2026-04-17T04:14:44Zhttps://recercat.cat/oai/request

oai:recercat.cat:11351/109242025-12-19T20:47:29Zcom_2072_378068com_2072_378040col_2072_378090

00925njm 22002777a 4500 dc Santigosa-Ayala, Antoni author Pallejà, Meritxell author Villalobos, Felipe author SOLÀ, Rosa author Rey-Reñones, Cristina author Martín Luján, Francisco M author 2024-01-29T10:25:37Z 2024-01-29T10:25:37Z 2023-12 Dejar de fumar; Salud pública; Intervenciones motivacionales; Espirometría; Atención primaria Smoking cessation; Public health; Motivational interventions; Spirometry; Primary healthcare Deixar de fumar; Salut pública; Intervencions motivacionals; Espirometria; Atenció primària Background: The effectiveness of providing feedback on spirometry results for smoking cessation remains inconclusive according to the current evidence. Objectives: To assess the effectiveness of a motivational intervention based on spirometry results in achieving prolonged smoking abstinence (12 months post-intervention). Design and setting: A randomised, controlled, observer-blinded, multicentre clinical trial was conducted (from January 2012 to December 2015) in 20 primary healthcare centres in the Tarragona province, Spain. Methods: Participants, active smokers aged 35-70 without known respiratory disease, were recruited from primary healthcare centres by family doctors and nurses. They were randomly assigned to either the intervention group (IG = 308) or the control group (CG = 306). Both groups received brief smoking cessation counselling. Additionally, the IG underwent spirometry and received detailed information about the results, including lung age. The primary outcome was prolonged abstinence, defined as lasting at least 12 months and validated through cotinine measurement in urine. Results: The prolonged abstinence rate was 7.8% in the IG, compared to 2.6% in the CG (p = 0.004). At 12 months, in the multivariate analysis, the intervention was identified as an independent factor for smoking cessation (OR 2.8; 95%CI 1.2 to 7.7), a trend maintained throughout the follow-up (HR 2.74; 95%CI 1.13 to 6.62). Moreover, according to the Prochaska and DiClemente model, the preparation or action phase to quit was also associated with smoking cessation (HR 2.55, 95%CI 1.07 to 6.09). Conclusion: A primary care-delivered intervention involving brief counselling and detailed spirometry information proves effective in increasing abstinence rates among active smokers without known respiratory disease. Additionally, smoking cessation is also influenced by the individual's stage of change. Espirometria Tabaquisme - Tractament ANALYTICAL, DIAGNOSTIC AND THERAPEUTIC TECHNIQUES, AND EQUIPMENT::Diagnosis::Diagnostic Techniques and Procedures::Diagnostic Techniques, Respiratory System::Respiratory Function Tests::Spirometry PSYCHIATRY AND PSYCHOLOGY::Behavior and Behavior Mechanisms::Behavior::Health Behavior::Smoking Cessation TÉCNICAS Y EQUIPOS ANALÍTICOS, DIAGNÓSTICOS Y TERAPÉUTICOS::diagnóstico::técnicas y procedimientos diagnósticos::técnicas diagnósticas respiratorias::pruebas de función respiratoria::espirometría PSIQUIATRÍA Y PSICOLOGÍA::conducta y mecanismos de la conducta::conducta::conducta sanitaria::cese del hábito de fumar Effectiveness of the spirometry-based motivational intervention to quit smoking: RESET randomised trial