Comparison of Smoking Cessation Outcomes in Smokers With Chronic Obstructive Pulmonary Disease, Coronary Artery Disease, Asthma, and Healthy Smokers: A Prospective Study of 400 Participants.

OBJECTIVES

In this study, we aimed to demonstrate the effect of motivational interviewing with a specific cohort of smokers on smoking cessation. Furthermore, we investigated the influence of medical conditions and individual traits on the efficacy of motivational interviewing for smoking cessation.

METHODS

This prospective study was conducted with smokers who presented at the pulmonology and cardiology outpatient clinic. Routine tests, Fagerstöm nicotine dependence test, and hospital-scale anxiety-depression test were performed. Smoking cessation motivational interviews were conducted by pulmonologists. Patients were evaluated for smoking cessation at the end of the first, third, and sixth months.

RESULTS

The study encompassed 100 participants from each of the following groups: asthma, chronic obstructive pulmonary disease, coronary artery disease, and healthy individuals with a smoking habit. The median age of the participants was 52 (44 to 58) years. Among the 400 patients, 177 (44.2%) were female, with a median age of 50 (42-58) years, and 223 (55.8%) were male, with a median age of 53 (46-59) years. According to smoking cessation, 85 (21.3%) patients quit smoking at the end of the first month. It was 55 (13.8%) at the end of the third month and 42 (10.5%) at the end of the sixth month. According to gender, the cessation of smoking in the sixth month was significantly higher in females.

CONCLUSION

We conducted smoking cessation support interviews with patients and succeeded in smoking cessation in 10.5% of the patients at the end of the sixth month. At the end of the first month of follow-up, smoking cessation success was 20%. Success was higher in the female population than in males.