Real-world comparative study of behavioral group therapy program vs education program implemented for smoking cessation in community-dwelling elderly smokers

Chaicharn Pothirat, Nittaya Phetsuk, Chalerm Liwsrisakun, Athavudh Deesomchok Division of Pulmonary, Critical Care and Allergy, Department of Internal Medicine, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand Background: Tobacco smoking is known to be an important contributor to a...

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Autores principales:	Pothirat C, Phetsuk N, Liwsrisakun C, Deesomchok A
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2015
Materias:	smoking cessation behavioral education elderly Geriatrics RC952-954.6
Acceso en línea:	https://doaj.org/article/bbdfa124cd5845fb863ab355f381e4d7
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spelling	oai:doaj.org-article:bbdfa124cd5845fb863ab355f381e4d72021-12-02T05:01:10ZReal-world comparative study of behavioral group therapy program vs education program implemented for smoking cessation in community-dwelling elderly smokers1178-1998https://doaj.org/article/bbdfa124cd5845fb863ab355f381e4d72015-04-01T00:00:00Zhttps://www.dovepress.com/real-world-comparative-study-of-behavioral-group-therapy-program-vs-ed-peer-reviewed-article-CIAhttps://doaj.org/toc/1178-1998Chaicharn Pothirat, Nittaya Phetsuk, Chalerm Liwsrisakun, Athavudh Deesomchok Division of Pulmonary, Critical Care and Allergy, Department of Internal Medicine, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand Background: Tobacco smoking is known to be an important contributor to a wide variety of chronic diseases, especially in older adults. Information on health policy and practice, as well as evaluation of smoking cessation programs targeting older people, is almost nonexistent. Purpose: To compare the real-world implementation of behavioral group therapy in relation to education alone for elderly smokers. Materials and methods: Elderly smokers ready to quit smoking were identified from a cohort who completed a questionnaire at a smoking exhibition. They were allocated into two groups, behavioral therapy (3 days 9 hours) and education (2 hours), depending on their preferences. Demographic data, the Fagerstrom test for nicotine dependence (FTND) score, and exhaled carbon monoxide level were recorded at baseline. Smoking status of all subjects was followed at months 3, 6, and 12. Statistical differences in continuous abstinence rate (CAR) between the two groups were analyzed using chi-square tests. Results: Two hundred and twenty-four out of 372 smoking exhibition attendants met the enrollment criteria; 120 and 104 elected to be in behavioral group therapy and education-alone therapy, respectively. Demographic characteristics and smoking history were similar between both groups, including age, age of onset of smoking, years of smoking, smoking pack-years, education level, and nicotine dependence as measured by the FTND scale. The CAR of the behavioral therapy group at the end of the study (month 12) was significantly higher than the education group (40.1% vs 33.3%, P=0.034). Similar results were also found throughout all follow-up visits at month 3 (57.3% vs 27.0%, P<0.001) and month 6 (51.7% vs 25%, P<0.001). Conclusion: Behavioral group therapy targeting elderly smokers could achieve higher short- and long-term CARs than education alone in real-world practice. Keywords: smoking cessation, behavioral, education, elderlyPothirat CPhetsuk NLiwsrisakun CDeesomchok ADove Medical Pressarticlesmoking cessationbehavioraleducationelderlyGeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 10, Pp 725-731 (2015)
institution	DOAJ
collection	DOAJ
language	EN
topic	smoking cessation behavioral education elderly Geriatrics RC952-954.6
spellingShingle	smoking cessation behavioral education elderly Geriatrics RC952-954.6 Pothirat C Phetsuk N Liwsrisakun C Deesomchok A Real-world comparative study of behavioral group therapy program vs education program implemented for smoking cessation in community-dwelling elderly smokers
description	Chaicharn Pothirat, Nittaya Phetsuk, Chalerm Liwsrisakun, Athavudh Deesomchok Division of Pulmonary, Critical Care and Allergy, Department of Internal Medicine, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand Background: Tobacco smoking is known to be an important contributor to a wide variety of chronic diseases, especially in older adults. Information on health policy and practice, as well as evaluation of smoking cessation programs targeting older people, is almost nonexistent. Purpose: To compare the real-world implementation of behavioral group therapy in relation to education alone for elderly smokers. Materials and methods: Elderly smokers ready to quit smoking were identified from a cohort who completed a questionnaire at a smoking exhibition. They were allocated into two groups, behavioral therapy (3 days 9 hours) and education (2 hours), depending on their preferences. Demographic data, the Fagerstrom test for nicotine dependence (FTND) score, and exhaled carbon monoxide level were recorded at baseline. Smoking status of all subjects was followed at months 3, 6, and 12. Statistical differences in continuous abstinence rate (CAR) between the two groups were analyzed using chi-square tests. Results: Two hundred and twenty-four out of 372 smoking exhibition attendants met the enrollment criteria; 120 and 104 elected to be in behavioral group therapy and education-alone therapy, respectively. Demographic characteristics and smoking history were similar between both groups, including age, age of onset of smoking, years of smoking, smoking pack-years, education level, and nicotine dependence as measured by the FTND scale. The CAR of the behavioral therapy group at the end of the study (month 12) was significantly higher than the education group (40.1% vs 33.3%, P=0.034). Similar results were also found throughout all follow-up visits at month 3 (57.3% vs 27.0%, P<0.001) and month 6 (51.7% vs 25%, P<0.001). Conclusion: Behavioral group therapy targeting elderly smokers could achieve higher short- and long-term CARs than education alone in real-world practice. Keywords: smoking cessation, behavioral, education, elderly
format	article
author	Pothirat C Phetsuk N Liwsrisakun C Deesomchok A
author_facet	Pothirat C Phetsuk N Liwsrisakun C Deesomchok A
author_sort	Pothirat C
title	Real-world comparative study of behavioral group therapy program vs education program implemented for smoking cessation in community-dwelling elderly smokers
title_short	Real-world comparative study of behavioral group therapy program vs education program implemented for smoking cessation in community-dwelling elderly smokers
title_full	Real-world comparative study of behavioral group therapy program vs education program implemented for smoking cessation in community-dwelling elderly smokers
title_fullStr	Real-world comparative study of behavioral group therapy program vs education program implemented for smoking cessation in community-dwelling elderly smokers
title_full_unstemmed	Real-world comparative study of behavioral group therapy program vs education program implemented for smoking cessation in community-dwelling elderly smokers
title_sort	real-world comparative study of behavioral group therapy program vs education program implemented for smoking cessation in community-dwelling elderly smokers
publisher	Dove Medical Press
publishDate	2015
url	https://doaj.org/article/bbdfa124cd5845fb863ab355f381e4d7
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_version_	1718400850418728960

Real-world comparative study of behavioral group therapy program vs education program implemented for smoking cessation in community-dwelling elderly smokers

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