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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: anne-laurence.lefaou@aphp.fr
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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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