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PREDICTING PARTICIPATION IN AND SUCCESS OF A CONCURRENT SMOKING CESSATION PROGRAM DURING INPATIENT TREATMENT FOR ALCOHOL DEPENDENCE
Ulrich Frischknecht
; Feuerlein Center for Translational Addiction Medicine, Department of Addictive Behavior and Addiction Medicine, Central Institut of Mental Health, Medical Faculty Mannheim/Heidelberg University, Mannheim, Germany ; German Institute of Addiction and Prevention Research Catholic University of Aplied Sciences, NRW,Koln,Germany
Toni Patz
; Feuerlein Center for Translational Addiction Medicine, Department of Addictive Behavior and Addiction Medicine, Central Institut of Mental Health, Medical Faculty Mannheim/Heidelberg University, Mannheim, Germany; University Heart Center Lubeck,Medical Clinic II,Department of Cardiology,Angiology and Intensive Care Medicine,University of Lubeck,German Center for Cardiovascular Research (DZHK),partner site Hamburg/Kiel/Lubeck,Lubeck, Germany
Iris Reinhard
; Department of Biostatistics, Central Institute of Mental Health, Medical Faculty Mannheim / Heidelberg University, Mannheim, Germany
Christina Dinter
; Feuerlein Center for Translational Addiction Medicine, Department of Addictive Behavior and Addiction Medicine, Central Institut of Mental Health, Medical Faculty Mannheim/Heidelberg University, Mannheim, Germany
Falk Kiefer
; Feuerlein Center for Translational Addiction Medicine, Department of Addictive Behavior and Addiction Medicine, Central Institut of Mental Health, Medical Faculty Mannheim/Heidelberg University, Mannheim, Germany ; German Institute of Addiction and Prevention Research Catholic University of Aplied Sciences, NRW,Koln,Germany
Tillmann Weber
; Feuerlein Center for Translational Addiction Medicine, Department of Addictive Behavior and Addiction Medicine, Central Institut of Mental Health, Medical Faculty Mannheim/Heidelberg University, Mannheim, Germany; Median Klinik Willhelmsheim, Oppenweiler, Germany
Sažetak
Background: Predicting participation in and success of smoking cessation programs in alcohol dependent patients has yielded
heterogeneous results. Moreover, these findings have rarely been based on prospective studies from clinical routine settings.
Identifying predictors in prospective studies could help to tailor interventions that increase participation and success rates of
smoking cessation therapies for these patients at a high risk for alcohol- and smoking-related morbidities and mortalities.
Subjects and methods: During inpatient alcohol dependence treatment, 99 nicotine dependent patients were recruited. 73
patients chose to participate in a voluntary smoking cessation program. Interviews and questionnaires were used at baseline and at
discharge to assess a large set of variables covering smoking and alcohol related factors, general psychopathology, quality of life
and personality traits. Multiple logistic regression models were calculated to predict participation in the smoking cessation program
and smoking abstinence at follow-up three months after discharge.
Results: Participation in the smoking cessation program was predicted by higher stage of change, higher confidence in
abstaining from smoking and lower perceived stress. Successful smoking cessation at follow-up was predicted by higher expectations
of negative physical feelings due to smoking and lower expectations of temptations to smoke at baseline, and by lower number of
daily smoked cigarettes at discharge.
Conclusion: Despite the small sample size, this prospective study gives a first indication of clinically relevant predictors of
participation in and success of a smoking cessation program by exploring many previously reported predictors simultaneously. The
findings and their implications for treatment allocation and optimization are discussed.
Key words:
Ključne riječi
smoking cessation; inpatient treatment; alcohol dependence
Hrčak ID:
266988
URI
Datum izdavanja:
4.10.2021.
Posjeta: 269 *