Does additional support by nurses enhance the effect of a brief smoking cessation intervention in people with moderate to severe chronic obstructive pulmonary disease? A randomised controlled trial: A randomised controlled trial

Julie S Wilson; Donna Fitzsimons; Ian Bradbury; J Stuart Elborn

doi:10.1016/j.ijnurstu.2006.10.001

Does additional support by nurses enhance the effect of a brief smoking cessation intervention in people with moderate to severe chronic obstructive pulmonary disease? A randomised controlled trial: A randomised controlled trial

Julie S Wilson, Donna Fitzsimons, Ian Bradbury, J Stuart Elborn

Research output: Contribution to journal › Article › peer-review

38 Citations (Scopus)

Abstract

BACKGROUND: Smoking cessation is the primary disease modifying intervention for chronic obstructive pulmonary disease (COPD).

SETTING: A Regional Respiratory Centre (RRC) out-patient department in Northern Ireland.

METHODS: A randomised controlled trial (RCT) evaluated the effectiveness of brief advice alone or accompanied by individual nurse support or group support facilitated by nurses. Smoking status was biochemically validated and stage of change, nicotine addiction and dyspnoea were recorded at 2, 3, 6, 9 and 12 months.

PARTICIPANTS: Ninety-one cigarette smokers with COPD were enrolled in the study (mean age 61 years, 47 female).

RESULTS: After 12 months cessation rates were not significantly different between groups (p=0.7), but all groups had a significant reduction in their nicotine addiction (p=0.03-0.006). No changes in subjects' motivation or dyspnoea were detected over the 12 months.

CONCLUSION: Patients with COPD were unable to stop smoking regardless of the type of support they received. Harm reduction may be a more appropriate goal than complete cessation for intractable smokers and nurses must evaluate their role in this arena.

Original language	English
Pages (from-to)	508-517
Number of pages	10
Journal	International Journal of Nursing Studies
Volume	45
Issue number	4
DOIs	https://doi.org/10.1016/j.ijnurstu.2006.10.001 https://doi.org/10.1016/j.ijnurstu.2006.10.001
Publication status	Published - Apr 2008

Keywords

Analysis of Variance
Female
Follow-Up Studies
Harm Reduction
Humans
Male
Middle Aged
Motivation
Northern Ireland
Nurse's Role
Nurse-Patient Relations
Nursing Evaluation Research
Patient Education as Topic
Pulmonary Disease, Chronic Obstructive
Self-Help Groups
Severity of Illness Index
Smoking
Smoking Cessation
Smoking Prevention
Social Support
Treatment Outcome
Journal Article
Randomized Controlled Trial
Research Support, Non-U.S. Gov't

ASJC Scopus subject areas

General Medicine
General Nursing
Health(social science)

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10.1016/j.ijnurstu.2006.10.001Licence: Unspecified

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Wilson, J. S., Fitzsimons, D., Bradbury, I., & Stuart Elborn, J. (2008). Does additional support by nurses enhance the effect of a brief smoking cessation intervention in people with moderate to severe chronic obstructive pulmonary disease? A randomised controlled trial: A randomised controlled trial. International Journal of Nursing Studies, 45(4), 508-517. https://doi.org/10.1016/j.ijnurstu.2006.10.001, https://doi.org/10.1016/j.ijnurstu.2006.10.001

Wilson, Julie S ; Fitzsimons, Donna ; Bradbury, Ian et al. / Does additional support by nurses enhance the effect of a brief smoking cessation intervention in people with moderate to severe chronic obstructive pulmonary disease? A randomised controlled trial : A randomised controlled trial. In: International Journal of Nursing Studies. 2008 ; Vol. 45, No. 4. pp. 508-517.

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abstract = "BACKGROUND: Smoking cessation is the primary disease modifying intervention for chronic obstructive pulmonary disease (COPD).SETTING: A Regional Respiratory Centre (RRC) out-patient department in Northern Ireland.METHODS: A randomised controlled trial (RCT) evaluated the effectiveness of brief advice alone or accompanied by individual nurse support or group support facilitated by nurses. Smoking status was biochemically validated and stage of change, nicotine addiction and dyspnoea were recorded at 2, 3, 6, 9 and 12 months.PARTICIPANTS: Ninety-one cigarette smokers with COPD were enrolled in the study (mean age 61 years, 47 female).RESULTS: After 12 months cessation rates were not significantly different between groups (p=0.7), but all groups had a significant reduction in their nicotine addiction (p=0.03-0.006). No changes in subjects' motivation or dyspnoea were detected over the 12 months.CONCLUSION: Patients with COPD were unable to stop smoking regardless of the type of support they received. Harm reduction may be a more appropriate goal than complete cessation for intractable smokers and nurses must evaluate their role in this arena.",

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Wilson, JS, Fitzsimons, D, Bradbury, I & Stuart Elborn, J 2008, 'Does additional support by nurses enhance the effect of a brief smoking cessation intervention in people with moderate to severe chronic obstructive pulmonary disease? A randomised controlled trial: A randomised controlled trial', International Journal of Nursing Studies, vol. 45, no. 4, pp. 508-517. https://doi.org/10.1016/j.ijnurstu.2006.10.001, https://doi.org/10.1016/j.ijnurstu.2006.10.001

Does additional support by nurses enhance the effect of a brief smoking cessation intervention in people with moderate to severe chronic obstructive pulmonary disease? A randomised controlled trial: A randomised controlled trial. / Wilson, Julie S; Fitzsimons, Donna; Bradbury, Ian et al.
In: International Journal of Nursing Studies, Vol. 45, No. 4, 04.2008, p. 508-517.

Research output: Contribution to journal › Article › peer-review

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T1 - Does additional support by nurses enhance the effect of a brief smoking cessation intervention in people with moderate to severe chronic obstructive pulmonary disease? A randomised controlled trial

T2 - A randomised controlled trial

AU - Wilson, Julie S

AU - Fitzsimons, Donna

AU - Bradbury, Ian

AU - Stuart Elborn, J

PY - 2008/4

Y1 - 2008/4

N2 - BACKGROUND: Smoking cessation is the primary disease modifying intervention for chronic obstructive pulmonary disease (COPD).SETTING: A Regional Respiratory Centre (RRC) out-patient department in Northern Ireland.METHODS: A randomised controlled trial (RCT) evaluated the effectiveness of brief advice alone or accompanied by individual nurse support or group support facilitated by nurses. Smoking status was biochemically validated and stage of change, nicotine addiction and dyspnoea were recorded at 2, 3, 6, 9 and 12 months.PARTICIPANTS: Ninety-one cigarette smokers with COPD were enrolled in the study (mean age 61 years, 47 female).RESULTS: After 12 months cessation rates were not significantly different between groups (p=0.7), but all groups had a significant reduction in their nicotine addiction (p=0.03-0.006). No changes in subjects' motivation or dyspnoea were detected over the 12 months.CONCLUSION: Patients with COPD were unable to stop smoking regardless of the type of support they received. Harm reduction may be a more appropriate goal than complete cessation for intractable smokers and nurses must evaluate their role in this arena.

AB - BACKGROUND: Smoking cessation is the primary disease modifying intervention for chronic obstructive pulmonary disease (COPD).SETTING: A Regional Respiratory Centre (RRC) out-patient department in Northern Ireland.METHODS: A randomised controlled trial (RCT) evaluated the effectiveness of brief advice alone or accompanied by individual nurse support or group support facilitated by nurses. Smoking status was biochemically validated and stage of change, nicotine addiction and dyspnoea were recorded at 2, 3, 6, 9 and 12 months.PARTICIPANTS: Ninety-one cigarette smokers with COPD were enrolled in the study (mean age 61 years, 47 female).RESULTS: After 12 months cessation rates were not significantly different between groups (p=0.7), but all groups had a significant reduction in their nicotine addiction (p=0.03-0.006). No changes in subjects' motivation or dyspnoea were detected over the 12 months.CONCLUSION: Patients with COPD were unable to stop smoking regardless of the type of support they received. Harm reduction may be a more appropriate goal than complete cessation for intractable smokers and nurses must evaluate their role in this arena.

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KW - Patient Education as Topic

KW - Pulmonary Disease, Chronic Obstructive

KW - Self-Help Groups

KW - Severity of Illness Index

KW - Smoking

KW - Smoking Cessation

KW - Smoking Prevention

KW - Social Support

KW - Treatment Outcome

KW - Journal Article

KW - Randomized Controlled Trial

KW - Research Support, Non-U.S. Gov't

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U2 - 10.1016/j.ijnurstu.2006.10.001

DO - 10.1016/j.ijnurstu.2006.10.001

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SN - 0020-7489

VL - 45

SP - 508

EP - 517

JO - International Journal of Nursing Studies

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ER -

Wilson JS, Fitzsimons D, Bradbury I, Stuart Elborn J. Does additional support by nurses enhance the effect of a brief smoking cessation intervention in people with moderate to severe chronic obstructive pulmonary disease? A randomised controlled trial: A randomised controlled trial. International Journal of Nursing Studies. 2008 Apr;45(4):508-517. doi: 10.1016/j.ijnurstu.2006.10.001, 10.1016/j.ijnurstu.2006.10.001

Does additional support by nurses enhance the effect of a brief smoking cessation intervention in people with moderate to severe chronic obstructive pulmonary disease? A randomised controlled trial: A randomised controlled trial

Abstract

Keywords

ASJC Scopus subject areas

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