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Biomedical subjects

R L Richmond

Publications and source records attributed to R L Richmond.

5 recordsLinked to original sources

A time series investigation of three nicotine regulation models.

Time series data were collected twice daily for 62 days from 10 individuals on three variables related to smoking habit strength: number of cigarettes smoked, salivary cotinine, and carbon monoxide. The two purposes of this study were: (a) to evaluate which time series model(s) best fits each of the measures; and (b) to determine which model of nicotine regulation is consistent with the data. Three models of nicotine regulation were considered: (a) nicotine fixed effect; (b) nicotine regulation; and (c) multiple regulation. These models provide different predictions about the size and direction of the lag-one autocorrelation. Each measure was described in terms of one of a family of time series models represented mathematically as ARIMA (p, d, q). Models varied by individual, but a single model described the majority of subjects for all three variables. The clearest model identification was for the number of cigarettes smoked where an ARIMA (1, 0, 0) model with a moderate to strong negative dependency fit the majority of the subjects. This provided strong support for the multiple regulation model. An appendix provides a brief review of time series methodology.

Adult

Predicting abstainers in a smoking cessation programme administered by general practitioners.

Pre-treatment characteristics which predicted successful outcome in one hundred cigarette smokers participating in a general practitioner administered smoking cessation programme were identified. Successful outcome was assessed using three types of criteria: quit smoking by the end of treatment, remained abstinent for six months and remained abstinent for three years. Seventeen pre-treatment variables predicted immediate response to treatment, but this decreased to six variables for six months sustained abstinence and to only one variable (smoking when ill in bed) for three years sustained abstinence. Low cigarette dependence, no smoking related health problems, and a non-smoking social environment characterized subjects most likely to have stopped smoking at the end of treatment and to have remained abstinent for six months.

Adolescent

Three year evaluation of a programme by general practitioners to help patients to stop smoking.

A controlled study was undertaken to measure the effectiveness of general practitioners' use of an intensive programme to help patients to stop smoking. Two hundred cigarette smokers who attended a general practice were allocated to either a treatment (n = 100) or a non-intervention control (n = 100) group. After the initial visit treatment consisted of an educational consultation and four follow up visits. Smoking state was assessed biochemically at six months and three years. Thirty five patients in the treatment group were abstinent at three years compared with eight in the control group (p less than 0.001). Sixty four patients attended the educational consultation and first follow up visit; of these, 45 were not smoking at the first follow up visit, 30 maintained abstinence up to six months, and 22 were still not smoking after three years. Among the 37 patients who completed the treatment programme and attended all the follow up visits 57% were abstinent at three years. The results of this study suggest that general practitioners can help patients to stop smoking.

Adolescent