Intervention study for smoking cessation in diabetic patients: a randomized controlled trial in both clinical and primary care settings

Intervention study for smoking cessation in diabetic patients: a randomized controlled trial in both clinical and primary care settings. N Canga , J De Irala , E Vara , M J Duaso , A Ferrer and M A Martínez-González Department of Nursing Studies, School of Nursing, University of Navarre, Pamplona, S...

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Veröffentlicht in:Diabetes care 2000-10, Vol.23 (10), p.1455-1460
Hauptverfasser: CANGA, Navidad, DE IRALA, Jokin, VARA, Eduardo, DUASO, Maria J, FERRER, Asuncion, MARTINEZ-GONZALEZ, Miguel A
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container_end_page 1460
container_issue 10
container_start_page 1455
container_title Diabetes care
container_volume 23
creator CANGA, Navidad
DE IRALA, Jokin
VARA, Eduardo
DUASO, Maria J
FERRER, Asuncion
MARTINEZ-GONZALEZ, Miguel A
description Intervention study for smoking cessation in diabetic patients: a randomized controlled trial in both clinical and primary care settings. N Canga , J De Irala , E Vara , M J Duaso , A Ferrer and M A Martínez-González Department of Nursing Studies, School of Nursing, University of Navarre, Pamplona, Spain. Abstract OBJECTIVE: To evaluate the effectiveness of a nurse-managed smoking cessation intervention in diabetic patients. RESEARCH DESIGN AND METHODS: This randomized controlled clinical trial involved 280 diabetic smokers (age range 17-84 years) who were randomized either into control (n = 133) or intervention (n = 147) groups at 12 primary care centers and 2 hospitals located in Navarre, Spain. The intervention consisted of a 40-min nurse visit that included counseling, education, and contracting information (a negotiated cessation date). The follow-up consisted of telephone calls, letters, and visits. The control group received the usual care for diabetic smokers. Baseline and 6-month follow-up measurements included smoking status (self-reported cessation was verified by urine cotinine concentrations), mean number of cigarettes smoked per day, and stage of change. RESULTS: At the 6-month follow-up, the smoking cessation incidence was 17.0% in the intervention group compared with 2.3% in the usual care group, which was a 14.7% difference (95% CI 8.2-21.3%). Among participants who continued smoking, a significant reduction was evident in the average cigarette consumption at the 6-month follow-up. The mean number of cigarettes per day decreased from 20.0 at baseline to 15.5 at 6 months for the experimental group versus from 19.7 to 18.1 for the control group (P < 0.01). CONCLUSIONS: A structured intervention managed by a single nurse was shown to be effective in changing the smoking behavior of diabetic patients.
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N Canga , J De Irala , E Vara , M J Duaso , A Ferrer and M A Martínez-González Department of Nursing Studies, School of Nursing, University of Navarre, Pamplona, Spain. Abstract OBJECTIVE: To evaluate the effectiveness of a nurse-managed smoking cessation intervention in diabetic patients. RESEARCH DESIGN AND METHODS: This randomized controlled clinical trial involved 280 diabetic smokers (age range 17-84 years) who were randomized either into control (n = 133) or intervention (n = 147) groups at 12 primary care centers and 2 hospitals located in Navarre, Spain. The intervention consisted of a 40-min nurse visit that included counseling, education, and contracting information (a negotiated cessation date). The follow-up consisted of telephone calls, letters, and visits. The control group received the usual care for diabetic smokers. Baseline and 6-month follow-up measurements included smoking status (self-reported cessation was verified by urine cotinine concentrations), mean number of cigarettes smoked per day, and stage of change. RESULTS: At the 6-month follow-up, the smoking cessation incidence was 17.0% in the intervention group compared with 2.3% in the usual care group, which was a 14.7% difference (95% CI 8.2-21.3%). Among participants who continued smoking, a significant reduction was evident in the average cigarette consumption at the 6-month follow-up. The mean number of cigarettes per day decreased from 20.0 at baseline to 15.5 at 6 months for the experimental group versus from 19.7 to 18.1 for the control group (P &lt; 0.01). CONCLUSIONS: A structured intervention managed by a single nurse was shown to be effective in changing the smoking behavior of diabetic patients.</description><identifier>ISSN: 0149-5992</identifier><identifier>EISSN: 1935-5548</identifier><identifier>DOI: 10.2337/diacare.23.10.1455</identifier><identifier>PMID: 11023136</identifier><identifier>CODEN: DICAD2</identifier><language>eng</language><publisher>Alexandria, VA: American Diabetes Association</publisher><subject>Adolescent ; Adult ; Aged ; Biological and medical sciences ; Counseling ; Diabetes Mellitus - rehabilitation ; Diabetes Mellitus, Type 1 - nursing ; Diabetes Mellitus, Type 1 - physiopathology ; Diabetes Mellitus, Type 1 - rehabilitation ; Diabetes Mellitus, Type 2 - nursing ; Diabetes Mellitus, Type 2 - physiopathology ; Diabetes Mellitus, Type 2 - rehabilitation ; Female ; Humans ; Male ; Medical sciences ; Middle Aged ; Nurse-Patient Relations ; Patient Education as Topic ; Prevention and actions ; Public health. Hygiene ; Public health. 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N Canga , J De Irala , E Vara , M J Duaso , A Ferrer and M A Martínez-González Department of Nursing Studies, School of Nursing, University of Navarre, Pamplona, Spain. Abstract OBJECTIVE: To evaluate the effectiveness of a nurse-managed smoking cessation intervention in diabetic patients. RESEARCH DESIGN AND METHODS: This randomized controlled clinical trial involved 280 diabetic smokers (age range 17-84 years) who were randomized either into control (n = 133) or intervention (n = 147) groups at 12 primary care centers and 2 hospitals located in Navarre, Spain. The intervention consisted of a 40-min nurse visit that included counseling, education, and contracting information (a negotiated cessation date). The follow-up consisted of telephone calls, letters, and visits. The control group received the usual care for diabetic smokers. Baseline and 6-month follow-up measurements included smoking status (self-reported cessation was verified by urine cotinine concentrations), mean number of cigarettes smoked per day, and stage of change. RESULTS: At the 6-month follow-up, the smoking cessation incidence was 17.0% in the intervention group compared with 2.3% in the usual care group, which was a 14.7% difference (95% CI 8.2-21.3%). Among participants who continued smoking, a significant reduction was evident in the average cigarette consumption at the 6-month follow-up. The mean number of cigarettes per day decreased from 20.0 at baseline to 15.5 at 6 months for the experimental group versus from 19.7 to 18.1 for the control group (P &lt; 0.01). 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N Canga , J De Irala , E Vara , M J Duaso , A Ferrer and M A Martínez-González Department of Nursing Studies, School of Nursing, University of Navarre, Pamplona, Spain. Abstract OBJECTIVE: To evaluate the effectiveness of a nurse-managed smoking cessation intervention in diabetic patients. RESEARCH DESIGN AND METHODS: This randomized controlled clinical trial involved 280 diabetic smokers (age range 17-84 years) who were randomized either into control (n = 133) or intervention (n = 147) groups at 12 primary care centers and 2 hospitals located in Navarre, Spain. The intervention consisted of a 40-min nurse visit that included counseling, education, and contracting information (a negotiated cessation date). The follow-up consisted of telephone calls, letters, and visits. The control group received the usual care for diabetic smokers. Baseline and 6-month follow-up measurements included smoking status (self-reported cessation was verified by urine cotinine concentrations), mean number of cigarettes smoked per day, and stage of change. RESULTS: At the 6-month follow-up, the smoking cessation incidence was 17.0% in the intervention group compared with 2.3% in the usual care group, which was a 14.7% difference (95% CI 8.2-21.3%). Among participants who continued smoking, a significant reduction was evident in the average cigarette consumption at the 6-month follow-up. The mean number of cigarettes per day decreased from 20.0 at baseline to 15.5 at 6 months for the experimental group versus from 19.7 to 18.1 for the control group (P &lt; 0.01). CONCLUSIONS: A structured intervention managed by a single nurse was shown to be effective in changing the smoking behavior of diabetic patients.</abstract><cop>Alexandria, VA</cop><pub>American Diabetes Association</pub><pmid>11023136</pmid><doi>10.2337/diacare.23.10.1455</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record>
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source MEDLINE; EZB-FREE-00999 freely available EZB journals
subjects Adolescent
Adult
Aged
Biological and medical sciences
Counseling
Diabetes Mellitus - rehabilitation
Diabetes Mellitus, Type 1 - nursing
Diabetes Mellitus, Type 1 - physiopathology
Diabetes Mellitus, Type 1 - rehabilitation
Diabetes Mellitus, Type 2 - nursing
Diabetes Mellitus, Type 2 - physiopathology
Diabetes Mellitus, Type 2 - rehabilitation
Female
Humans
Male
Medical sciences
Middle Aged
Nurse-Patient Relations
Patient Education as Topic
Prevention and actions
Public health. Hygiene
Public health. Hygiene-occupational medicine
Smoking
Smoking Cessation - methods
Smoking Cessation - statistics & numerical data
Spain
Specific populations (family, woman, child, elderly...)
Tobacco, tobacco smoking
Toxicology
Treatment Outcome
Urban Population
title Intervention study for smoking cessation in diabetic patients: a randomized controlled trial in both clinical and primary care settings
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