Primary care providers' views on using lung age as an aid to smoking cessation counseling for patients with chronic obstructive pulmonary disease

Lung
Donna R ParkerRoberta E Goldman

Abstract

Smoking cessation is the primary goal for managing patients with chronic obstructive pulmonary disease (COPD) who smoke. However, previous studies have demonstrated poor cessation rates. The "lung age" concept (an estimate of the age at which the FEV(1) would be considered normal) was developed to present spirometry data in an understandable format and to serve as a tool to encourage smokers to quit. Primary care physicians' (PCPs) views of using lung age to help COPD patients to quit smoking were assessed. Post-intervention interviews were conducted with PCPs in the U.S. who participated in the randomized clinical trial, "Translating the GOLD COPD Guidelines into Primary Care Practice." 29 physicians completed the interview. Themes identified during interviews included: general usefulness of lung age for smoking cessation counseling, ease of understanding the concept, impact on patients' thoughts of quitting smoking, and comparison to FEV(1). Most providers found lung age easy to communicate. Moreover, some found the tool to be less judgmental for smoking cessation and others remarked on the merits of having a simple, tangible number to discuss with their patients. However, some expressed doubt over the long-term benefits of l...Continue Reading

References

Jun 25, 1977·British Medical Journal·C Fletcher, R Peto
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Sep 15, 2005·Patient Education and Counseling·Sander R HilberinkHein de Vries
May 18, 2007·American Journal of Respiratory and Critical Care Medicine·Klaus F RabeUNKNOWN Global Initiative for Chronic Obstructive Lung Disease
Nov 3, 2010·Primary Care Respiratory Journal : Journal of the General Practice Airways Group·James Hansen
May 10, 2011·Nicotine & Tobacco Research : Official Journal of the Society for Research on Nicotine and Tobacco·David A KaminskyJohn R Hughes
Jan 12, 2012·Primary Care Respiratory Journal : Journal of the General Practice Airways Group·Wendy NewburyAlan Crockett
Feb 9, 2012·Lancet·Marc DecramerMarc Miravitlles

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Citations

Jul 5, 2019·Jornal brasileiro de pneumologia : publicaça̋o oficial da Sociedade Brasileira de Pneumologia e Tisilogia·Maria Penha Uchoa SalesCelso Antonio Rodrigues da Silva

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