Key result
Stage-matched smoking cessation counselling did not significantly increase 7-day tobacco abstinence at 12 months compared to brief diet counselling in cardiac outpatients (26.5% vs 25.5%; P=0.60).
Why the study?
Does stage-matched smoking cessation counselling improve tobacco abstinence in cardiac out-patients who smoke?
RCT (n=1,860)
Yes
Does stage-matched smoking cessation counselling improve tobacco abstinence in cardiac out-patients who smoke?
Absolute Event Rate: 26.5% vs 25.5%
p-value: p=0.60
A stage-matched smoking cessation counseling intervention did not improve long-term tobacco abstinence rates compared to brief dietary counseling in cardiac outpatients.
Does not support stage-matched counseling over brief advice in cardiac outpatients; challenges efficacy of intensive stage-based interventions.
AIM: To examine the effectiveness of a stage-matched smoking cessation counselling intervention for smokers who had cardiac diseases. METHODS: A total of 1860 Chinese cardiac patients who smoked at least one cigarette in the past 7 days and aged 18 years or above recruited from cardiac out-patient clinics in Hong Kong hospitals were allocated randomly to an intervention group or control group. The intervention group (n = 938) received counselling matched with their stage of readiness to quit by trained counsellors at baseline, 1 week and 1 month. The control group (n = 922) received brief counselling on healthy diet at baseline. The primary outcomes were self-reported 7-day and 30-day point prevalence (PP) of tobacco abstinence at 12 months after baseline. The secondary outcome measures included biochemically validated abstinence at 12-month follow-up, self-reported 7-day and 30-day PP abstinence and reduction of cigarette consumption by 50% at 3 and 6 months. RESULTS: By intention-to-treat analysis, the intervention and control groups showed no significant difference in self-reported 7-day PP abstinence (intervention: 26.5% versus control: 25.5%; P = 0.60) and 30-day PP (intervention: 25.4% versus control: 24.2%; P = 0.55), biochemically validated abstinence (intervention: 6.6% versus control: 4.9%; P = 0.14) and overall quit attempts of least 24 hours (intervention: 40.3% versus control: 34.3%; P = 0.007) at the 12-month follow-up, adjusted for the baseline stage of readiness to quit smoking. CONCLUSIONS: An intervention, based on the Stages of Change model, to promote smoking cessation in cardiac patients in China failed to find any long-term benefit.
No takes yet. Share an insight, caveat, or question.
Chan et al. (2011) conducted an RCT in Cardiac diseases and smoking (n=1,860). Stage-matched smoking cessation counselling vs. Brief counselling on healthy diet was evaluated on self-reported 7-day and 30-day point prevalence (PP) of tobacco abstinence at 12 months (p=0.60). Stage-matched smoking cessation counselling did not significantly increase 7-day tobacco abstinence at 12 months compared to brief diet counselling in cardiac outpatients (26.5% vs 25.5%; P=0.60).
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: