Effectiveness of immediate appointment scheduling in smoking cessation clinics for patients with chronic airway diseases: Preliminary results from a randomized trial.

IF 2.2 4区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Tobacco Induced Diseases Pub Date : 2024-08-23 eCollection Date: 2024-01-01 DOI:10.18332/tid/191782

Dilek Karadoğan, Tahsin Gökhan Telatar, İlknur Kaya, Siahmet Atlı, Neslihan Köse Kabil, Feride Marım, Merve Yumrukuz Şenel, Aycan Yüksel, Burcu Yalçın, Ökkeş Gültekin, Merve Erçelik, Metin Akgün

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引用次数: 0

Abstract

Introduction: Patients with airway diseases who bear the burden of smoking need access to smoking cessation support. We aimed to investigate the impact of immediately scheduled appointments on access to smoking cessation clinics compared with usual care in this patient group.

Methods: This multicenter, prospective, randomized, open-label study was conducted between November 2022 and June 2023 at pulmonary outpatient clinics. The study included adult patients who were current smokers and had a diagnosis of asthma, COPD, or bronchiectasis for at least six months. Sequentially randomization was used for the allocation of patients in a 1:1 ratio to two study arms: the usual support arm (representing the current standard care procedure) and the immediate support arm (involving intensive brief cessation advice followed by the immediate arrangement of an appointment at the same clinic's smoking cessation service). After one week, both patient groups were contacted by phone to assess their quit attempts and whether they had sought assistance from smoking cessation outpatient clinics (SCCs).

Results: A total of 397 patients were enrolled in the study, with 199 allocated to the usual support arm and 198 allocated to the immediate support arm. Within the first week, 18.1% of patients in the usual support arm and 77.3% of patients in the immediate support arm sought assistance from the smoking cessation clinic (p<0.001). The rate of smokers without an intention to quit was 56.7% in the usual support arm and 27.7% in the immediate support arm in the first week of follow-up. Immediate appointment scheduling was significantly associated with a 13-fold (OR=13.38; 95% CI: 8.00-22.38) increase in referral rates in the multivariate logistic regression model.

Conclusions: Arranging instant appointments has increased access to SCCs by 13 times compared to the usual care, this group of patients should be given an immediate appointment to SCCs.

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慢性气道疾病患者戒烟门诊即时预约的有效性：随机试验的初步结果。

简介：有吸烟负担的气道疾病患者需要获得戒烟支持。我们旨在研究与常规护理相比，即时预约对该患者群体获得戒烟门诊服务的影响：这项多中心、前瞻性、随机、开放标签研究于 2022 年 11 月至 2023 年 6 月期间在肺科门诊进行。研究对象包括目前吸烟且确诊哮喘、慢性阻塞性肺病或支气管扩张至少六个月的成年患者。研究采用顺序随机法将患者按1:1的比例分配到两个研究组：常规支持组（代表目前的标准护理程序）和即时支持组（包括强化简短戒烟建议，然后立即安排预约同一诊所的戒烟服务）。一周后，我们通过电话联系这两组患者，评估他们的戒烟尝试以及是否向戒烟门诊寻求过帮助：共有 397 名患者参与了研究，其中 199 人被分配到常规支持组，198 人被分配到即时支持组。在第一周内，18.1%的常规支持组患者和77.3%的即时支持组患者向戒烟门诊寻求帮助（p结论：与常规护理相比，安排即时预约戒烟门诊的患者增加了 13 倍，这部分患者应立即预约戒烟门诊。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Tobacco Induced Diseases SUBSTANCE ABUSE-PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

CiteScore

5.30

自引率

5.40%

发文量

审稿时长

12 weeks

期刊介绍： Tobacco Induced Diseases encompasses all aspects of research related to the prevention and control of tobacco use at a global level. Preventing diseases attributable to tobacco is only one aspect of the journal, whose overall scope is to provide a forum for the publication of research articles that can contribute to reducing the burden of tobacco induced diseases globally. To address this epidemic we believe that there must be an avenue for the publication of research/policy activities on tobacco control initiatives that may be very important at a regional and national level. This approach provides a very important "hands on" service to the tobacco control community at a global scale - as common problems have common solutions. Hence, we see ourselves as "connectors" within this global community. The journal hence encourages the submission of articles from all medical, biological and psychosocial disciplines, ranging from medical and dental clinicians, through health professionals to basic biomedical and clinical scientists.