Comparison between success rates for smokers re‐treated by a smokers' clinic and success rates for smokers treated for the first time.
Aims: To compare success rates and characteristics of smokers treated a second time by a smokers' clinic with success rates of their first treatment. Design Retrospective cohort study. Setting: Tobacco Dependence Treatment clinic in Prague, Czech Republic, between 2005 and 2017. Participants: A tota...
| Publicado en: | Addiction Vol. 116; no. 2; pp. 346 - 356 |
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| Autores principales: | , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
Feb2021
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=148184419&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 148184419 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09652140 AIO jtl: Addiction issn: 09652140 maglogo: Y pubinfo: dt: Feb2021 vid: 116 iid: 2 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 148184419 145858842 148184419 148184419 10.1111/add.15175 148184419 ppf: 346 ppct: 10 formats: fmt: – @attributes: type: T – @attributes: type: C – @attributes: type: P tig: atl: Comparison between success rates for smokers re‐treated by a smokers' clinic and success rates for smokers treated for the first time. aug: au: Stepankova, Lenka Kralikova, Eva Zvolska, Kamila Pankova, Alexandra Adamcekova, Zuzana Kuhn, Matyas Noland, Derek affil: Centre for Tobacco Dependence, 3rd Medical Department, Department of Endocrinology and Metabolism, First Faculty of Medicine, Charles University in Prague and General University Hospital in Prague,, Czech Republic sug: subj: Smoking Therapy Smoking Cessation Programs Outcome Assessment Human Czech Republic Retrospective Design Prospective Studies Confidence Intervals Descriptive Statistics ab: Aims: To compare success rates and characteristics of smokers treated a second time by a smokers' clinic with success rates of their first treatment. Design Retrospective cohort study. Setting: Tobacco Dependence Treatment clinic in Prague, Czech Republic, between 2005 and 2017. Participants: A total of 5225 smokers treated either once (n = 5006, single treatment sample, SS) or also second time (n = 219, re‐treated sample, RS), on average 4.47 years after the first visit. Intervention: Smokers received intensive treatment of tobacco dependence with pharmacotherapy options. Outcomes were evaluated after 1 year. In case of failure or relapse, participants could undergo re‐treatment in the same setting at least 1 year after the start of the first treatment. Measurements Twelve‐month self‐reported continuous abstinence; CO‐validated (≤ 6 parts per million); number of visits; type of pharmacotherapy; mental health history; Fagerström Test for Cigarette Dependence; time between first and second treatment. Results: The abstinence rate in the SS was 34.8% [95% confidence interval (CI) = 33.4%, 36.1%] and in the RS was 37% (95% CI = 30.6%, 43.8%) and 39.7% (95% CI = 33.2%, 45.5%) for their first and second treatments, respectively. The samples were comparable on smoking and socio‐demographic characteristics and pharmacotherapy used, but the RS in the second treatment had a higher prevalence of diagnosed mental health disorder at 39.3% (95% CI = 32.8%; 46.1%) compared with 23.7% (95% CI = 22.5%; 24.9%) in the SS. Participants who initiated their second quit attempt 1 to 2 years after the first one were less successful than those who initiated their second quit attempt later (25 versus 43%; P < 0.05). The results of the first treatment cycle were not found to be a reliable predictor for outcomes of the second cycle of treatment in univariate or multivariate logistic regression (odds ratio = 1.35, 95% CI = 0.70–2.63, P = 0.373). Conclusion: In Prague, Czech Republic, smokers re‐attending stop‐smoking treatment more than 2 years after their previous quit attempt appear to achieve similar success rates to those being treated for the first time. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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