Skip to main content

Lund University Publications

LUND UNIVERSITY LIBRARIES

Gold standard program for heavy smokers in a real-life setting.

Neumann, Tim LU ; Rasmussen, Mette LU orcid ; Heitmann, Berit L and Tønnesen, Hanne LU (2013) In International Journal of Environmental Research and Public Health 10(9). p.4186-4199
Abstract
Background: High-intensity smoking cessation programs generally lead to more continuous abstinence, however, lower rates of success have been reported among heavy smokers. The aim was to evaluate continuous abstinence among heavy smokers during the intensive 6-week Gold Standard Program (GSP) and to identify modifiable factors associated with continuous abstinence. Methods: In this nationwide clinical study based on 36,550 smokers attending an intensive cessation program in Denmark. Heavy smoking was defined as ≥7 points in the Fagerström Nicotine Dependency Test, smoking ≥20 cigarettes daily or ≥20 pack-years. Results: Overall, 28% had a Fagerström score ≥7 points, 58% smoked ≥20 cigarettes daily and 68% smoked ≥20 pack-years. Continuous... (More)
Background: High-intensity smoking cessation programs generally lead to more continuous abstinence, however, lower rates of success have been reported among heavy smokers. The aim was to evaluate continuous abstinence among heavy smokers during the intensive 6-week Gold Standard Program (GSP) and to identify modifiable factors associated with continuous abstinence. Methods: In this nationwide clinical study based on 36,550 smokers attending an intensive cessation program in Denmark. Heavy smoking was defined as ≥7 points in the Fagerström Nicotine Dependency Test, smoking ≥20 cigarettes daily or ≥20 pack-years. Results: Overall, 28% had a Fagerström score ≥7 points, 58% smoked ≥20 cigarettes daily and 68% smoked ≥20 pack-years. Continuous abstinence was 33% in responders (6-months response rate: 78%); however, abstinence was approximately 1-6% lower in the heavy smokers than the overall population. Attending GSP with an individual format (vs. group/other, OR 1.23-1.44); in a hospital setting (vs. pharmacy/municipality services, OR 1.05-1.11); and being compliant (attending the planned meetings OR 4.36-4.89) were associated with abstinence. Abstinence decreased in a dose-dependent manner with increasing smoking severity. Conclusions: Abstinence after GSP was 1-6% lower in the heavy smokers than in the overall study population. Modifiable factors may be used for small improvements in continued abstinence. However attempts to improve compliance seemed especially promising. (Less)
Please use this url to cite or link to this publication:
author
; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
International Journal of Environmental Research and Public Health
volume
10
issue
9
pages
4186 - 4199
publisher
MDPI AG
external identifiers
  • wos:000328620200025
  • pmid:24022655
  • scopus:84884678744
  • pmid:24022655
ISSN
1660-4601
DOI
10.3390/ijerph10094186
language
English
LU publication?
yes
id
29913001-4ba3-4653-b324-46df048831d4 (old id 4066043)
alternative location
http://www.ncbi.nlm.nih.gov/pubmed/24022655?dopt=Abstract
http://www.mdpi.com/1660-4601/10/9/4186
date added to LUP
2016-04-01 10:47:18
date last changed
2022-03-19 23:58:10
@article{29913001-4ba3-4653-b324-46df048831d4,
  abstract     = {{Background: High-intensity smoking cessation programs generally lead to more continuous abstinence, however, lower rates of success have been reported among heavy smokers. The aim was to evaluate continuous abstinence among heavy smokers during the intensive 6-week Gold Standard Program (GSP) and to identify modifiable factors associated with continuous abstinence. Methods: In this nationwide clinical study based on 36,550 smokers attending an intensive cessation program in Denmark. Heavy smoking was defined as ≥7 points in the Fagerström Nicotine Dependency Test, smoking ≥20 cigarettes daily or ≥20 pack-years. Results: Overall, 28% had a Fagerström score ≥7 points, 58% smoked ≥20 cigarettes daily and 68% smoked ≥20 pack-years. Continuous abstinence was 33% in responders (6-months response rate: 78%); however, abstinence was approximately 1-6% lower in the heavy smokers than the overall population. Attending GSP with an individual format (vs. group/other, OR 1.23-1.44); in a hospital setting (vs. pharmacy/municipality services, OR 1.05-1.11); and being compliant (attending the planned meetings OR 4.36-4.89) were associated with abstinence. Abstinence decreased in a dose-dependent manner with increasing smoking severity. Conclusions: Abstinence after GSP was 1-6% lower in the heavy smokers than in the overall study population. Modifiable factors may be used for small improvements in continued abstinence. However attempts to improve compliance seemed especially promising.}},
  author       = {{Neumann, Tim and Rasmussen, Mette and Heitmann, Berit L and Tønnesen, Hanne}},
  issn         = {{1660-4601}},
  language     = {{eng}},
  number       = {{9}},
  pages        = {{4186--4199}},
  publisher    = {{MDPI AG}},
  series       = {{International Journal of Environmental Research and Public Health}},
  title        = {{Gold standard program for heavy smokers in a real-life setting.}},
  url          = {{https://lup.lub.lu.se/search/files/2137189/4359016.pdf}},
  doi          = {{10.3390/ijerph10094186}},
  volume       = {{10}},
  year         = {{2013}},
}