Does additional support by nurses enhance the effect of brief smoking cessation intervention in people with moderate to severe COPD: A randomised controlled trial.

Julie Wilson, Donna Fitzsimons, Ian Bradbury, Stuart Elborn

    Research output: Contribution to journalArticle

    33 Citations (Scopus)

    Abstract

    BackgroundSmoking cessation is the primary disease modifying intervention for chronic obstructive pulmonary disease (COPD).SettingA Regional Respiratory Centre (RRC) out-patient department in Northern Ireland.MethodsA randomised controlled trial (RCT) evaluated the effectiveness of brief advice alone or accompanied by individual nurse support or group support facilitated by nurses. Smoking status was biochemically validated and stage of change, nicotine addiction and dyspnoea were recorded at 2, 3, 6, 9 and 12 months.ParticipantsNinety-one cigarette smokers with COPD were enrolled in the study (mean age 61years, 47 female).ResultsAfter 12 months cessation rates were not significantly different between groups (p=0.7), but all groups had a significant reduction in their nicotine addiction (p=0.03–0.006). No changes in subjects’ motivation or dyspnoea were detected over the 12 months.ConclusionPatients with COPD were unable to stop smoking regardless of the type of support they received. Harm reduction may be a more appropriate goal than complete cessation for intractable smokers and nurses must evaluate their role in this arena.Keywords: Chronic obstructive pulmonary disease, Nursing interventions, Randomised controlled trial, Secondary care, Smoking cessation
    LanguageEnglish
    Pages508-517
    JournalInternational Journal of Nursing Studies
    Volume45
    Issue number4
    DOIs
    Publication statusPublished - Apr 2008

    Fingerprint

    Smoking Cessation
    Chronic Obstructive Pulmonary Disease
    Randomized Controlled Trials
    Nurses
    Nicotine
    Dyspnea
    Smoking
    Respiratory Center
    Harm Reduction
    Northern Ireland
    Secondary Care
    Tobacco Products
    Motivation
    Nursing
    Outpatients

    Cite this

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    title = "Does additional support by nurses enhance the effect of brief smoking cessation intervention in people with moderate to severe COPD: A randomised controlled trial.",
    abstract = "BackgroundSmoking cessation is the primary disease modifying intervention for chronic obstructive pulmonary disease (COPD).SettingA Regional Respiratory Centre (RRC) out-patient department in Northern Ireland.MethodsA randomised controlled trial (RCT) evaluated the effectiveness of brief advice alone or accompanied by individual nurse support or group support facilitated by nurses. Smoking status was biochemically validated and stage of change, nicotine addiction and dyspnoea were recorded at 2, 3, 6, 9 and 12 months.ParticipantsNinety-one cigarette smokers with COPD were enrolled in the study (mean age 61years, 47 female).ResultsAfter 12 months cessation rates were not significantly different between groups (p=0.7), but all groups had a significant reduction in their nicotine addiction (p=0.03–0.006). No changes in subjects’ motivation or dyspnoea were detected over the 12 months.ConclusionPatients with COPD were unable to stop smoking regardless of the type of support they received. Harm reduction may be a more appropriate goal than complete cessation for intractable smokers and nurses must evaluate their role in this arena.Keywords: Chronic obstructive pulmonary disease, Nursing interventions, Randomised controlled trial, Secondary care, Smoking cessation",
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    Does additional support by nurses enhance the effect of brief smoking cessation intervention in people with moderate to severe COPD: A randomised controlled trial. / Wilson, Julie; Fitzsimons, Donna; Bradbury, Ian; Elborn, Stuart.

    In: International Journal of Nursing Studies, Vol. 45, No. 4, 04.2008, p. 508-517.

    Research output: Contribution to journalArticle

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    AU - Bradbury, Ian

    AU - Elborn, Stuart

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    N2 - BackgroundSmoking cessation is the primary disease modifying intervention for chronic obstructive pulmonary disease (COPD).SettingA Regional Respiratory Centre (RRC) out-patient department in Northern Ireland.MethodsA randomised controlled trial (RCT) evaluated the effectiveness of brief advice alone or accompanied by individual nurse support or group support facilitated by nurses. Smoking status was biochemically validated and stage of change, nicotine addiction and dyspnoea were recorded at 2, 3, 6, 9 and 12 months.ParticipantsNinety-one cigarette smokers with COPD were enrolled in the study (mean age 61years, 47 female).ResultsAfter 12 months cessation rates were not significantly different between groups (p=0.7), but all groups had a significant reduction in their nicotine addiction (p=0.03–0.006). No changes in subjects’ motivation or dyspnoea were detected over the 12 months.ConclusionPatients with COPD were unable to stop smoking regardless of the type of support they received. Harm reduction may be a more appropriate goal than complete cessation for intractable smokers and nurses must evaluate their role in this arena.Keywords: Chronic obstructive pulmonary disease, Nursing interventions, Randomised controlled trial, Secondary care, Smoking cessation

    AB - BackgroundSmoking cessation is the primary disease modifying intervention for chronic obstructive pulmonary disease (COPD).SettingA Regional Respiratory Centre (RRC) out-patient department in Northern Ireland.MethodsA randomised controlled trial (RCT) evaluated the effectiveness of brief advice alone or accompanied by individual nurse support or group support facilitated by nurses. Smoking status was biochemically validated and stage of change, nicotine addiction and dyspnoea were recorded at 2, 3, 6, 9 and 12 months.ParticipantsNinety-one cigarette smokers with COPD were enrolled in the study (mean age 61years, 47 female).ResultsAfter 12 months cessation rates were not significantly different between groups (p=0.7), but all groups had a significant reduction in their nicotine addiction (p=0.03–0.006). No changes in subjects’ motivation or dyspnoea were detected over the 12 months.ConclusionPatients with COPD were unable to stop smoking regardless of the type of support they received. Harm reduction may be a more appropriate goal than complete cessation for intractable smokers and nurses must evaluate their role in this arena.Keywords: Chronic obstructive pulmonary disease, Nursing interventions, Randomised controlled trial, Secondary care, Smoking cessation

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