Diabetes Mellitus, Smoking Cessation
Conditions
Keywords
Diabetes Mellitus, Smoking Cessation, Primary Health Care, Motivational Interview
Brief summary
This study addresses an important problem in public health, smoking in diabetics. The morbidity and mortality observed in diabetics is linked to macro and microvascular problems. The consumption of tobacco has a multiplying effect on these vascular problems in diabetics. This study aims to evaluate the effectiveness of an intensive intervention in tobacco addiction in diabetic patients in primary care.
Detailed description
Other objectives of the study are: 1. To study the effectiveness of an intensive smoking cessation intervention in the evolution of the phases of change, as based on the Prochaska and DiClemente model, in diabetic patients attended in primary care. 2. To evaluate the effectiveness of an intensive smoking cessation intervention in the evolution of tabacco consumption in diabetic patients attended in primary care. 3. To quantify the time spent in the intensive smoking cessation intervention compared with the usual care in primary care.
Interventions
BEHAVIORALLifestyle Counseling
The intervention is based on lifestyle advice, motivational interviewing and the use of medications, using the Clinical Practice Guidelines of the Catalan Institute of Health. Health professionals in the intervention group receive a training on the abovementioned techniques.
Sponsors
Institut Catala de Salut
Consorci Sanitari de Terrassa
Fundacio d'Investigacio en Atencio Primaria Jordi Gol i Gurina
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
14 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* diabetic patients who are active smokers * over the age of 14 * receive routine care in their respective health center
Exclusion criteria
* patients with communication difficulties (cognitive deterioration, language barrier) * patients who normally receive their habitual care in a different health center * patients with terminal diseases, psychiatric diseases that are unstable, or with addictions to other substances * patients that are already receiving treatment to quit smoking at the time of recruitment * patients that are difficult to locate during the study period * patients that refuse to participate in the study
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Smoking abstinence: Self reported abstinence (6 or more months without smoking) confirmed by an expired air carbon monoxide concentration of 6 parts per millions or less | 12 months after initiation of study |
Secondary
| Measure | Time frame |
|---|---|
| Evolution of the phases of change of the Prochaska and DiClemente model | 12 months after initiation of the study |
| Number of cigarettes per day | 12 months after initiation of the study |
| Total time (minutes) spent in the intensive smoking cessation intervention | 12 months after initiation of the study |
Countries
Spain
Outcome results
None listed