Biomedical subjects

Sean C Lucan

Publications and source records attributed to Sean C Lucan.

3 recordsLinked to original sources

PubMed2003

Impediment profiling for smoking cessation. Preliminary experience.

INTRODUCTION: Cigarette smoking is a leading cause of preventable death. METHODS: Long and short "impediment profilers" (LIPs and SIPs, respectively) addressing nicotine addiction, depression, anxiety, stress, chemical dependency, weight control, and household smoking were developed and applied in a pilot smoking cessation study to tailor treatment. RESULTS: Quit rate 72 hours after the target quit date was 50%; at 8 and 12 weeks it was 61% and 39%, respectively. The LIP identified fewer impediments than the SIP. CONCLUSIONS: Impediment profiling for tailored smoking cessation intervention is associated with high initial quit rates and warrants further study.

Adult↗

PubMedDate not supplied

Impediment profiling for smoking cessation: results of a pilot study.

OBJECTIVE: To test the effectiveness of a smoking cessation program based on "impediment profiling," the elucidation of an individual participant's personal barriers, with provision of tailored interventions accordingly. METHODS: A literature search was conducted to identify established impediments to smoking cessation. A long impediment profiler (LIP) was developed from validated survey instruments and used as a screening tool to identify individuals' barriers to quitting. Once barriers were identified, participants were assigned to up to seven interventions. Self-reported smoking cessation was confirmed with measurements of carbon monoxide concentrations in expired air of < or = 10 ppm. RESULTS: Nineteen adults participated in the pilot program. At the year 1 mark, 63.2% of the study population was smoke-free. The mean number of impediments of the study population was 3.5 +/- 1.5. There was a negative association between subjects' quit status and the following impediments: stress (p = .0061), anxiety (p = .0445), and depression (p < .001). No single impediment was predictive of quit status. CONCLUSIONS: Impediment profiling as a basis for tailored smoking cessation intervention is associated with a high quit rate in this initial study, and it appears promising. Long-term follow-up is warranted, as is replication in a larger cohort with a concurrent control group.

Adult↗

PubMedDate not supplied

Factors associated with smoking cessation counseling at clinical encounters: the Behavioral Risk Factor Surveillance System (BRFSS) 2000.

PURPOSE: Characterize factors associated with smoking-cessation counseling in clinical encounters. DESIGN: Cross-sectional analysis of Behavioral Risk Factor Surveillance System (BRFSS) 2000 data. SETTING: U.S. households. SUBJECTS: 10,582 smokers (aged > or = 18 years) reporting one or more clinical encounters during the prior year. MEASURES: Multivariate-adjusted odds ratios (OR) and 95% confidence intervals (CI) for quit advice associated with respondent and encounter variables. RESULTS: Almost 55% of respondents were advised to quit smoking. Young men were advised to quit least often. Increasing age (18-24, 25-39, 40-64, > or = 65 years) was associated with increasing odds of receiving quit advice (OR = 1.33, CI 1.10-1.61) for men. Other positive associations with quit advice included patient education, BMI, diagnosis of asthma, and private health insurance. Patients seeing physicians had greater odds of being advised to quit smoking (OR = 3.29, CI 2.13-5.06) than those seeing dentists. There was a 4% to 23% chance of receiving quit advice at any given nondental clinical encounter; the odds of such counseling did not rise significantly with the number of visits. CONCLUSION: Smoking cessation counseling may be provided preferentially on the basis of patient demographics, and often is not provided at all. In a given year, just over half of smoking patients are advised to quit, and such counseling is provided at less than a quarter of clinical encounters.

Adolescent↗