Document Detail


Effectiveness of a smoking cessation intervention in older adults.
MedLine Citation:
PMID:  17207132     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
AIMS: To: (a) identify characteristics of older smokers considering cessation of smoking; (b) evaluate a cessation intervention plus access to nicotine replacement therapy (NRT); (c) identify predictors of those who successfully quit; and (d) evaluate the effectiveness of the intervention in those AGED >or = 75 years. DESIGN: Self-selection of: (a) a cessation of smoking programme; or (b) ongoing smoking. SETTING: Teaching hospital, Perth, Western Australia. PARTICIPANTS: A larger study recruited smokers and never smokers: from this the 215 community-dwelling smokers (>or= 5 cigarettes/day) aged >or= 68 years (171 males) were enrolled. INTERVENTION: Brief intervention with telephone support and access to NRT versus no intervention. MEASUREMENTS: (a) Profile of older adults planning to quit smoking compared with continuing smokers; (b) cessation at 6 months defined as 30-day point prevalence validated via expired carbon monoxide; and (c) factors predictive of successful cessation. FINDINGS: There were 165 intervention participants. Compared with the 50 continuing smokers, participants in the intervention were younger and had significantly less years of regular smoking, more previous quit attempts and greater nicotine dependence scores. At 6 months, the point prevalence of ex-smokers was 25% (n = 42) with 20% (n = 33) being abstinent throughout the study. No continuing smoker had ceased smoking. Among the intervention group, logistic regression showed that those who used NRT (OR 4.36), were male (OR 3.17), had higher anxiety (OR 1.67) or rejected 'more colds and coughs' as a reason for quitting (OR 2.91) were more likely to be successful quitters. Of those aged >or= 75 years (n = 77), 25% matched cessation criteria. CONCLUSIONS: Older smokers can be engaged successfully in a brief intervention plus NRT as aids to cessation of smoking. The intervention was also effective in the older subgroup of participants. Social factors may provide an additional means of motivating older smokers to quit.
Authors:
Robert J Tait; Gary K Hulse; Anna Waterreus; Leon Flicker; Nicola T Lautenschlager; Konrad Jamrozik; Osvaldo P Almeida
Publication Detail:
Type:  Evaluation Studies; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Addiction (Abingdon, England)     Volume:  102     ISSN:  0965-2140     ISO Abbreviation:  Addiction     Publication Date:  2007 Jan 
Date Detail:
Created Date:  2007-01-08     Completed Date:  2007-05-17     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9304118     Medline TA:  Addiction     Country:  England    
Other Details:
Languages:  eng     Pagination:  148-55     Citation Subset:  IM    
Affiliation:
School of Psychiatry and Clinical Neurosciences, University of Western Australia, Australia. robert.tait@uwa.edu.au
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MeSH Terms
Descriptor/Qualifier:
Aged
Behavior Therapy / methods*
Health Education / methods*
Humans
Male
Smoking / prevention & control*
Smoking Cessation / methods*
Tobacco Use Disorder / drug therapy*
Treatment Outcome
Western Australia

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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