IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v10y2013i9p4186-4199d28669.html
   My bibliography  Save this article

Gold Standard Program for Heavy Smokers in a Real-Life Setting

Author

Listed:
  • Tim Neumann

    (Clinical Health Promotion Centre, Department of Health Sciences, Lund University, Skåne University Hospital, Entrance. 108, Malmö SE 205 02, Sweden)

  • Mette Rasmussen

    (WHO-CC Clinical Health Promotion Centre, Bispebjerg and Frederiksberg Hospitals—a part of Copenhagen University Hospital, The Capital Region, Nordre Fasanvej 57, DK-2000 Frederiksberg, Copenhagen, Denmark
    These authors contributed equally to this work.)

  • Berit L. Heitmann

    (Institute of Preventive Medicine, Bispebjerg and Frederiksberg Hospitals—a part of Copenhagen University Hospital, The Capital Region, Nordre Fasanvej 57, DK-2000 Frederiksberg, Copenhagen, Denmark
    National Institute of Public Health, University of Southern Denmark, Øster Farimagsgade 5A, DK-1353 Copenhagen K, Denmark
    These authors contributed equally to this work.)

  • Hanne Tønnesen

    (Clinical Health Promotion Centre, Department of Health Sciences, Lund University, Skåne University Hospital, Entrance. 108, Malmö SE 205 02, Sweden
    WHO-CC Clinical Health Promotion Centre, Bispebjerg and Frederiksberg Hospitals—a part of Copenhagen University Hospital, The Capital Region, Nordre Fasanvej 57, DK-2000 Frederiksberg, Copenhagen, Denmark
    These authors contributed equally to this work.)

Abstract

Background : High-intensity smoking cessation programs generally lead to more continuous abstinence, however, lower rates of success have been reported among heavy smokers. The aim was to evaluate continuous abstinence among heavy smokers during the intensive 6-week Gold Standard Program (GSP) and to identify modifiable factors associated with continuous abstinence. Methods : In this nationwide clinical study based on 36,550 smokers attending an intensive cessation program in Denmark. Heavy smoking was defined as ≥7 points in the Fagerström Nicotine Dependency Test, smoking ≥20 cigarettes daily or ≥20 pack-years. Results : Overall, 28% had a Fagerström score ≥7 points, 58% smoked ≥20 cigarettes daily and 68% smoked ≥20 pack-years. Continuous abstinence was 33% in responders (6-months response rate: 78%); however, abstinence was approximately 1–6% lower in the heavy smokers than the overall population. Attending GSP with an individual format ( vs. group/other, OR 1.23–1.44); in a hospital setting ( vs. pharmacy/municipality services, OR 1.05–1.11); and being compliant (attending the planned meetings OR 4.36–4.89) were associated with abstinence. Abstinence decreased in a dose-dependent manner with increasing smoking severity. Conclusions : Abstinence after GSP was 1–6% lower in the heavy smokers than in the overall study population. Modifiable factors may be used for small improvements in continued abstinence. However attempts to improve compliance seemed especially promising.

Suggested Citation

  • Tim Neumann & Mette Rasmussen & Berit L. Heitmann & Hanne Tønnesen, 2013. "Gold Standard Program for Heavy Smokers in a Real-Life Setting," IJERPH, MDPI, vol. 10(9), pages 1-14, September.
    • Handle: RePEc:gam:jijerp:v:10:y:2013:i:9:p:4186-4199:d:28669
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/10/9/4186/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/10/9/4186/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Kim Olsen & Lone Bilde & Henrik Juhl & Niels Kjaer & Holger Mosbech & Torben Evald & Mette Rasmussen & Helle Hiladakis, 2006. "Cost-effectiveness of the Danish smoking cessation interventions," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 7(4), pages 255-264, December.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Claudio Terranova & Giovanni Forza & Elena Beccegato & Angelo Ruggeri & Guido Viel & Alessia Viero & Massimo Montisci, 2021. "Cigarette Smoking as a Predictor of Male DUI Recidivism," IJERPH, MDPI, vol. 18(20), pages 1-11, October.
    2. Karen Hovhannisyan & Michelle Günther & Rie Raffing & Maria Wikström & Johanna Adami & Hanne Tønnesen, 2019. "Compliance with the Very Integrated Program (VIP) for Smoking Cessation, Nutrition, Physical Activity and Comorbidity Education Among Patients in Treatment for Alcohol and Drug Addiction," IJERPH, MDPI, vol. 16(13), pages 1-14, June.
    3. Mette Kehlet & Torben V. Schroeder & Hanne Tønnesen, 2015. "The Gold Standard Program for Smoking Cessation is Effective for Participants Over 60 Years of Age," IJERPH, MDPI, vol. 12(3), pages 1-14, February.
    4. Monika Laugesen & Mette Rasmussen & Robin Christensen & Hanne Tønnesen & Henning Bliddal, 2022. "Smoking Cessation Rates among Patients with Rheumatoid Arthritis and Osteoarthritis Following the ‘Gold Standard Programme’ (GSP): A Prospective Analysis from the Danish Smoking Cessation Database," IJERPH, MDPI, vol. 19(10), pages 1-14, May.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Perraudin, Clémence & Bugnon, Olivier & Pelletier-Fleury, Nathalie, 2016. "Expanding professional pharmacy services in European community setting: Is it cost-effective? A systematic review for health policy considerations," Health Policy, Elsevier, vol. 120(12), pages 1350-1362.
    2. Kristian Bolin, 2012. "Economic Evaluation of Smoking-Cessation Therapies," PharmacoEconomics, Springer, vol. 30(7), pages 551-564, July.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:10:y:2013:i:9:p:4186-4199:d:28669. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.