Hostname: page-component-586b7cd67f-rdxmf Total loading time: 0 Render date: 2024-11-23T06:30:45.390Z Has data issue: false hasContentIssue false
  • English
  • Français

An Evaluation of a Novel Biomarker Feedback Intervention on Smoking Cessation: A Pilot Study

Published online by Cambridge University Press:  02 November 2012

Jamie Hetherington ,
Rosanne Coutts  and
Kade Davison
Jamie Hetherington*
Affiliation:
School of Health and Human Sciences, Southern Cross University, Lismore, Australia
Rosanne Coutts
Affiliation:
School of Health and Human Sciences, Southern Cross University, Lismore, Australia
Kade Davison
Affiliation:
School of Health and Human Sciences, Southern Cross University, Lismore, Australia
*
Address for correspondence: Jamie Hetherington, School of Health and Human Sciences, Southern Cross University, PO Box 157, Lismore NSW 2480, Australia. E-mail: [email protected]
Get access Rights & Permissions [Opens in a new window]

Abstract

Cessation is the single most important decision smokers can make to improve their health. The aim of this study was to investigate the effects of a novel biomarker feedback intervention on smoking cessation. Participants (n = 14) were block matched into two groups – biomarker feedback and standard care (control) – and encouraged to stop smoking without the support of any pharmacological aids. All participants received standard smoking cessation advice and also had physiological measures collected during both rest and sub-maximal exercise testing at baseline, week 6 and week 12. The standard care group only received the smoking cessation advice as their intervention, whereas the biomarker feedback group were also given individual feedback in relation to their physiological results. Cessation rates were not significantly different between groups (p = 0.56) at week 12 follow-up; however, a calculation of odds ratios (OR) suggests that the biomarker feedback group was more likely to be successful when compared to standard care (OR = 4.5). Results suggest that targeting health motivations may positively influence cessation rates. Future research is needed to verify this result with a larger group.

Keywords

smokingcessationbiomarker feedbackexercise testing
Type
Articles
Information
Journal of Smoking Cessation , Volume 7 , Issue 2 , December 2012 , pp. 80 - 88
Copyright
Copyright © The Authors 2012

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

AHCPR (1996). The Agency for Health Care Policy and Research smoking cessation clinical practice guideline. Journal of the American Medical Association, 275 (16), 1270–1280.CrossRefGoogle Scholar
American College of Sports Medicine (2006). ACSM's resource manual for guidelines for exercise testing and prescription (5th ed.). Baltimore, MD: Lippincott Williams & Wilkins.Google Scholar
Audrain, J., Boyd, N., Roth, J., Main, D., Caporaso, N., & Lerman, C. (1997). Genetic susceptibility testing in smoking-cessation treatment: one-year outcomes of a randomized trial. Addictive Behaviors, 22 (6), 741–751.Google Scholar
Australian Department of Health and Ageing (2004). Smoking cessation guidelines for Australian general practice [electronic resource]: Practice handbook. Retrieved from http://www.health.gov.au/internet/main/publishing.nsf/Content/health-pubhlth-publicat-document-smoking_cessation-cnt.htmGoogle Scholar
Bize, R., Burnand, B., Mueller, Y., Rège Walther, M., & Cornuz, J. (2009). Biomedical risk assessment as an aid for smoking cessation. Cochrane Database of Systematic Reviews (2).Google Scholar
Boardman, T., Catley, D., Mayo, M. S., & Ahluwalia, J. S. (2005). Self-efficacy and motivation to quit during participation in a smoking cessation program. International Journal of Behavioral Medicine, 12 (4), 266–272.Google Scholar
Borland, R., Yong, H. H., O'Connor, R., Hyland, A., & Thompson, M. (2010). The reliability and predictive validity of the Heaviness of Smoking Index and its two components: Findings from the International Tobacco Control Four Country study. Nicotine and Tobacco Research, 12 (suppl 1), S45–S50.CrossRefGoogle ScholarPubMed
Bovet, P., Perret, F., Cornuz, J., Quilindo, J., & Paccaud, F. (2002). Improved smoking cessation in smokers given ultrasound photographs of their own atherosclerotic plaques. Preventive Medicine, 34 (2), 215–220.CrossRefGoogle ScholarPubMed
Buffels, J., Degryse, J., Decramer, M., & Heyrman, J. (2006). Spirometry and smoking cessation advice in general practice: A randomised clinical trial. Respiratory Medicine, 100 (11), 2012–2017.Google Scholar
Cahill, K., & Perera, R. (2009). Competitions and incentives for smoking cessation. Cochrane Database of Systematic Reviews (3).Google Scholar
Cahill, K., Stead, L., & Lancaster, T. (2009). Nicotine receptor partial agonists for smoking cessation. Cochrane Database of Systematic Reviews (1).Google Scholar
Cancer Council Victoria (2009). Quit because you can. Retrieved from http://www.quitbecauseyoucan.org.au/Google Scholar
Chobanian, A. V., Bakris, G. L., Black, H. R., Cushman, W. C., Green, L. A., Izzo, J. L. Jret al. (2003). Seventh report of the Joint National Committee on prevention, detection, evaluation, and treatment of high blood pressure. Hypertension, 42 (6), 1206–1252.Google Scholar
Curry, S. (1993). Self-help interventions for smoking cessation. Journal of Consulting and Clinical Psychology, 61, 790–803.Google Scholar
Dean, E. (1996). Mobilzation and exercise. In Frownfelter, D. L. & Dean, E. (Eds.), Principles and practice of cardiopulmonary physical therapy (3rd ed., pp. 265–298). St Louis, MO: Mosby Inc.Google Scholar
Detweiler, J. B., Bedell, B. T., Salovey, P., Pronin, E., & Rothman, A. J. (1999). Message framing and sunscreen use: Gain-framed messages motivate beach-goers. Health Psychology, 18 (2), 189–196.Google Scholar
DiClemente, C. C., & Prochaska, J. O. (1985). Processes and stages of change: Coping and competence in smoking behaviour change. In Shiffman, S. & Wills, T. A. (Eds.), Coping and substance abuse (pp. 319–343). New York: Academic Press.Google Scholar
Fagerstrom, K. (2002). The epidemiology of smoking: health consequences and benefits of cessation. Drugs, 62 (S2), 1–9.Google Scholar
Fiore, M. C., Bailey, W. C., Cohen, S. J., Dorfman, S. F., Goldstein, M. G., Gritz, E. R., et al. (2000). Treating tobacco use and dependence: Clinical practice guideline. Rockville, MD: US Department of Health and Human Services, Public Health Service.Google Scholar
Fletcher, G. F., Balady, G. J., Amsterdam, E. A., Chaitman, B., Eckel, R., Fleg, J.et al. (2001). Exercise standards for testing and training: A statement for healthcare professionals from the American Heart Association. Circulation, 104 (14), 1694–1740.Google Scholar
Gratziou, C. (2009). Respiratory, cardiovascular and other physiological consequences of smoking cessation. Current Medical Research and Opinion, 25 (2), 535–545.CrossRefGoogle ScholarPubMed
Hajek, P., Taylor, T. Z., & Mills, P. (2002). Brief intervention during hospital admission to help patients to give up smoking after myocardial infarction and bypass surgery: Randomised controlled trial. British Medical Journal, 324 (7329), 87.Google Scholar
Heatherton, T., Kozlowski, L., & Frecker, R. (1991). The Fagerstrom test for nicotine dependence: A revision of the Fagerstrom tolerance questionnaire. British Journal of Addiction, 86 (9), 1119–1127.Google Scholar
Heatherton, T., Kozlowski, L., Frecker, R., Rickert, W., & Robinson, J. (1989). Measuring the heaviness of smoking: Using self-reported time to the first cigarette of the day and number of cigarettes smoked per day. British Journal of Addiction, 84 (7), 791–800.Google Scholar
Hughes, J., Stead, L., & Lancaster, T. (2010). Antidepressants for smoking cessation. Cochrane Database of Systematic Reviews (1).Google Scholar
Humerfelt, S., Eide, G., Kvale, G., Aaro, L., & Gulsvik, A. (1998). Effectiveness of postal smoking cessation advice: A randomized controlled trial in young men with reduced FEV1 and asbestos exposure. European Respiratory Journal, 11 (2), 284–290.Google Scholar
Kaufert, J. M., Rabkin, S. W., Syrotuik, J., Boyko, E., & Shane, F. (1986). Health beliefs as predictors of success of alternate modalities of smoking cessation: Results of a controlled trial. Journal of Behavioral Medicine, 9 (5), 475–489.Google Scholar
Kozlowski, L. T., Porter, C. Q., Orleans, C. T., Pope, M. A., & Heatherton, T. (1994). Predicting smoking cessation with self-reported measures of nicotine dependence: FTQ, FTND, and HSI. Drug and Alcohol Dependence, 34 (3), 211–216.Google Scholar
Lancaster, T., & Stead, L. (2005). Self-help interventions for smoking cessation. Cochrane Database of Systematic Reviews (3).Google Scholar
Lancaster, T., & Stead, L. (2008). Individual behavioural counselling for smoking cessation. Cochrane Database of Systematic Reviews (4).Google Scholar
McBride, C. M., Bepler, G., Lipkus, I. M., Lyna, P., Samsa, G., Albright, J., et al. (2002). Incorporating genetic susceptibility feedback into a smoking cessation program for African-American smokers with low income. Cancer Epidemiology Biomarkers & Prevention, 11 (6), 521–528.Google Scholar
McClure, J. B. (2001). Are biomarkers a useful aid in smoking cessation? A review and analysis of the literature. Behavioral Medicine, 27 (1), 37–47.CrossRefGoogle ScholarPubMed
McClure, J. B. (2004). Motivating prepartum smoking cessation: A consideration of biomarker feedback. Nicotine & Tobacco Research, 6 (Suppl 2), S153.Google Scholar
Miller, M. R., Hankinson, J., Brusasco, V., Burgos, F., Casaburi, R., Coates, A.et al. (2005). Standardisation of spirometry. European Respiratory Journal, 26 (2), 319.Google Scholar
National Heart Foundation (1990). Risk Factor Prevelance Study, Survey No. 3 1989. Canberra: National Heart Foundation and Australian Institute of Health.Google Scholar
Norman, P., Conner, M., & Bell, R. (1999). The theory of planned behavior and smoking cessation. Health Psychology, 18 (1), 89.CrossRefGoogle ScholarPubMed
Nutbeam, D. (1998). Health promotion glossary. Health Promotion International 13 (4), 349–364.Google Scholar
Parkes, G., Greenhalgh, T., Griffin, M., & Dent, R. (2008). Effect on smoking quit rate of telling patients their lung age: The Step2Quit randomised controlled trial. British Medical Journal, 336 (7644), 598–600.Google Scholar
Piasecki, T. M. (2006). Relapse to smoking. Clinical Psychology Review, 26 (2), 196–215.CrossRefGoogle ScholarPubMed
Pickering, T., Hall, J., Appel, L., Falkner, B., Graves, J., Hill, M.et al. (2005). Recommendations for blood pressure measurement in humans and experimental animals: Part 1: Blood pressure measurement in humans. A statement for professionals from the Subcommittee of Professional and Public Education of the American Heart Association Council on High Blood Pressure Research. Circulation, 111 (5), 697.Google Scholar
Prochaska, J. O., Velicer, W. F., Fava, J. L., Rossi, J. S., & Tsoh, J. Y. (2001). Evaluating a population-based recruitment approach and a stage-based expert system intervention for smoking cessation. Addictive Behaviors, 26 (4), 583–602.Google Scholar
Richmond, R., Austin, A., & Webster, I. (1986). Three year evaluation of a programme by general practitioners to help patients to stop smoking. British Medical Journal, 292 (6523), 803–806.Google Scholar
Risser, N. L., & Belcher, D. W. (1990). Adding spirometry, carbon monoxide, and pulmonary symptom results to smoking cessation counseling. Journal of Genera Internal Medicine, 5 (1), 16–22.Google Scholar
Rothman, A. J., & Salovey, P. (1997). Shaping perceptions to motivate healthy behavior: The role of message framing. Psychological Bulletin, 121 (1), 3–19.CrossRefGoogle ScholarPubMed
Scollo, M., & Winstanley, M. (2008). Tobacco in Australia: Facts and issues. 3rd ed. Retrieved from http://www.tobaccoinaustralia.org.au/Google Scholar
Sippel, J. M., Osborne, M. L., Bjornson, W., Goldberg, B., & Buist, A. S. (1999). Smoking cessation in primary care clinics. Journal of General Internal Medicine, 14 (11), 670–676.Google Scholar
Stead, L., Perera, R., Bullen, C., Mant, D., & Lancaster, T. (2008). Nicotine replacement therapy for smoking cessation. Cochrane Database of Systematic Reviews (3).Google Scholar
Tolonen, H., Kuulasmaa, K., Laatikainen, T., & Wolf, H. (2002). European Health Risk Monitoring Project. Recommendation for indicators, international collaboration, protocol and manual of operations for chronic disease risk factor surveys. Helsinki: Finnish National Public Health InstituteGoogle Scholar
US Department of Health and Human Services (1990). The health benefits of smoking cessation. Washington, DC: US Department of Health and Human Services, Public Health Service. Center for Disease Control, Center for Chronic Disease Prevention and Health Promotion, Office of Smoking and Health.Google Scholar
Walker, W. B., & Franzini, L. R. (1985). Low-risk aversive group treatments, physiological feedback, and booster sessions for smoking cessation. Behavior Therapy, 16 (3), 263–274.Google Scholar