Pulmonary Disease, Chronic Obstructive Clinical Trial
Official title:
Smoking Cessation in Primary Health Care Patients With Obstructive Pulmonary Disease
The purpose of this study is to determine if an assessment protocol that measures the need for support with smoking cessation and that will be administered by primary health care nurses helps patients with obstructive pulmonary disease (COPD) quit smoking.
Some patients with COPD continue to smoke despite the importance of quitting. A specially
developed assessment protocol for such patients may support nurses in their discussions with
the patients about smoking cessation. In a previous qualitative study involving in-depth
interviews with patients with COPD, the assessment protocol "Trying to quit smoking" (TTQ)
was developed. The protocol consists of approximately 21 statements that the patient responds
to on a scale ranging from 1 (agree entirely) to 4 (disagree). The purpose of the protocol is
to identify areas in which the patient may need extra support in order to quit smoking.
The aim of this study is to validate the TTQ by testing it in a clinical setting. The study
will be conducted at approximately 40 primary health care centers in Stockholm County. The
nurses will identify 5 consecutive patients who have COPD and smoke. All nurses will complete
a questionnaire for each patient at baseline (after visit 1) and after 3 months describing
treatment provided. The nurses will ask each patient to fill in the TTQ and will provide
individual counseling on the basis of the answers. After 3 months, the nurses will ask all
patients if they still smoke and to fill in the TTQ again. Appropriate statistical methods
will be used to analyze the questionnaire data.
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