Spirometry As a Motivator for Smoking Cessation Among Patients Attending the Smoking Cessation Clinic of Monastir

Overview

Journal BMC Public Health

Publisher Biomed Central

Specialty Public Health

Date 2022 Jun 10

PMID 35689178

Authors

Manel Ben Fredj

Behaeddin Garrach

Cyrine Bennasrallah

Asma Migaou

Hela Abroug

Wafa Dhouib

Imen Zemni

Meriem Kacem

Ines Bouanene

Asma Belguith Sriha

Affiliations

Soon will be listed here.

Abstract

Background: The choice of spirometry, a biomarker of lung health, as a motivator for smoking cessation is based on its fidelity in emphasizing tobacco adverse effects. Yet, there is a paucity of evidence on its efficacy, and the findings are currently inconclusive. The aim of this study was to determine whether a spirometry and lung age communication has an effect on smoking cessation rates.

Methodology: We conducted a randomized controlled trial among patients who attended the smoking cessation clinic (SCC) at Fattouma Bourguiba University Hospital in Monastir, from June 2017 to February 2020. Participants were assigned into two groups, a control arm receiving standard program and intervention arm receiving a spirometry and lung age announcement along with usual care. The primary outcomes were the smoking cessation rates after one year of follow-up between the intervention arm and the control arm.

Results: At one-year endpoint, a total of 456 were reachable for assessment, 236 in control group and 220 in spirometry group, which leads to a loss rate equal to 8.8%. One-year smoking cessation rate was higher among the intervention group than among control group (25.5% versus 16.5%), with a considerable statistical significance (p = 0.019). Lung age was significantly higher at paired comparison with chronological age.

Conclusion: Smoking cessation is still a challenging procedure with a high risk of relapse, making very valuable any approach that may increase motivation in both unmotivated and motivated smokers. This study is an additional evidence for spirometry and lung age announcement as motivators for smoking cessation.

Trial Registration: Pan African Clinical Trial Registry database ( PACTR202110595729653 ), 06/10/ 2021.

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