INTRODUCTION: Advice can have a small but clinically important effect in promoting smoking cessation. Where studied, the rate of delivery has been found to be low. Training has been found to increases this rates, but there is little research on effectiveness in terms of smoking cessation rates. This study aimed to assess the effectiveness and cost-effectiveness of an health professionals educational program to increase long-term rates of nicotine abstinence in smoking outpatients. METHODS: We conducted a pragmatic cluster-randomized, controlled trial in 35 primary health care centers in Spain. Participants were all 830 health professionals who attended 5,970 smokers during recruiting period. After that we measured continuous abstinence 6 months after the intervention and biochemically validated (saliva cotinine test) 1 year following intervention. Cost-effectiveness was measured in terms of cost per life year gained. RESULTS: After 6 months, the rate of continuous abstinence was significantly higher in the intervention group (2.1% vs. 0.3%, p > .0001) with an odds ratio of 6.5 (95% CI = 3.3-12.7). After 1 year, biochemical validation was performed on 31 of the 67 patients previously registered as abstinent. All of them were abstinent and belonged to intervention group. The incremental cost per life year gained after 6 months was €969. CONCLUSIONS: A primary care training program on smoking cessation based on scientific evidence, behavioral theory, and active learning methods increases long-term continuous nicotine abstinence rate among outpatients in a significant way. These may be relevant for planning training of professionals, clinical assistance, and public health programs.
RCT Entities:
INTRODUCTION: Advice can have a small but clinically important effect in promoting smoking cessation. Where studied, the rate of delivery has been found to be low. Training has been found to increases this rates, but there is little research on effectiveness in terms of smoking cessation rates. This study aimed to assess the effectiveness and cost-effectiveness of an health professionals educational program to increase long-term rates of nicotine abstinence in smoking outpatients. METHODS: We conducted a pragmatic cluster-randomized, controlled trial in 35 primary health care centers in Spain. Participants were all 830 health professionals who attended 5,970 smokers during recruiting period. After that we measured continuous abstinence 6 months after the intervention and biochemically validated (saliva cotinine test) 1 year following intervention. Cost-effectiveness was measured in terms of cost per life year gained. RESULTS: After 6 months, the rate of continuous abstinence was significantly higher in the intervention group (2.1% vs. 0.3%, p > .0001) with an odds ratio of 6.5 (95% CI = 3.3-12.7). After 1 year, biochemical validation was performed on 31 of the 67 patients previously registered as abstinent. All of them were abstinent and belonged to intervention group. The incremental cost per life year gained after 6 months was €969. CONCLUSIONS: A primary care training program on smoking cessation based on scientific evidence, behavioral theory, and active learning methods increases long-term continuous nicotine abstinence rate among outpatients in a significant way. These may be relevant for planning training of professionals, clinical assistance, and public health programs.
Authors: Mary F Brunette; Nino Dzebisashvili; Haiyi Xie; Sarah Akerman; Joelle C Ferron; Stephen Bartels Journal: Nicotine Tob Res Date: 2015-08 Impact factor: 4.244
Authors: Gina R Kruse; Nancy A Rigotti; Martin Raw; Ann McNeill; Rachael Murray; Hembadoon Piné-Abata; Asaf Bitton; Andy McEwen Journal: Nicotine Tob Res Date: 2015-06-27 Impact factor: 4.244
Authors: Louise Forsetlund; Mary Ann O'Brien; Lisa Forsén; Liv Merete Reinar; Mbah P Okwen; Tanya Horsley; Christopher J Rose Journal: Cochrane Database Syst Rev Date: 2021-09-15
Authors: Peter Selby; Karina Goncharenko; Megan Barker; Myra Fahim; Valerie Timothy; Rosa Dragonetti; Katherine Kemper; Marilyn Herie; J Taylor Hays Journal: J Med Internet Res Date: 2015-04-17 Impact factor: 5.428
Authors: Charis Girvalaki; Sophia Papadakis; Enkeleint A Mechili; Katerina Nikitara; Andrey Demin; Antigona C Trofor; Arben Lila; Arusyak Harutyunyan; Aurela Saliaj; Deska Dimitrievska; Francisco Rodriguez Lozano; George Bakhturidze; Javier Ayesta; Krzysztof Przewoźniak; Maria Sofia Cattaruzza; Marija Zdraveska; Mihaela Lovše; Biljana Kilibarda; Otto Stoyka; Panagiotis Behrakis; Pierre Bizel; Polina Starchenko; Shkumbin Spahija; Cornel Radu-Loghin; Constantine I Vardavas Journal: Tob Induc Dis Date: 2020-05-07 Impact factor: 2.600
Authors: Gina R Kruse; Nancy A Rigotti; Martin Raw; Ann McNeill; Rachael Murray; Hembadoon Piné-Abata; Asaf Bitton; Andy McEwen Journal: J Smok Cessat Date: 2016-10-03