Smoking Cessation Intervention in Respiratory Inpatients
Study Details
Study Description
Brief Summary
Prospective, open-label, parallel-group, 52-week trial comparing varenicline in combination with behavioral support with one session of behavioral support alone.
Eligible patients were smokers hospitalized due to a) acute exacerbation of chronic obstructive pulmonary disease (COPD), or b) bronchial asthma attack, or c) community-acquired pneumonia (CAP).
The primary outcome was the success rate (%) at week 52. Secondary outcomes were quality of life (QoL) alterations on the domains of the 36-Item Short Form Health Survey (SF36) and investigation of possible predictors for smoking abstinence.
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
|
Phase 4 |
Detailed Description
Patients screened for eligibility were all the smokers who were hospitalized in the First Pulmonology Clinic of Kavala General Hospital from May 2012 to May 2014.
Patients had an initial private consultation session and motivational interview while still in the hospital. Following this interview, patients chose the smoking cessation intervention they preferred: either the standard regimen for varenicline and behavioral support or behavioral support without pharmacotherapy.
All patients quit smoking while still hospitalized.Follow-up phone calls with a minimum duration of 10 minutes were scheduled in weeks 1, 2, 4, and months 3,6 and 9 following smoking cessation.
Patients in both groups were asked to return to hospital in month 12 (week 52) for a final assessment. At this last visit, the SF36 was again completed and exhaled CO was (re) measured.
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
Experimental: Varenicline + Behavioral support varenicline and behavioral support |
Drug: Varenicline
Varenicline was given for 12 weeks to all patients in group A. The initial dose was 0.5 mg/day for days 1-3, and was then up-titrated to 0.5mg on days 4-7, and finally to 1 mg twice daily from day 8 until the end of treatment
Other Names:
Behavioral: Behavioral support
An initial private consultation session and motivational interview while still in the hospital that lasted for at least 60 minutes. Follow-up phone calls with a minimum duration of 10 minutes were scheduled in weeks 1, 2, 4, and months 3,6 and 9 following smoking cessation.
Other Names:
|
Active Comparator: Behavioral support behavioral support |
Behavioral: Behavioral support
An initial private consultation session and motivational interview while still in the hospital that lasted for at least 60 minutes. Follow-up phone calls with a minimum duration of 10 minutes were scheduled in weeks 1, 2, 4, and months 3,6 and 9 following smoking cessation.
Other Names:
|
Outcome Measures
Primary Outcome Measures
- Smoking Cessation Rate at week 52 [12 months follow up]
Secondary Outcome Measures
- Quality of life changes following smoking cessation [12 months follow up]
Quality of life (QoL) was assessed, in both groups, with the Short Form SF36 questionnaire at baseline and at the end of the followup period, week 52.
Eligibility Criteria
Criteria
Inclusion criteria:
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Adult smokers (> 100 cigarettes in their lifetime)
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Patients hospitalized due to either a) acute exacerbation of COPD, or b) acute exacerbation of bronchial asthma, or c) community acquired pneumonia.
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Patients who agreed to participate and provided written informed consent were recruited.
Exclusion criteria:
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Inpatients younger than 18
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adult smokers hospitalized for any reason other than acute exacerbation of COPD / bronchial asthma or community acquired pneumonia.
Contacts and Locations
Locations
No locations specified.Sponsors and Collaborators
- General Hospital of Kavala
- University of Thessaly
Investigators
- Study Director: Konstantinos I Gourgoulianis, Prof., Department of Respiratory Medicine, Faculty of Medicine, School of Health Sciences, University of Thessaly, Larissa, Greece
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- VTBSQOL-52-CAC