Miren I Pardavila-Belio1, Cristina García-Vivar1, Adriano Marçal Pimenta2, Ana Canga-Armayor3, Sara Pueyo-Garrigues4, Navidad Canga-Armayor1. 1. Department of Community Nursing and Maternal and Child Health Care, University of Navarra, Pamplona, Navarra, Spain. 2. Department of Maternal and Child Nursing and Public Health, Federal University of Minas Gerais, Belo Horizonte, Minas Gerais, Brazil. 3. Department of Psychiatry and Psychology, University Clinic of Navarra, Pamplona, Navarra, Spain. 4. Department of Nursing Care for Adults, University of Navarra, Pamplona, Navarra, Spain.
Abstract
AIM: To evaluate the effectiveness of a nurse intervention aimed at helping college student smokers quit smoking. DESIGN: Single-blind, pragmatic randomized controlled trial which compares a multi-component intervention, tailored specifically to college students, with a brief advice session with a 6-month follow-up. SETTINGS: This study was conducted at the University of Navarra, Spain. PARTICIPANTS: A total of 255 college student smokers (age range = 18-24 years) were randomized to an intervention group (n = 133) or to a control group (n = 122). INTERVENTION: A multi-component intervention based on the Theory of Triadic Influence of Flay was developed. The intervention consisted of a 50-minute motivational interview conducted by a nurse and online self-help material. The follow-up included a reinforcing e-mail and group therapy. MEASUREMENTS: The primary outcome was self-reported abstinence, with biochemical verification at 6 months. The secondary outcomes consisted of the mean number of cigarettes smoked per day, self-reported attempts to quit smoking and stage of change at 6 months. FINDINGS: At the 6-month follow-up, the smoking cessation incidence was 21.1% in the intervention group compared with 6.6% in the control group (difference = 14.5 confidence interval = 6.1-22.8; relative risk = 3.41, 95% confidence interval = 1.62-7.20). The difference in the mean number of cigarettes at 6 months was significantly different (difference = -2.2, confidence interval = -3.6 to -0.9). CONCLUSIONS: A multi-component intervention tailored to college students and managed by a nurse is effective in increasing smoking cessation among college students.
RCT Entities:
AIM: To evaluate the effectiveness of a nurse intervention aimed at helping college student smokers quit smoking. DESIGN: Single-blind, pragmatic randomized controlled trial which compares a multi-component intervention, tailored specifically to college students, with a brief advice session with a 6-month follow-up. SETTINGS: This study was conducted at the University of Navarra, Spain. PARTICIPANTS: A total of 255 college student smokers (age range = 18-24 years) were randomized to an intervention group (n = 133) or to a control group (n = 122). INTERVENTION: A multi-component intervention based on the Theory of Triadic Influence of Flay was developed. The intervention consisted of a 50-minute motivational interview conducted by a nurse and online self-help material. The follow-up included a reinforcing e-mail and group therapy. MEASUREMENTS: The primary outcome was self-reported abstinence, with biochemical verification at 6 months. The secondary outcomes consisted of the mean number of cigarettes smoked per day, self-reported attempts to quit smoking and stage of change at 6 months. FINDINGS: At the 6-month follow-up, the smoking cessation incidence was 21.1% in the intervention group compared with 6.6% in the control group (difference = 14.5 confidence interval = 6.1-22.8; relative risk = 3.41, 95% confidence interval = 1.62-7.20). The difference in the mean number of cigarettes at 6 months was significantly different (difference = -2.2, confidence interval = -3.6 to -0.9). CONCLUSIONS: A multi-component intervention tailored to college students and managed by a nurse is effective in increasing smoking cessation among college students.
Authors: Mercedes Gomez Del Pulgar; Miguel Angel Cuevas-Budhart; Sonsoles Hernández-Iglesias; Maria Kappes; Veronica Andrea Riquelme Contreras; Esther Rodriguez-Lopez; Alina Maria De Almeida Souza; Maximo A Gonzalez Jurado; Almudena Crespo Cañizares Journal: Public Health Rev Date: 2022-09-14
Authors: Huyen Phuc Do; Bach Xuan Tran; Quyen Le Pham; Long Hoang Nguyen; Tung Thanh Tran; Carl A Latkin; Michael P Dunne; Philip Ra Baker Journal: Patient Prefer Adherence Date: 2018-10-08 Impact factor: 2.711