage changes was statistically significant (p = 0.02). The PNA group was more likely to have the improvement of stage (forward transition toward action stage) than the control group [adjusted odds ratio (aOR) = 2.27 (1.07–4.84)]. Deterioration (backward transition toward precontemplation) in the PNA intervention group was 37 % lower than that in the control group [aOR = 0.63 (0.20–2.01)].
Conclusions:
This study demonstrated that smoking cessation advice from physician and nurse is conducive to smoking cessation, as shown by greater movement toward and less movement away from smoking cessation through a community-based integrated screening platform.
A screening program provides a teachable moment for primary prevention such as encouraging smoking cessation. However, little is known about the efficacy of smoking cessation intervention delivered to the general population through a community-based screening program.
Methods:
A quasi-experimental untreated control design with pre-test and post-test was conducted with 42 subjects receiving advice from physician and nurses (the PNA group), 39 receiving an informational leaflet (the leaflet group), and 308 control subjects.
Results:
The overall rate of reaching the action stage was 25 %, 5.7 %, and 7.8 in the PNA group, the leaflet group, and the control group, respectively. In approximately 45–60 % of all participants, the stage remained unchanged. Such an association between the intervention groups and stage changes was statistically significant (p = 0.02). The PNA group was more likely to have the improvement of stage (forward transition toward action stage) than the control group [adjusted odds ratio (aOR) = 2.27 (1.07–4.84)]. Deterioration (backward transition toward precontemplation) in the PNA intervention group was 37 % lower than that in the control group [aOR = 0.63 (0.20–2.01)].
Conclusions:
This study demonstrated that smoking cessation advice from physician and nurse is conducive to smoking cessation, as shown by greater movement toward and less movement away from smoking cessation through a community-based integrated screening platform.
REFERENCES (41)
1.
Stead LF, Buitrago D, Preciado N, Sanchez G, Hartmann-Boyce J, Lancaster T. Physician advice for smoking cessation. Cochrane Database Syst Rev. 2013;5:CD000165. doi:10.1002/14651858.CD000165.pub4.
2.
Sutton S. Back to the drawing board? A review of applications of the transtheoretical model to substance use. Addiction. 2001;96:175–86. doi:10.1080/09652140020017049.
3.
Prochaska JO, DiClemente CC, Norcross JC. In search of how people change. Applications to addictive behaviors. Am Psychol. 1992;47:1102–14.
4.
Dijkstra A, Conijn B, De Vries H. A match-mismatch test of a stage model of behaviour change in tobacco smoking. Addiction. 2006;101:1035–43. doi:10.1111/j.1360-0443.2006.01419.x.
5.
Prochaska JO, DiClemente CC. Stages and processes of self-change of smoking: toward an integrative model of change. J Consult Clin Psychol. 1983;51:390–5.
6.
Prochaska JO, Velicer WF. The transtheoretical model of health behavior change. Am J Health Promot. 1997;12:38–48.
7.
Diclemente CC. A premature obituary for the transtheoretical model: a response to West (2005). Addiction. 2005;100:1046–8. doi:10.1111/j.1360-0443.2005.01138.x. author reply 1048–1050.
8.
Prochaska JO. Moving beyond the transtheoretical model. Addiction. 2006;101:768–74.
9.
Robinson LM, Vail SR. An integrative review of adolescent smoking cessation using the Transtheoretical Model of Change. J Pediatr Health Care. 2012;26:336–45. doi:10.1016/j.pedhc.2010.12.001.
10.
Evans WK, Wolfson MC. Computed tomography screening for lung cancer without a smoking cessation program--not a cost-effective idea. J Thorac Oncol. 2011;6:1781–3. doi:10.1097/JTO.0b013e3182344007.
11.
Clark MM, Cox LS, Jett JR, et al. Effectiveness of smoking cessation self-help materials in a lung cancer screening population. Lung Cancer. 2004;44:13–21. doi:10.1016/j.lungcan.2003.10.001.
12.
Styn MA, Land SR, Perkins KA, et al. Smoking behavior 1 year after computed tomography screening for lung cancer: Effect of physician referral for abnormal CT findings. Cancer Epidemiol Biomarkers Prev. 2009;18:3484–9. doi:10.1158/1055-9965.EPI-09-0895.
13.
Rodriguez-Alvarez M, Toran-Monserrat P, Munoz-Ortiz L, et al. Effectiveness of regular reporting of spirometric results combined with a smoking cessation advice by a primary care physician on smoking quit rate in adult smokers: a randomized controlled trial. ESPIROTAB study. BMC Fam Pract. 2011;12:61. doi:10.1186/1471-2296-12-61.
14.
Anderson CM, Yip R, Henschke CI, Yankelevitz DF, Ostroff JS, Burns DM. Smoking cessation and relapse during a lung cancer screening program. Cancer Epidemiol Biomarkers Prev. 2009;18:3476–83. doi:10.1158/1055-9965.EPI-09-0176.
15.
Ashraf H, Tonnesen P, Holst Pedersen J, Dirksen A, Thorsen H, Dossing M. Effect of CT screening on smoking habits at 1-year follow-up in the Danish Lung Cancer Screening Trial (DLCST). Thorax. 2009;64:388–92. doi:10.1136/thx.2008.102475.
16.
Clark MM, Jett JR. Change in smoking status after low-dose spiral chest CT screening for lung cancer: opportunity for smoking intervention. Thorax. 2009;64:371–2. doi:10.1136/thx.2008.111039.
17.
Cox LS, Clark MM, Jett JR, et al. Change in smoking status after spiral chest computed tomography scan screening. Cancer. 2003;98:2495–501. doi:10.1002/cncr.11813.
18.
Ostroff JS, Buckshee N, Mancuso CA, Yankelevitz DF, Henschke CI. Smoking cessation following CT screening for early detection of lung cancer. Prev Med. 2001;33:613–21. doi:10.1006/pmed.2001.0935.
19.
Shi L, Iguchi MY. “Risk homeostasis”or “teachable moment”? the interaction between smoking behavior and lung cancer screening in the Mayo Lung Project. Tob Induc Dis. 2011;9:2. doi:10.1186/1617-9625-9-2.
20.
Taylor KL, Cox LS, Zincke N, Mehta L, McGuire C, Gelmann E. Lung cancer screening as a teachable moment for smoking cessation. Lung Cancer. 2007;56:125–34. doi:10.1016/j.lungcan.2006.11.015.
21.
Townsend CO, Clark MM, Jett JR, et al. Relation between smoking cessation and receiving results from three annual spiral chest computed tomography scans for lung carcinoma screening. Cancer. 2005;103:2154–62. doi:10.1002/cncr.21045.
22.
van der Aalst CM, van den Bergh KA, Willemsen MC, de Koning HJ, van Klaveren RJ. Lung cancer screening and smoking abstinence: 2 year follow-up data from the Dutch-Belgian randomised controlled lung cancer screening trial. Thorax. 2010;65:600–5. doi:10.1136/thx.2009.133751.
23.
van der Aalst CM, van Klaveren RJ, van den Bergh KA, Willemsen MC, de Koning HJ. The impact of a lung cancer computed tomography screening result on smoking abstinence. Eur Respir J. 2011;37:1466–73. doi:10.1183/09031936.00035410.
24.
McBride CM, Scholes D, Grothaus L, Curry SJ, Albright J. Promoting smoking cessation among women who seek cervical cancer screening. Obstet Gynecol. 1998;91:719–24.
25.
McBride CM, Scholes D, Grothaus LC, Curry SJ, Ludman E, Albright J. Evaluation of a minimal self-help smoking cessation intervention following cervical cancer screening. Prev Med. 1999;29:133–8. doi:10.1006/pmed.1999.0514.
26.
Chen TH, Chiu YH, Luh DL, et al. Community-based multiple screening model: design, implementation, and analysis of 42,387 participants. Cancer. 2004;100:1734–43. doi:10.1002/cncr.20171.
27.
Chiu SY, Chen LS, Yen AM, Chen HH. Population-based proband-oriented pedigree information system: application to hypertension with population-based screening data (KCIS No. 25). J Am Med Inform Assoc. 2012;19:102–10. doi:10.1136/amiajnl-2010-000059amiajnl-2010-000059.
28.
Chiu YH, Chen LS, Chan CC, et al. Health information system for community-based multiple screening in Keelung, Taiwan (Keelung Community-based Integrated Screening No. 3). Int J Med Inform. 2006;75:369–83. doi:10.1016/j.ijmedinf.2005.07.033.
29.
Chiu YH, Lin WY, Wang PE, Chen YD, Wang TT, Warwick J, Chen TH. Population-based family case–control proband study on familial aggregation of metabolic syndrome: finding from Taiwanese people involved in Keelung community-based integrated screening (KCIS no. 5). Diabetes Res Clin Pract. 2007;75:348–56. doi:10.1016/j.diabres.2006.07.014.
30.
Levy DT, Wen CP, Chen TY, Oblak M. Increasing taxes to reduce smoking prevalence and smoking attributable mortality in Taiwan: results from a tobacco policy simulation model. Tob Control. 2005;14 suppl 1:i45–50.
31.
Dijkstra A, Roijackers J, De Vries H. Smokers in four stages of readiness to change. Addict Behav. 1998;23:339–50.
32.
Norman GJ, Velicer WF, Fava JL, Prochaska JO. Cluster subtypes within stage of change in a representative sample of smokers. Addict Behav. 2000;25:183–204.
33.
Carlebach S, Hamilton S. Understanding the nurse’s role in smoking cessation. Br J Nurs. 2009;18:672–4.
34.
Mojica WA, Suttorp MJ, Sherman SE, et al. Smoking-cessation interventions by type of provider: a meta-analysis. Am J Prev Med. 2004;26:391–401. doi:10.1016/j.amepre.2004.02.014.
35.
Rice VH, Hartmann-Boyce J, Stead LF. Nursing interventions for smoking cessation. Cochrane Database Syst Rev. 2013;8:CD001188. doi:10.1002/14651858.CD001188.pub4.
36.
Ferketich AK, Gallus S, Colombo P, Fossati R, Apolone G, Zuccaro P, La Vecchia C. Physician-delivered advice to quit smoking among Italian smokers. Am J Prev Med. 2008;35:60–3. doi:10.1016/j.amepre.2008.03.022.
37.
Ng N, Prabandari YS, Padmawati RS, et al. Physician assessment of patient smoking in Indonesia: a public health priority. Tob Control. 2007;16:190–6. doi:10.1136/tc.2006.018895.
38.
Ahacic K, Allebeck P, Thakker KD. Being questioned and receiving advice about alcohol and smoking in health care: associations with patients’ characteristics, health behavior, and reported stage of change. Subst Abuse Treat Prev Policy. 2010;5:30. doi:10.1186/1747-597X-5-30.
39.
Lopez-Quintero C, Crum RM, Neumark YD. Racial/ethnic disparities in report of physician-provided smoking cessation advice: analysis of the 2000 National Health Interview Survey. Am J Public Health. 2006;96:2235–9. doi:10.2105/AJPH.2005.071035.
40.
Thomas K, Yaphe J, Matalon A. Current primary care physician interventions to promote smoking cessation in Israel: an observational study. Isr Med Assoc J. 2007;9:645–8.
41.
Awad MA, O’Loughlin J. Physician delivery of smoking prevention counseling to young patients in the United Arab Emirates. Patient Educ Couns. 2007;67:151–6. doi:10.1016/j.pec.2007.03.00.
CITATIONS (7):
1.
Stakeholder Research Priorities for Smoking Cessation Interventions within Lung Cancer Screening Programs. An Official American Thoracic Society Research Statement
Hasmeena Kathuria, Frank C. Detterbeck, Joelle T. Fathi, Kathleen Fennig, Michael K. Gould, Denise G. Jolicoeur, Stephanie R. Land, Greta M. Massetti, Peter J. Mazzone, Gerard A. Silvestri, Christopher G. Slatore, Robert A. Smith, Anil Vachani, Steven B. Zeliadt, Renda Soylemez Wiener
American Journal of Respiratory and Critical Care Medicine
Hasmeena Kathuria, Frank C. Detterbeck, Joelle T. Fathi, Kathleen Fennig, Michael K. Gould, Denise G. Jolicoeur, Stephanie R. Land, Greta M. Massetti, Peter J. Mazzone, Gerard A. Silvestri, Christopher G. Slatore, Robert A. Smith, Anil Vachani, Steven B. Zeliadt, Renda Soylemez Wiener
American Journal of Respiratory and Critical Care Medicine
2.
Effects of a Nurse-Led, Stage-Matched, Tailored Program for Smoking Cessation in Health Education Centers: A Prospective, Randomized, Controlled Trial
Chia-Chen Lu, Yu-Chuan Hsiao, Hui-Wen Huang, Jhen-Yi Lin, Chih-Ling Huang
Clinical Nursing Research
Chia-Chen Lu, Yu-Chuan Hsiao, Hui-Wen Huang, Jhen-Yi Lin, Chih-Ling Huang
Clinical Nursing Research
3.
Short-term impact of the EuroPean Accredited Curriculum on
Tobacco Treatment Training (EPACTT) program
Theodosia Peleki, Charis Girvalaki, Francisco Lozano, Cornel Radu-Loghin, Dominick Nguyen, Arusyak Harutyunyan, George Bakhturidze, Antigona Trofor, Andrey Demin, Otto Stoyka, Chrysoula Tsiou, Sophia Papadakis, Constantine Vardavas, Panagiotis Behrakis
Tobacco Prevention & Cessation
Theodosia Peleki, Charis Girvalaki, Francisco Lozano, Cornel Radu-Loghin, Dominick Nguyen, Arusyak Harutyunyan, George Bakhturidze, Antigona Trofor, Andrey Demin, Otto Stoyka, Chrysoula Tsiou, Sophia Papadakis, Constantine Vardavas, Panagiotis Behrakis
Tobacco Prevention & Cessation
4.
The Impact of Innovative Smoking Reduction Education at Hospital Entrances: A Prospective Pre- and Post-Test Study Design
Tusi-Ping Chu, Min-Li Chen, Yu-Chen Lin, Mei-Yen Chen
International Journal of Environmental Research and Public Health
Tusi-Ping Chu, Min-Li Chen, Yu-Chen Lin, Mei-Yen Chen
International Journal of Environmental Research and Public Health
5.
Combining smoking cessation interventions with LDCT lung cancer screening: A systematic review
Jonathan Iaccarino, Celina Duran, Christopher Slatore, Renda Wiener, Hasmeena Kathuria
Preventive Medicine
Jonathan Iaccarino, Celina Duran, Christopher Slatore, Renda Wiener, Hasmeena Kathuria
Preventive Medicine
6.
Smoking cessation advice from healthcare professionals
helps those in the contemplation and preparation stage: An
application with transtheoretical model underpinning in a
community-based program
Pallop Siewchaisakul, Dih-Ling Luh, Sherry Chiu, Amy Yen, Chih-Dao Chen, Hsiu-Hsi Chen
Tobacco Induced Diseases
Pallop Siewchaisakul, Dih-Ling Luh, Sherry Chiu, Amy Yen, Chih-Dao Chen, Hsiu-Hsi Chen
Tobacco Induced Diseases
7.
Sevrage tabagique et dépistage du cancer du poumon
G. Peiffer, M. Underner, J. Perriot, A.-M. Ruppert, A. Tiotiu
Revue des Maladies Respiratoires
G. Peiffer, M. Underner, J. Perriot, A.-M. Ruppert, A. Tiotiu
Revue des Maladies Respiratoires
RELATED ARTICLE
