Effect of smoking cessation counseling within a randomised study on early detection of lung cancer in Germany

Bade, Michael; Bähr, V.; Brandt, Ulrike; Eigentopf, A.; Brüchert, Tanja; Groß, Marie-Luise; Motsch, Erna; Becker, Nikolaus

doi:10.1007/s00432-015-2105-0

Cited by 29 publications

(49 citation statements)

References 16 publications

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“…Eleven studies met the inclusion criteria (figure 1). Nine of the 11 studies were quantitative28–36 and two were mixed-methods design37 38. Three studies were randomised control trials, with the remaining using a range of non-randomised designs.…”

Section: Resultsmentioning

confidence: 99%

“…Three studies were randomised control trials, with the remaining using a range of non-randomised designs. Two studies28 34 were conducted in a lung screening context. Quality of included studies was high (n=2), medium (n=5) and low (n=4).…”

Section: Resultsmentioning

confidence: 99%

“…Nine studies used a combination of nicotine replacement therapy and behavioural counselling28–30 32–37. One study used only nicotine replacement therapy31 and one used behavioural counselling without nicotine replacement therapy38.…”

Section: Resultsmentioning

confidence: 99%

“…Ten studies focused on meeting the individual participant’s needs using education and motivational techniques including support and encouragement28–30 32–38. In all 10 studies, the interventions involved used motivational techniques with varying levels of intensity (table 2).…”

Section: Resultsmentioning

confidence: 99%

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Systematic review of behavioural smoking cessation interventions for older smokers from deprived backgrounds

et al. 2019

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IntroductionThe associations between smoking prevalence, socioeconomic group and lung cancer outcomes are well established. There is currently limited evidence for how inequalities could be addressed through specific smoking cessation interventions (SCIs) for a lung cancer screening eligible population. This systematic review aims to identify the behavioural elements of SCIs used in older adults from low socioeconomic groups, and to examine their impact on smoking abstinence and psychosocial variables.MethodSystematic searches of Medline, EMBASE, PsychInfo and CINAHL up to November 2018 were conducted. Included studies examined the characteristics of SCIs and their impact on relevant outcomes including smoking abstinence, quit motivation, nicotine dependence, perceived social influence and quit determination. Included studies were restricted to socioeconomically deprived older adults who are at (or approaching) eligibility for lung cancer screening. Narrative data synthesis was conducted.ResultsEleven studies met the inclusion criteria. Methodological quality was variable, with most studies using self-reported smoking cessation and varying length of follow-up. There were limited data to identify the optimal form of behavioural SCI for the target population. Intense multimodal behavioural counselling that uses incentives and peer facilitators, delivered in a community setting and tailored to individual needs indicated a positive impact on smoking outcomes.ConclusionTailored, multimodal behavioural interventions embedded in local communities could potentially support cessation among older, deprived smokers. Further high-quality research is needed to understand the effectiveness of SCIs in the context of lung screening for the target population.PROSPERO registration numberCRD42018088956.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Systematic review of behavioural smoking cessation interventions for older smokers from deprived backgrounds

et al. 2019

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“…There is little data on the effectiveness of smoking cessation interventions in the LDCT screening setting (25, 34–39), leaving significant knowledge gaps regarding the optimal method of smoking cessation counseling, timing of delivery, and pharmacotherapy approaches in this context. Overall, in screened patients, more intensive interventions appeared to be associated with greater improvement in 6-month smoking abstinence and readiness to quit.…”

Section: Resultsmentioning

confidence: 99%

Stakeholder Research Priorities for Smoking Cessation Interventions within Lung Cancer Screening Programs. An Official American Thoracic Society Research Statement

Kathuria

Detterbeck

Fathi

et al. 2017

Am J Respir Crit Care Med

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Rationale: Smoking cessation counseling in conjunction with low-dose computed tomography (LDCT) lung cancer screening is recommended in multiple clinical practice guidelines. The best approach for integrating effective smoking cessation interventions within this setting is unknown. Objectives: To summarize evidence, identify research gaps, prioritize topics for future research, and propose standardized tools for use in conducting research on smoking cessation interventions within the LDCT lung cancer screening setting. Methods: The American Thoracic Society convened a multistakeholder committee with expertise in tobacco dependence treatment and/or LDCT screening. During an in-person meeting, evidence was reviewed, research gaps were identified, and key questions were generated for each of three research domains: (1) target population to study; (2) adaptation, development, and testing of interventions; and (3) implementation of interventions with demonstrated efficacy. We also identified standardized measures for use in conducting this research. A larger stakeholder panel then ranked research questions by perceived importance in an online survey. Final prioritization was generated hierarchically on the basis of average rank assigned. Results: There was little consensus on which questions within the population domain were of highest priority. Within the intervention domain, research to evaluate the effectiveness in the lung cancer screening setting of evidence-based smoking cessation interventions shown to be effective in other contexts was ranked highest. In the implementation domain, stakeholders prioritized understanding strategies to identify and overcome barriers to integrating smoking cessation in lung cancer screening settings. Conclusions: This statement offers an agenda to stimulate research surrounding the integration and implementation of smoking cessation interventions with LDCT lung cancer screening.

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The impact of low‐dose CT on smoking behavior among non‐smokers, former‐smokers, and smokers: A population‐based screening cohort in rural China

et al. 2022

Cancer Medicine

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Background Lung cancer screening may provide a “teachable moment” for the smoking cessation and relapse prevention. However, the impact of lung cancer screening on smoking initiation in non‐smokers has not been reported. Methods A baseline smoking behavior survey was conducted in 2000 participants who were screened by low‐dose computed tomography (LDCT) from 2014 to 2018. All participants were re‐surveyed on their smoking behavior in 2019. Of these, 312 participants were excluded, leaving 1688 participants in the final analysis. The smoking initiation rate in baseline non‐smokers, the relapse rate in baseline former smokers, and the abstinence rate in baseline current smokers were calculated, respectively. The associations between screening results, demographic characteristics, and smoking behavior change were analyzed using multivariable logistic regression. Results From 2014 to 2019, smoking prevalence significantly decreased from 52.6% to 49.1%. The prevalence of smoking initiation, relapse, and abstinence in baseline non‐smokers, former, and current smokers was 16.8%, 22.9%, and 23.7%, respectively. The risk of smoking initiation in baseline non‐smokers was significantly higher in those with negative screening result (adjusted OR = 2.97, 95% CI: 1.27–6.94). Compared to smokers who only received baseline screening, the chance of smoking abstinence in baseline current smokers was reduced by over 80% in those who attended 5 rounds of screening (adjusted OR = 0.15, 95% CI:0.08–0.27). No significant associations were found between smoking relapse and prior screening frequency, with at least one positive screening result. Age, gender, occupational exposure, income, and smoking pack years were also associated with smoking behavior changes. Conclusions The overall decreased smoking prevalence indicated an overwhelming effect of “teachable moment” on “license to smoke.” A tailored smoking cessation strategy should be integrated into lung cancer screening.

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Effect of smoking cessation counseling within a randomised study on early detection of lung cancer in Germany

Cited by 29 publications

References 16 publications

Systematic review of behavioural smoking cessation interventions for older smokers from deprived backgrounds

Systematic review of behavioural smoking cessation interventions for older smokers from deprived backgrounds

Stakeholder Research Priorities for Smoking Cessation Interventions within Lung Cancer Screening Programs. An Official American Thoracic Society Research Statement

The impact of low‐dose CT on smoking behavior among non‐smokers, former‐smokers, and smokers: A population‐based screening cohort in rural China

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