Evaluation of the Effectiveness of a Very Brief Smoking Cessation Intervention in Family Health Centers: A Pragmatic Randomized Controlled Trial
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 330
- 试验地点
- 2
- 主要终点
- Smoking Quit Rates
研究概览
简要总结
In Turkey, the prevalence of tobacco use among individuals was 31.4% in 2019. The WHO recommends brief and very brief interventions to increase tobacco cessation rates and medical support. In developing countries, these brief interventions are being integrated into primary care. The aim of this study is to evaluate the effectiveness of very brief interventions at different family health centers in Aydın province.
A pragmatic randomized controlled trial was conducted with 170 patients in intervention group and 161 in control group across 14 family health centers in Aydın province from June 2023 to December 2023. Physicians that recurited for intervention received one hour of online training before applying very brief smoking cessation interventions to their patients. Data collection included a baseline assessment of sociodemographic characteristics, smoking status, and medical history. At the three-month follow-up, participants' cessation status and motivations were assessed via phone call interviews. Intention to Treat approach was utilized. Secondary outcomes included the objective and subjective frequency of smoking, as well as treatment and support received.
详细描述
INTRODUCTION:
Tobacco use is among the leading causes of preventable mortality. One in ten deaths is related to tobacco use worldwide. Expected lifespan of smokers is ten years shorter than non-smokers and half of them lose around 20 Quality-Adjusted Life Years (QALYs) due to tobacco related diseases before death.
The motto "Offer help to quit tobacco use" has the worst progression within MPOWER strategies of WHO. Smoking cessation services are especially inadequate in developing countries, and even when offered free of charge, their utilisation rates remain low.
On the other hand, brief physician advice enhances the quitting rates of smokers. WHO recommends brief clinical interventions to enhance tobacco cessation rates. Former studies show that these interventions increase the cessation rates. A meta-analysis specifically examining brief interventions integrated into primary care setting has found that they effectively improve smoking cessation rates. Therefore, authors suggest that behavioural healthcare services should be integrated into primary care to promote tobacco cessation intervention.
However, these interventions, which WHO defines as "brief", last 3-10 minutes and are difficult to implement in busy clinical practice settings where the time is allocated to a patient is limited. Lack of time and poor education are the main barriers to physicians using these interventions efficiently.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Single (Participant)
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •All smokers aged 18 and above who visited selected Family Health Centers
排除标准
- •Smokers experiencing cooperation and communication issues
- •Smokers who have received support for a smoking cessation attempt within the last month
结局指标
主要结局
Smoking Quit Rates
时间窗: 3 months after the 3A-OR very brief intervention
Smoking cessation rates between groups at 3 months follow up
次要结局
- Motivational stages of quitting smoking(3 months after the 3A-OR very brief intervention)
研究者
Yigit Yagci
Family Medicine Specialist, MD
Aydin Adnan Menderes University