The impact of carotid plaque screening on motivation for smoking cessation.

Details

Serval ID
serval:BIB_1020BE4EA86B
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
The impact of carotid plaque screening on motivation for smoking cessation.
Journal
Nicotine & Tobacco Research
Author(s)
Rodondi N., Auer R., Devine P.J., O'Malley P.G., Hayoz D., Cornuz J.
ISSN
1462-2203
Publication state
Published
Issued date
2008
Peer-reviewed
Oui
Volume
10
Number
3
Pages
541-546
Language
english
Abstract
Showing smokers their own atherosclerotic plaques might increase motivation for smoking cessation, since they underestimate their own risk for smoking-related diseases. To assess the feasibility and optimal processes of studying the impact of carotid atherosclerotic plaque screening in smokers, we enrolled 30 daily cigarette smokers, aged 40-70 years, in an observational pre-post pilot study. All smokers underwent smoking cessation counseling, nicotine replacement therapy, a carotid ultrasound, an educational tutorial on atherosclerosis, baseline and 2-month motivation to change assessment, and assessment of smoking cessation at 2 months. Participants had a mean smoking duration of 34 years (SD = 7). Carotid plaques were present in 22 smokers (73%). Between baseline and 2 months after plaque screening, motivation for smoking cessation increased from 7.4 to 8.4 out of 10 (p = .02), particularly in those with plaques (7.2 to 8.7, p = .008). At 2 months, the smoking quit rate was 63%, with a quit rate of 73% in those with plaques vs. 38% in those without plaques (p = .10). Perceived stress, anxiety, and depression did not increase after screening. 96% of respondents answered correctly at least 80% of questions regarding atherosclerosis knowledge at baseline and after 2 months. In conclusion, studying the process of screening for carotid plaques for the purpose of increasing motivation for smoking cessation, in addition to counseling and drug therapy for smoking cessation in long-term smokers, appears feasible. The impact of carotid plaque screening on smoking cessation should be examined in larger randomized controlled trials with sufficient power to assess the impact on long-term smoking cessation rates.
Keywords
Adult, Aged, Anxiety, Atherosclerosis, Carotid Arteries, Counseling, Depression, Female, Health Knowledge, Attitudes, Practice, Humans, Male, Middle Aged, Patient Education as Topic, Pilot Projects, Risk Factors, Smoking, Smoking Cessation
Pubmed
Web of science
Create date
29/01/2009 22:13
Last modification date
20/08/2019 12:36
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