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Characteristics of patients with COPD in three motivational stages related to smoking cessation.
Patient Educ Couns. 2006 Jun; 61(3):449-57.PE

Abstract

OBJECTIVE

To characterize patients with chronic obstructive pulmonary disease (COPD) in different motivational stages related to smoking cessation.

METHODS

633 smoking COPD patients from 67 general practices participated in a cross-sectional study. The patients were compared with respect to health indicators, demographics, self-efficacy, nicotine dependence, attitudes, and action plans.

RESULTS

In line with previous Dutch results, smokers in precontemplation associated significantly fewer advantages with smoking cessation than smokers contemplating quitting and preparing to quit. Preparers had significantly higher self-efficacy expectations about quitting than the other smokers. Patients preparing to quit suffered from more COPD complaints than precontemplators. Smokers contemplating quitting and preparing to quit developed more plans to turn intentions to quit into action.

CONCLUSION

More than 50% of the smokers with COPD are amenable to smoking cessation support. Preparers and contemplators did not differ as much as previous studies found. It would be advantageous to tailor COPD counseling to two distinct groups (unmotivated smokers and smokers motivated to quit), to discuss the advantages of quitting with unmotivated smokers, and to increase self-efficacy, and action planning for smokers motivated to quit.

PRACTICE IMPLICATIONS

COPD patients are amenable to counseling to quit smoking. Addressing COPD complaints may contribute to greater motivation.

Authors+Show Affiliations

University Medical Centre Nijmegen St. Radboud, Centre for Quality of Care Research (WOK), KWAZO 229, P.O. Box 9101, 6500 HB Nijmegen, The Netherlands. S.Hilberink@kwazo.umcn.nlNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

16157462

Citation

Hilberink, Sander R., et al. "Characteristics of Patients With COPD in Three Motivational Stages Related to Smoking Cessation." Patient Education and Counseling, vol. 61, no. 3, 2006, pp. 449-57.
Hilberink SR, Jacobs JE, Schlösser M, et al. Characteristics of patients with COPD in three motivational stages related to smoking cessation. Patient Educ Couns. 2006;61(3):449-57.
Hilberink, S. R., Jacobs, J. E., Schlösser, M., Grol, R. P., & de Vries, H. (2006). Characteristics of patients with COPD in three motivational stages related to smoking cessation. Patient Education and Counseling, 61(3), 449-57.
Hilberink SR, et al. Characteristics of Patients With COPD in Three Motivational Stages Related to Smoking Cessation. Patient Educ Couns. 2006;61(3):449-57. PubMed PMID: 16157462.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Characteristics of patients with COPD in three motivational stages related to smoking cessation. AU - Hilberink,Sander R, AU - Jacobs,Johanna E, AU - Schlösser,Maryanne, AU - Grol,Richard P T M, AU - de Vries,Hein, Y1 - 2005/09/12/ PY - 2005/02/07/received PY - 2005/05/15/revised PY - 2005/05/21/accepted PY - 2005/9/15/pubmed PY - 2006/8/5/medline PY - 2005/9/15/entrez SP - 449 EP - 57 JF - Patient education and counseling JO - Patient Educ Couns VL - 61 IS - 3 N2 - OBJECTIVE: To characterize patients with chronic obstructive pulmonary disease (COPD) in different motivational stages related to smoking cessation. METHODS: 633 smoking COPD patients from 67 general practices participated in a cross-sectional study. The patients were compared with respect to health indicators, demographics, self-efficacy, nicotine dependence, attitudes, and action plans. RESULTS: In line with previous Dutch results, smokers in precontemplation associated significantly fewer advantages with smoking cessation than smokers contemplating quitting and preparing to quit. Preparers had significantly higher self-efficacy expectations about quitting than the other smokers. Patients preparing to quit suffered from more COPD complaints than precontemplators. Smokers contemplating quitting and preparing to quit developed more plans to turn intentions to quit into action. CONCLUSION: More than 50% of the smokers with COPD are amenable to smoking cessation support. Preparers and contemplators did not differ as much as previous studies found. It would be advantageous to tailor COPD counseling to two distinct groups (unmotivated smokers and smokers motivated to quit), to discuss the advantages of quitting with unmotivated smokers, and to increase self-efficacy, and action planning for smokers motivated to quit. PRACTICE IMPLICATIONS: COPD patients are amenable to counseling to quit smoking. Addressing COPD complaints may contribute to greater motivation. SN - 0738-3991 UR - https://www.unboundmedicine.com/medline/citation/16157462/Characteristics_of_patients_with_COPD_in_three_motivational_stages_related_to_smoking_cessation_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0738-3991(05)00156-4 DB - PRIME DP - Unbound Medicine ER -