Improved Smoking Cessation in Smokers Given Ultrasound Photographs of Their Own Atherosclerotic Plaques
Adult
Counseling
Male
Audiovisual Aids
Arteriosclerosis
Health Behavior
Middle Aged
Seychelles
3. Good health
03 medical and health sciences
0302 clinical medicine
Patient Education as Topic
Humans
Female
Smoking Cessation
Ultrasonography
DOI:
10.1006/pmed.2001.0976
Publication Date:
2002-10-06T19:30:44Z
AUTHORS (5)
ABSTRACT
We examined whether making smokers aware that they had developed peripheral atherosclerosis would improve smoking cessation.Smokers selected from the general population were randomly allocated to undergo high-resolution B-mode ultrasonography of their carotid and femoral arteries. All smokers received quit-smoking counseling. Smokers with > or =1 atherosclerotic plaque were given two photographs of a plaque with a relevant explanation. Quit rates were assessed by telephone 6 months later.Seventy-nine smokers did not undergo ultrasonography (A). Among the 74 smokers submitted to ultrasonography, 20 had no plaque (B) and 54 had > or =1 plaque (C). Quit rates were, respectively, 6.3, 5.0, and 22.2% in groups A, B, and C. Quit rates were higher in smokers submitted to ultrasonography (B + C vs A; P = 0.031) and in those receiving photographs (C vs A + B; P = 0.003). Smoking cessation was independently associated with intervention C (OR = 6.2; 95% CI = 1.8-21) and a white-collar job but not with age or gender.Providing smokers with photographs demonstrating atherosclerosis on their own person was an effective adjunct to physician's advice to quit smoking. Since ultrasonography is used increasingly often in clinical practice for cardiovascular risk stratification, this can provide an additional opportunity and means to deter smokers from smoking.
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