Effects of Stage-matched Repeated Individual Counseling on Smoking Cessation : A Randomized Controlled Trial for the High-risk Strategy by Lifestyle Modification (HISLIM) Study(Special Issue)

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概要

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• Objective: The purpose of this study was to evaluate the effects of stage-matched repeated individual behavioral counseling as an intervention for the cessation of smoking. Methods: We conducted a multisite randomized controlled trial that enrolled smokers unselected for their readiness to quit. There were 979 smokers with hypertension or hypercholesterolemia recruited from 72 study sites and randomly allocated to the intervention or control group. Smokers in the intervention group received stage-matched individual counseling consisting of a 40 minute initial session and four 20-30 minute follow-up sessions. Smokers in the control group received individual behavioral counseling for hypertension or hypercholesterolemia. Results: The point prevalence abstinence rate at 6 months, validated by carbon monoxide testing, in the intervention group (13.6%) was 5.4 times higher (p<0.001) than that in the control group (2.5%). When the data were analyzed based on the baseline stage of change, there were significant differences in the abstinence rates at 6 months in smokers versus controls with each stage of change except in immotives. The odds ratio was 6.4 (p<0.001) in precontemplators, 6.7 (p<0.001) in contemplators, and 6.2 (p<0.01) in preparators. There was a positive, consistent effect of the intervention regardless of study site (worksite or community) or the presence of hypertension or hypercholesterolemia. Conclusions: We showed the effects of an intervention with repeated individual behavioral counseling on the cessation of smoking in smokers unselected for their readiness to quit. This result suggests that stage-matched individual counseling, based on the transtheoretical model, is effective in smokers with a lower motivation to quit as well as those ready to quit.

• 日本衛生学会の論文

著者

• Ueshima Hirotsugu

  Department of Health Science, Shiga University of Medical Science

• OKAYAMA Akira

  Department of Preventive Cardiology, National Cardiovascular Center

• OSHIMA Akira

  Department of Cancer Control and Statistics

• Nakagawa Masanori

  京都府立医科大学 神経内科学

• Nakagawa Masanori

  Third Department Of Internal Medicine Kagoshima University Faculty Of Medicine

• Nakamura M

  Department Of Neurology Graduate School Of Medical And Pharmaceutical Sciences Kumamoto University

• Masui Shizuko

  Department Of Health Promotion And Education Osaka Medical Center For Health Science And Promotion

• Okayama Akira

  Department Of Orthopedic Surgery Hyogo College Of Medicine

• Nakamura M

  Department Of Health Promotion And Education Osaka Medical Center For Health Science And Promotion:f

• NAKAMURA Masakazu

  Department of Electronics and Mechanical Engineering, Faculty of Engineering, Chiba University

• Ueshima Hirotsugu

  Department Of Health Sceicne Shiga University Of Medical Science

• Okayama Akira

  Department Of Hygiene And Preventive Medicine Osaka University School Of Medicine Nakanoshima

• Nakamura Masakazu

  Department Of Electronics And Mechanical Engineering Chiba University

• Nakajima Makoto

  The Department Of Neurology Kumamoto University School Of Medicine

• Nakamura Masakazu

  Department Of Electrical Engineering Faculty Of Engineering Science Osaka University

• Nakamura Masakazu

  Department of Applied Chemistry, Faculty of Engineering, Keio University

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