nicotineafhankelijkheid/ tabaksverslaving/rookverslaving COPD (smoker's lung) tobacco addiction
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Clinical diagnosis of COPD (GOLD criteria stage I-IV); Currently smoking 10 or more cigarettes per day; Age between 40 and 80 years; Two or more failed lifetime quit attempts (abstinentie > 24 hours); Motivated to reduce the number of cigarettes smoked.
Exclusion criteria
Exclusion criteria: Motivated to quit smoking 1 month from baseline (= ready to quit); Not able to speak, read and write Dutch; Contra-indication for the use of all forms of Nicotine Replacement Therapy (NRT); Serious psychiatric morbidity (not only depressive symptoms); Pregnancy.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The main study parameter of the RCT is continuous abstinence (cotinine validated) after 18 months, for at least the last full year (also see REDUQ protocol P09-22) The main study parameters of the SCED are factors addressed in the smoking reduction intervention: smoking behaviour (change) and (psychological) factors thought to be predictive of behaviour change. The study parameters are (changes in): • Smoking status • Motivation/Intention to quit • Self-efficacy • Attitudes towards smoking cessation | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary parameters of the RCT are (also see REDUQ protocol P09-22): - point prevalence abstinence rates - sustained reduced smoking at 6, 12, and 18 monhts - disease specific quality of life - lung function (FEV1) - anxiety and depression - nicotine dependence - exacerbations defined as needing treatment with a course of oral steroids or antibiotocs - use of health care services ( to enable a cost-effectiveness analysis) Secondary parameters of the SCED are: - Social influence - Desire or urge to smoke - Treatment adherence (scheduled reduced smoking) - Use of NRT and/or anti-smoking medication | — |
Countries
Netherlands