Perceptions, Predictors of and Motivation for Quitting among Smokers from Six European Countries from 2016 to 2018: Findings from EUREST-PLUS ITC Europe Surveys

Girvalaki, Charis; Filippidis, Filippos T; Kyriakos, Christina N; Driezen, Pete; Herbeć, Aleksandra; Mons, Ute; Papadakis, Sophia; Mechili, Enkeleint A.; Κatsaounou, Paraskevi; Przewoźniak, Krzysztof; Fernández, Esteve; Trofor, Antigona; Demjén, Tibor; Fong, Geoffrey T.; Vardavas, Constantine

doi:10.3390/ijerph17176263

Cited by 15 publications

(9 citation statements)

References 59 publications

(67 reference statements)

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“…Patients who had previously attempted to QS were more likely to succeed than those trying for the first time. Previous attempts to QS were identified an independent predictor in this study, which is consistent with the results of previous studies in China and Europe 11 , 24 . Chaiton et al 25 reported that an average of 30 attempts to QS is associated with the success of QS at one year or longer.…”

Section: Discussionsupporting

confidence: 92%

Smoking cessation rate and factors affecting the success of quitting in a smoking cessation clinic using telephone follow-up

*¹,

*²,

Zhu³

et al. 2021

Tob. Induc. Dis.

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INTRODUCTION China has the largest number of smokers in the world. The great majority of China’s smokers desire to quit smoking (QS); however, the success rate of self-quitting is low. This study investigated the effects of smoking cessation (SC) clinics in a cancer hospital in Hunan province and determined the influencing factors of successful SC. METHODS Smokers were recruited to QS by healthcare workers in the SC clinic from February 2015 to February 2019. SC counseling was provided and telephone follow-up was conducted at 1 week, and at 1, 3 and 6 months. Patients who continued SC during the follow-up period were considered to have QS. RESULTS Of the 344 patients included in this study, 16.3% QS at one week, 26.5% at one month, 27.6% at three months, and 31.7% at six months. Age ≥60 years, previous SC attempts, immediate quit dates, and telephone follow-up times (3–4 calls) were predictive factors for smokers to SC at six months. CONCLUSIONS Age, previous attempts to QS, immediate quit dates and telephone follow-up times were independent predictors of SC success at six months. SC clinics and frequent telephone follow-up improve the success rate of SC, especially in patients who have previously tried to QS or in those who set immediate quit dates.

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Section: Discussionsupporting

confidence: 92%

Smoking cessation rate and factors affecting the success of quitting in a smoking cessation clinic using telephone follow-up

*¹,

*²,

Zhu³

et al. 2021

Tob. Induc. Dis.

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“…In the study by Kale et al 27 , the only variable in the multivariate analysis that was associated with and predicted abstinence at three months was having a pathology related to tobacco use. In these previous studies, motivation was associated with the attempt to quit smoking but not with the maintenance of abstinence, which has also been observed by other investigators 6 , 12 - 14 , 28 .…”

Section: Discussionsupporting

confidence: 76%

Is the motivation to quit smoking a predictor of abstinence maintenance?

Orive¹,

Pascual-Lledó²,

Asensio-Sánchez³

et al. 2021

Tob. Prev. Cessation

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INTRODUCTION The aim of this study was to explore the utility of measuring motivation to quit smoking as a predictor of abstinence maintenance among smokers who wanted to quit and who were included in a multicenter study conducted in daily clinical practice. METHODS This observational, longitudinal (prospective cohort), multicenter study was conducted in smoking clinics in Spain and the Argentine Republic in daily clinical practice. Motivation was assessed using three quantitative motivation tests and a Visual Analogue Scale. Statistical analysis included descriptive, association measures and logistic regression models. RESULTS Of a total of 404 subjects, 273 were ultimately included for analysis (147 women; 53.8%), mean age 51±11 years). In one year, 53.5% (36.13% by intention to treat) of subjects (146) were successful in quitting smoking [men: 45.2% (66) and women: 54.8% (80)], with no differences between sexes. None of the scales utilized was associated, in an unquestionable or direct way, with long-term abstinence, although three of them, in a very complex model, with additional variables and added interactions, were associated with the ‘result’ variable, when other variables intervened in certain circumstances. CONCLUSIONS None of the analyzed motivational scales alone demonstrated an association with success or failure in quitting smoking; thus, their use in isolation is of no value. Some of the scales analyzed might be related to the maintenance of abstinence but in complex models where other variables intervene, which makes interpretation considerably difficult. Therefore, the predictive capacity of the tests analyzed, based on the models, was low.

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“…A cohort study of adult smokers in six European Union countries showed that focus on individual health and paying close attention to related diseases caused by smoking were important reasons for quitting smoking. Factors such as affecting the health of non-smokers, health care professionals' advice, and the opposition of friends and family were considered important reasons to stop smoking, but were not successful predictors of SC ( 54 ). Thomas et al ( 55 ) believed that health problems were one of the most common reasons for smokers to quit, and while the reasons to quit could not predict ultimate success in SC, it led the smoker to continue to try to quit.…”

Section: Discussionmentioning

confidence: 99%

Characteristics and Predictors of Abstinence Among Smokers of a Smoking Cessation Clinic in Hunan China

Xie

Chang

et al. 2021

Front. Public Health

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Background: More than 300 million smokers make China the largest cigarette consumer globally, which is a huge economic burden. Smoking cessation (SC) clinics can offer counseling and follow-up services. The operational experience of SC clinics in China needs to be summarized and improved based on research evidence.Purpose: The objectives of this study were to describe quit rates among attendees of SC clinics in Hunan and assess predictors of successful SC.Methods: The participants in this study were smokers who visited the SC clinic of Hunan Cancer Hospital from February 1, 2015 to September 30, 2018. Individuals who received individual counseling and assessment from the SC clinic staff and were willing to quit smoking were eligible for inclusion. Those with critical illness or cancer were excluded. Application of smoking cessation clinic registration form (unified by Chinese Center for Disease Control and Prevention) was used to assess participants at the consultation. Follow-ups and counseling were performed over telephone at 1 week, 1 month, and 3 months after the initial cessation consultation or in times of need. Successful SC was checked for at 3 months after the start of SC.Results: A total of 328 smokers (mean age 45.67 ± 12.38 years) had participated. The abstinence rate at 3 months was 28.4%. Binary regression analysis revealed significant independent predictors to be the total numbers of SC follow up sessions, previous SC attempts, and participants' decision on when to quit smoking (The relative to quit immediately group, quit within 30 days, quit after 30 days, and undecided quit were less likely to succeed in quitting. while quit within seven days had no statistical significance.Conclusion: SC clinics can achieve a desirably high quit rate. Participant's previous attempts at quitting, three or more follow-ups, and the decision to quit immediately or within seven days were factors helpful in predicting the success of SC.

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Perceptions, Predictors of and Motivation for Quitting among Smokers from Six European Countries from 2016 to 2018: Findings from EUREST-PLUS ITC Europe Surveys

Cited by 15 publications

References 59 publications

Smoking cessation rate and factors affecting the success of quitting in a smoking cessation clinic using telephone follow-up

Smoking cessation rate and factors affecting the success of quitting in a smoking cessation clinic using telephone follow-up

Is the motivation to quit smoking a predictor of abstinence maintenance?

Characteristics and Predictors of Abstinence Among Smokers of a Smoking Cessation Clinic in Hunan China

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