» Articles » PMID: 36981909

Effectiveness of Health Coaching in Smoking Cessation and Promoting the Use of Oral Smoking Cessation Drugs in Patients with Type 2 Diabetes: A Randomized Controlled Trial

Overview
Publisher MDPI
Date 2023 Mar 29
PMID 36981909
Authors
Affiliations
Soon will be listed here.
Abstract

Introduction: This study looked into the effectiveness of a 6 month health coaching intervention in smoking cessation and smoking reduction for patients with type 2 diabetes.

Methods: The study was carried out via a two-armed, double-blind, randomized-controlled trial with 68 participants at a medical center in Taiwan. The intervention group received health coaching for 6 months, while the control group only received usual smoking cessation services; some patients in both groups participated in a pharmacotherapy plan. The health coaching intervention is a patient-centered approach to disease management which focuses on changing their actual behaviors. By targeting on achieving effective adult learning cycles, health coaching aims to help patients to establish new behavior patterns and habits.

Results: In this study, the intervention group had significantly more participants who reduced their level of cigarette smoking by at least 50% than the control group ( = 0.030). Moreover, patients participating in the pharmacotherapy plan in the coaching intervention group had a significant effect on smoking cessation ( = 0.011), but it was insignificant in the control group.

Conclusions: Health coaching can be an effective approach to assisting patients with type 2 diabetes participating in a pharmacotherapy plan to reduce smoking and may help those who participate in pharmacotherapy plan to quit smoking more effectively. Further studies with higher-quality evidence on the effectiveness of health coaching in smoking cessation and the use of oral smoking cessation drugs in patients with type 2 diabetes are needed.

Citing Articles

Assessing the feasibility and acceptability of a diabetes-specific nurse-led multicomponent smoking cessation intervention in diabetes education: study protocol for an open-label pragmatic randomised controlled trial.

Grech J, Norman I, Azzopardi C, Grixti M, Sammut R BMJ Open. 2024; 14(6):e083235.

PMID: 38904126 PMC: 11191808. DOI: 10.1136/bmjopen-2023-083235.

References
1.
Benton J, Lodh A, Watson A, Tingen M, Terris M, Wallis C . The association between physician trust and smoking cessation: Implications for motivational interviewing. Prev Med. 2020; 135:106075. DOI: 10.1016/j.ypmed.2020.106075. View

2.
Bajaj M . Nicotine and insulin resistance: when the smoke clears. Diabetes. 2012; 61(12):3078-80. PMC: 3501863. DOI: 10.2337/db12-1100. View

3.
Krigel S, Grobe J, Goggin K, Harris K, Moreno J, Catley D . Motivational interviewing and the decisional balance procedure for cessation induction in smokers not intending to quit. Addict Behav. 2016; 64:171-178. DOI: 10.1016/j.addbeh.2016.08.036. View

4.
Lindson N, Thompson T, Ferrey A, Lambert J, Aveyard P . Motivational interviewing for smoking cessation. Cochrane Database Syst Rev. 2019; 7:CD006936. PMC: 6699669. DOI: 10.1002/14651858.CD006936.pub4. View

5.
Efraimsson E, Fossum B, Ehrenberg A, Larsson K, Klang B . Use of motivational interviewing in smoking cessation at nurse-led chronic obstructive pulmonary disease clinics. J Adv Nurs. 2011; 68(4):767-82. DOI: 10.1111/j.1365-2648.2011.05766.x. View