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Smoking cessation counseling during periodic health examinations.
Arch Intern Med. 1989 Jul; 149(7):1653-6.AI

Abstract

Periodic health examinations are an excellent opportunity to counsel smokers to quit. The impact of a specialized smoking cessation counselor on the smoking behavior of patients having periodic health examinations was studied in a general internal medicine practice. One hundred fifty-five smokers having periodic health examinations were randomly assigned to a control group who received usual physician advice or an intervention group who received usual physician advice and two counseling sessions with a smoking cessation counselor. The two groups were similar in all demographic variables, smoking-related baseline variables, and baseline levels of motivation and intention to quit smoking. The smoking status of 97% of the subjects was assessed 6 months later. In the intervention group, 46% made quit attempts and 19% quit, compared with 34% and 12%, respectively, in the control group. Intervention-group smokers made more quit attempts (mean +/- SD, 5.0 +/- 2.5 vs 1.8 +/- 0.2) and had a greater reduction in daily cigarette use (8.4 +/- 1.5 vs 3.5 +/- 1.3). Of the 74% of smokers with higher levels of motivation to quit smoking, more intervention-group smokers attempted to quit (70.8% vs 45.5%) and succeeded in quitting at the 6-month follow-up (27.1% vs 10.9%). Periodic health examinations are an excellent opportunity to counsel smokers to quit, especially those smokers with higher levels of motivation to quit smoking.

Authors+Show Affiliations

Department of Medicine, University of Vermont, Burlington 05401.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Clinical Trial
Journal Article
Randomized Controlled Trial
Research Support, U.S. Gov't, P.H.S.

Language

eng

PubMed ID

2742440

Citation

Bronson, D L., et al. "Smoking Cessation Counseling During Periodic Health Examinations." Archives of Internal Medicine, vol. 149, no. 7, 1989, pp. 1653-6.
Bronson DL, Flynn BS, Solomon LJ, et al. Smoking cessation counseling during periodic health examinations. Arch Intern Med. 1989;149(7):1653-6.
Bronson, D. L., Flynn, B. S., Solomon, L. J., Vacek, P., & Secker-Walker, R. H. (1989). Smoking cessation counseling during periodic health examinations. Archives of Internal Medicine, 149(7), 1653-6.
Bronson DL, et al. Smoking Cessation Counseling During Periodic Health Examinations. Arch Intern Med. 1989;149(7):1653-6. PubMed PMID: 2742440.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Smoking cessation counseling during periodic health examinations. AU - Bronson,D L, AU - Flynn,B S, AU - Solomon,L J, AU - Vacek,P, AU - Secker-Walker,R H, PY - 1989/7/1/pubmed PY - 1989/7/1/medline PY - 1989/7/1/entrez SP - 1653 EP - 6 JF - Archives of internal medicine JO - Arch Intern Med VL - 149 IS - 7 N2 - Periodic health examinations are an excellent opportunity to counsel smokers to quit. The impact of a specialized smoking cessation counselor on the smoking behavior of patients having periodic health examinations was studied in a general internal medicine practice. One hundred fifty-five smokers having periodic health examinations were randomly assigned to a control group who received usual physician advice or an intervention group who received usual physician advice and two counseling sessions with a smoking cessation counselor. The two groups were similar in all demographic variables, smoking-related baseline variables, and baseline levels of motivation and intention to quit smoking. The smoking status of 97% of the subjects was assessed 6 months later. In the intervention group, 46% made quit attempts and 19% quit, compared with 34% and 12%, respectively, in the control group. Intervention-group smokers made more quit attempts (mean +/- SD, 5.0 +/- 2.5 vs 1.8 +/- 0.2) and had a greater reduction in daily cigarette use (8.4 +/- 1.5 vs 3.5 +/- 1.3). Of the 74% of smokers with higher levels of motivation to quit smoking, more intervention-group smokers attempted to quit (70.8% vs 45.5%) and succeeded in quitting at the 6-month follow-up (27.1% vs 10.9%). Periodic health examinations are an excellent opportunity to counsel smokers to quit, especially those smokers with higher levels of motivation to quit smoking. SN - 0003-9926 UR - https://www.unboundmedicine.com/medline/citation/2742440/Smoking_cessation_counseling_during_periodic_health_examinations_ L2 - https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/vol/149/pg/1653 DB - PRIME DP - Unbound Medicine ER -