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Group Support for Smoking Cessation: Importance of the Smoker's Choice for Better Outcomes

Published online by Cambridge University Press:  29 June 2021

Anne-Laurence Le Faou ,
Ingrid Allagbé ,
Guillaume Airagnes ,
Monique Baha  and
Frédéric Limosin
Anne-Laurence Le Faou*
Affiliation:
Department of Psychiatry and Addictology, AP-HP, Hôpitaux Universitaires Paris Ouest, Paris, France Inserm UMRS 1123, Université de Paris, Paris, France
Ingrid Allagbé
Affiliation:
Inserm UMRS 1123, Université de Paris, Paris, France
Guillaume Airagnes
Affiliation:
Department of Psychiatry and Addictology, AP-HP, Hôpitaux Universitaires Paris Ouest, Paris, France Faculté de Médecine, Université Paris Descartes, Sorbonne Paris Cité, Paris, France Inserm, UMS 011, Population-based Epidemiological Cohorts, Villejuif, France Inserm, UMR 1168, VIMA, Aging and Chronic Diseases, Villejuif, France
Monique Baha
Affiliation:
Department of Psychiatry and Addictology, AP-HP, Hôpitaux Universitaires Paris Ouest, Paris, France
Frédéric Limosin
Affiliation:
Department of Psychiatry and Addictology, AP-HP, Hôpitaux Universitaires Paris Ouest, Paris, France Faculté de Médecine, Université Paris Descartes, Sorbonne Paris Cité, Paris, France Inserm, U894, Centre Psychiatrie et Neurosciences, Paris, France
*
*Corresponding author: Anne-Laurence Le Faou, Responsable du centre ambulatoire d'addictologie, HEGP, APHP, 20 rue LEBLANC, 75015 Paris, France. Email: [email protected]
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Abstract

Smoking cessation method effectiveness is discussed among socially disadvantaged smokers. Our aim was to measure real-life effectiveness of the choice of a multi-component group intervention in comparison with individual usual care. We report an observational study (N = 100). Disadvantaged smokers were screened with a validated tool. We designed a multi-component structured behavioural group intervention, delivered in weekly group sessions during 6 weeks. Usual care consisted of individual visits. Both groups received free nicotine replacement therapy. We observed 33 smokers participating in the group intervention, while 67 received usual care. Abstinence at 6 weeks was 24.2% (n = 8) in the group intervention versus 11.9% (n = 8) in usual care (p = .115). Also, 36.4% (n = 12) of group intervention patients had reduced their cigarette consumption versus 16.4% (n = 11) in usual care (p = .026). In addition, 6.1% (n = 2) dropped out of group versus 31.3% (n = 21) in usual care (p = .005). Finally, 6 months after their first visit, 15.2% (n = 5) of group intervention patients and 4.5% (n = 3) in usual care were abstinent (p = .111). Group intervention choice versus usual care might facilitate smoking abstinence, reduction, and follow-up adherence.

Keywords

smoking cessationgroup interventionnicotine replacement therapydisadvantaged smokersreal-life effectiveness
Type
Standard Paper
Information
Behaviour Change , Volume 38 , Issue 3 , September 2021 , pp. 208 - 220
Copyright
Copyright © The Author(s), 2021. Published by Cambridge University Press on behalf of the Australian Association for Cognitive and Behaviour Therapy

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References

Aertgeerts, B, Buntinx, F and Kester, A (2004). The value of the CAGE in screening for alcohol abuse and alcohol dependence in general clinical populations: A diagnostic meta-analysis. Journal of Clinical Epidemiology, 57, 30–39.CrossRefGoogle ScholarPubMed
Baha, M and Le Faou, AL (2014). Gradual versus abrupt quitting among French treatment-seeking smokers. Preventive Medicine, 63, 96–102.CrossRefGoogle ScholarPubMed
Bauld, L, Judge, K and Platt, S (2007). Assessing the impact of smoking cessation services on reducing health inequalities in England: Observational study. Tobacco Control, 16, 400–404.CrossRefGoogle ScholarPubMed
Bonevski, B, Twyman, L, Paul, C, D'Este, C, West, R, Siahpush, M, Oldmeadow, C and and Palazzi, K (2018). Smoking cessation intervention delivered by social service organisations for a diverse population of Australian disadvantaged smokers: A pragmatic randomised controlled trial. Preventive Medicine, 112, 38–44.CrossRefGoogle ScholarPubMed
Brown, T, Platt, S and Amos, A (2014a). Equity impact of European individual-level smoking cessation interventions to reduce smoking in adults: A systematic review. European Journal of Public Health, 24, 551–556.CrossRefGoogle Scholar
Brown, T, Platt, S and Amos, A (2014b). Equity impact of population-level interventions and policies to reduce smoking in adults: A systematic review. Drug and Alcohol Dependence, 138, 7–16.CrossRefGoogle Scholar
Bull, ER, Dombrowski, SU, McCleary, N and Johnston, M (2014). Are interventions for low-income groups effective in changing healthy eating, physical activity and smoking behaviours? A systematic review and meta-analysis. BMJ Open, 4, e006046.CrossRefGoogle ScholarPubMed
Cohen, S and Wills, TA (1985). Stress, social support, and the buffering hypothesis. Psychological Bulletin, 98, 310–357.CrossRefGoogle ScholarPubMed
Covey, LS, Bomback, A and Yan, GWY (2006). History of depression and smoking cessation: A rejoinder. Nicotine & Tobacco Research, 8, 315–319.CrossRefGoogle ScholarPubMed
Dorner, TE, Tröstl, A, Womastek, I and Groman, E (2011). Predictors of short-term success in smoking cessation in relation to attendance at a smoking cessation program. Nicotine & Tobacco Research, 13, 1068–1075.CrossRefGoogle Scholar
Guignard, R, Nguyen-Thanh, V, Delmer, O, Lenormand, M-C, Blanchoz, J-M and Arwidson, P (2018). Interventions pour l'arrêt du tabac chez les fumeurs de faible niveau socio-économique: Synthèse de la littérature. Santé Publique, 30, 45.CrossRefGoogle Scholar
Haslam, C, Jetten, J, Cruwys, T, Dingle, G and Haslam, SA (2018). The new psychology of health: Unlocking the social cure. London: Routledge.CrossRefGoogle Scholar
Haute Autorité de Santé. (2014). Arrêt de la consommation de tabac: Du dépistage individuel au maintien de l'abstinence en premier recours. Fr: Haute Autorité de Santé. Consulté à l'adresse. Retrieved from: https://www.has-sante.fr/portail/upload/docs/application/pdf/2014-01/recommandations_-_arret_de_la_consommation_de_tabac.pdf.Google Scholar
Heatherton, TF, Kozlowski, LT, Frecker, RC and Fagerström, KO (1991). The Fagerström test for nicotine dependence: A revision of the Fagerström Tolerance Questionnaire. British Journal of Addiction, 86, 1119–1127.CrossRefGoogle ScholarPubMed
Hiscock, R, Judge, K and Bauld, L (2011). Social inequalities in quitting smoking: What factors mediate the relationship between socioeconomic position and smoking cessation? Journal of Public Health, 33, 39–47.CrossRefGoogle ScholarPubMed
Hiscock, R, Murray, S, Brose, LS, McEwen, A, Bee, JL, Dobbie, F and Bauld, L (2013). Behavioural therapy for smoking cessation: The effectiveness of different intervention types for disadvantaged and affluent smokers. Addictive Behaviors, 38, 2787–2796.CrossRefGoogle ScholarPubMed
Hughes, JR (2000). Reduced smoking: An introduction and review of the evidence. Addiction, 95, 3–7.CrossRefGoogle Scholar
Jackson, N, Prebble, A, Rose, CS and Holborn, H (2002). Perceptions of smoking cessation products and services among low income smokers (health development agency). London: Consulté à l'adresse. Retrieved from: http://citeseerx.ist.psu.edu/viewdoc/download?doi=10.1.1.538.4408&rep=rep1&type=pdf.Google Scholar
Judge, K, Bauld, L, Chesterman, J and Ferguson, J (2005). The English smoking treatment services: Short-term outcomes. Addiction, 100, 46–58.CrossRefGoogle ScholarPubMed
Kotz, D and West, R (2009). Explaining the social gradient in smoking cessation: It's not in the trying, but in the succeeding. Tobacco Control, 18, 43–46.CrossRefGoogle Scholar
Laaksonen, M, Rahkonen, O, Martikainen, P and Lahelma, E (2005). Socioeconomic position and self-rated health: The contribution of childhood socioeconomic circumstances, adult socioeconomic status, and material resources. American Journal of Public Health, 95, 1403–1409.CrossRefGoogle ScholarPubMed
Le Faou, A-L, Baha, M, Rodon, N, Lagrue, G and Ménard, J (2009). Trends in the profile of smokers registered in a national database from 2001 to 2006: Changes in smoking habits. Public Health, 123, 6–11.CrossRefGoogle Scholar
McEwen, A, West, R and McRobbie, H (2006). Effectiveness of specialist group treatment for smoking cessation vs. One-to-one treatment in primary care. Addictive Behaviors, 31, 1650–1660.CrossRefGoogle ScholarPubMed
Merson, F, Perriot, J, Underner, M, Peiffer, G and Fieulaine, N (2014). Smoking cessation and social deprivation. Revue Des Maladies Respiratoires, 31, 916–936.CrossRefGoogle ScholarPubMed
Michie, S, Richardson, M, Johnston, M, Abraham, C, Francis, J, Hardeman, W, Eccles, MP, Cane, J and Wood, CE (2013). The behavior change technique taxonomy (v1) of 93 hierarchically clustered techniques: Building an international consensus for the reporting of behavior change interventions. Annals of Behavioral Medicine, 46, 81–95.CrossRefGoogle ScholarPubMed
Mykletun, A, Stordal, E and Dahl, AA (2001). Hospital Anxiety and Depression (HAD) scale: Factor structure, item analyses and internal consistency in a large population. The British Journal of Psychiatry: The Journal of Mental Science, 179, 540–544.CrossRefGoogle ScholarPubMed
Nahon, S, Lahmek, P, Macaigne, G, Faurel, J-P, Sass, C, Howaizi, M, Fleury, A, Baju, A, Locher, C, Barjonet, G, Saillant, GG, Moulin, J-J and Poupardin, C (2009). Socioeconomic deprivation does not influence the severity of Crohn's disease: Results of a prospective multicenter study. Inflammatory Bowel Diseases, 15, 594–598.CrossRefGoogle Scholar
Ochsner, S, Luszczynska, A, Stadler, G, Knoll, N, Hornung, R and Scholz, U (2014). The interplay of received social support and self-regulatory factors in smoking cessation. Psychology & Health, 29, 16–31.CrossRefGoogle Scholar
Olssøn, I, Mykletun, A and Dahl, AA (2005). The hospital anxiety and depression rating scale: A cross-sectional study of psychometrics and case finding abilities in general practice. BMC Psychiatry, 5, 46.CrossRefGoogle ScholarPubMed
Over, EAB, Feenstra, TL, Hoogenveen, RT, Droomers, M, Uiters, E and van Gelder, BM (2014). Tobacco control policies specified according to socioeconomic status: Health disparities and cost-effectiveness. Nicotine & Tobacco Research, 16, 725–732.CrossRefGoogle ScholarPubMed
Pasquereau, A, Andler, R, Arwidson, P, Guignard, R and Nguyen Thanh, V (2020). Consommation de tabac parmi les adultes: Bilan de cinq années de programme national contre le tabagisme, 2014-2019. Bulletin Epidémiologique Hebdomadaire, 14, 274–284.Google Scholar
Peretti-Watel, P and Constance, J (2009). ‘It's all we got left’. Why poor smokers are less sensitive to cigarette price increases. International Journal of Environmental Research and Public Health, 6, 608–621.CrossRefGoogle Scholar
Piñeiro, B, López-Durán, A, del Río, EF, Martínez, Ú, Brandon, TH and Becoña, E (2016). Motivation to quit as a predictor of smoking cessation and abstinence maintenance among treated Spanish smokers. Addictive Behaviors, 53, 40–45.CrossRefGoogle ScholarPubMed
Reid, JL, Hammond, D, Boudreau, C, Fong, GT and Siahpush, M (2010). Socioeconomic disparities in quit intentions, quit attempts, and smoking abstinence among smokers in four western countries: Findings from the International Tobacco Control Four Country Survey. Nicotine & Tobacco Research, 12, S20–S33.CrossRefGoogle ScholarPubMed
Roddy, E, Antoniak, M, Britton, J, Molyneux, A and Lewis, S (2006). Barriers and motivators to gaining access to smoking cessation services amongst deprived smokers — A qualitative study. BMC Health Services Research, 6, 147.CrossRefGoogle ScholarPubMed
Rueger, H, Weishaar, H, Ochsmann, EB, Letzel, S and Muenster, E (2013). Factors associated with self-assessed increase in tobacco consumption among over-indebted individuals in Germany: A cross-sectional study. Substance Abuse Treatment, Prevention, and Policy, 8, 12.CrossRefGoogle ScholarPubMed
Smith, CE, Hill, SE and Amos, A (2020). Impact of specialist and primary care stop smoking support on socio-economic inequalities in cessation in the United Kingdom: A systematic review and national equity initial review completed 22 January 2019; final version accepted 19 July 2019 analysis. Addiction, 115, 34–46.CrossRefGoogle Scholar
Stead, LF and Lancaster, T (2005). Group behaviour therapy programmes for smoking cessation. In The Cochrane Collaboration (Éd.), Cochrane database of systematic reviews (p. CD001007.pub2). Chichester, UK: John Wiley & Sons, Ltd. Consulté septembre 3, 2019, à l'adresse. Retrieved from: http://doi.wiley.com/10.1002/14651858.CD001007.pub2.Google Scholar
Stead, LF, Carroll, AJ and Lancaster, T (2017). Group behaviour therapy programmes for smoking cessation. Cochrane Database of Systematic Reviews, (3). John Wiley & Sons, Ltd. Consulté juin 10, 2020, à l'adresse. Retrieved from: https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD001007.pub3/abstract.CrossRefGoogle ScholarPubMed
Twyman, L, Bonevski, B, Paul, C and Bryant, J (2014). Perceived barriers to smoking cessation in selected vulnerable groups: A systematic review of the qualitative and quantitative literature. BMJ Open, 4. Consulté juin 9, 2020, à l'adresse. Retrieved from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4275698/.CrossRefGoogle ScholarPubMed
Westmaas, JL, Bontemps-Jones, J and Bauer, JE (2010). Social support in smoking cessation: Reconciling theory and evidence. Nicotine & Tobacco Research, 12, 695–707.CrossRefGoogle ScholarPubMed