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Navarro Correal E, Casellas Jorda F, Borruel Sainz N, Robles Alonso V, Herrera de Guise C, Ibarz Casas A, Sánchez García JM, Vila Morte G, Fuentelsaz Gallego C. Effectiveness of a Telephone-Based Motivational Intervention for Smoking Cessation in Patients With Crohn Disease: A Randomized, Open-Label, Controlled Clinical Trial. Gastroenterol Nurs 2021; 44:418-425. [PMID: 34269705 PMCID: PMC8635256 DOI: 10.1097/sga.0000000000000572] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/09/2020] [Accepted: 09/14/2020] [Indexed: 11/29/2022] Open
Abstract
A randomized, open-label, controlled clinical trial was designed to assess the effectiveness of a motivational intervention based on the 5 R's model (relevance, risks, rewards, roadblocks, and repetition) delivered by specialized inflammatory bowel disease nurses every 3 months over a 1-year period as compared with patients who were followed regularly. Patients diagnosed with Crohn disease, aged 18 years or older, who reported being active smokers with Internet access at home and an e-mail address were eligible. A total of 144 patients (72 per group) were included (50% women, median age 40 years). They smoked a median of 10 cigarettes per day (range = 1-40) and had been smoking for a median of 22 years (range = 1-51). Motivation to quit (Richmond test) was low in 73 patients, moderate in 39 patients, and high in 32 patients. Statistically significant differences between the study groups in the predisposition to change, motivation to quit, and tobacco withdrawal were not found. However, 14 patients (20.9%) in the intervention group and 9 patients (13.2%) among controls stopped smoking at the end of the study. These findings support a higher trend toward smoking cessation associated with the motivational intervention 5 R's. This behavioral strategy can aid patients with Crohn disease to quit smoking.
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Affiliation(s)
- Ester Navarro Correal
- Correspondence to: Ester Navarro Correal, MSN, RN, Crohn-Colitis Care Unit Vall d'Hebron Hospital Universitari, Vall d'Hebron Barcelona Campus, Passeig Vall d'Hebron 119-129, 08035 Barcelona, Spain ()
| | - Francesc Casellas Jorda
- Ester Navarro Correal, MSN, RN, is a PhD student, Crohn-Colitis Care Unit, Vall d'Hebron Hospital Universitari, Barcelona, Spain; and enrolled in PhD student program in Health at Universitat de Lleida
- Francesc Casellas Jorda, MD, PhD, is Gastroenterologist at Crohn-Colitis Care Unit, Vall d'Hebron Hospital Universitari, Barcelona, Spain
- Natalia Borruel Sainz, MD, PhD, is Gastroenterologist at Crohn-Colitis Care Unit, Vall d'Hebron Hospital Universitari, Barcelona, Spain
- Virginia Robles Alonso, MD, PhD, is Gastroenterologist at Crohn-Colitis Care Unit, Vall d'Hebron Hospital Universitari, Barcelona, Spain
- Claudia Herrera de Guise, MD, PhD, is Gastroenterologist at Crohn-Colitis Care Unit, Vall d'Hebron Hospital Universitari, Barcelona, Spain
- Arantxa Ibarz Casas, MSN, RN, is Research Nurse at Crohn-Colitis Care Unit, Vall d'Hebron Hospital Universitari, Barcelona, Spain
- Josep Maria Sánchez García, MD, is Medicine Doctor at Service of Preventive Medicine and Epidemiology, Vall d'Hebron Hospital Universitari, Barcelona, Spain
- Genoveva Vila Morte, RN, is Nurse at Service of Preventive Medicine and Epidemiology, Vall d'Hebron Hospital Universitari, Barcelona, Spain
- Carmen Fuentelsaz Gallego, RN, PhD, is Research Nurse at Vall d'Hebron Hospital Universitari, Barcelona, Spain
| | - Natalia Borruel Sainz
- Ester Navarro Correal, MSN, RN, is a PhD student, Crohn-Colitis Care Unit, Vall d'Hebron Hospital Universitari, Barcelona, Spain; and enrolled in PhD student program in Health at Universitat de Lleida
- Francesc Casellas Jorda, MD, PhD, is Gastroenterologist at Crohn-Colitis Care Unit, Vall d'Hebron Hospital Universitari, Barcelona, Spain
- Natalia Borruel Sainz, MD, PhD, is Gastroenterologist at Crohn-Colitis Care Unit, Vall d'Hebron Hospital Universitari, Barcelona, Spain
- Virginia Robles Alonso, MD, PhD, is Gastroenterologist at Crohn-Colitis Care Unit, Vall d'Hebron Hospital Universitari, Barcelona, Spain
- Claudia Herrera de Guise, MD, PhD, is Gastroenterologist at Crohn-Colitis Care Unit, Vall d'Hebron Hospital Universitari, Barcelona, Spain
- Arantxa Ibarz Casas, MSN, RN, is Research Nurse at Crohn-Colitis Care Unit, Vall d'Hebron Hospital Universitari, Barcelona, Spain
- Josep Maria Sánchez García, MD, is Medicine Doctor at Service of Preventive Medicine and Epidemiology, Vall d'Hebron Hospital Universitari, Barcelona, Spain
- Genoveva Vila Morte, RN, is Nurse at Service of Preventive Medicine and Epidemiology, Vall d'Hebron Hospital Universitari, Barcelona, Spain
- Carmen Fuentelsaz Gallego, RN, PhD, is Research Nurse at Vall d'Hebron Hospital Universitari, Barcelona, Spain
| | - Virginia Robles Alonso
- Ester Navarro Correal, MSN, RN, is a PhD student, Crohn-Colitis Care Unit, Vall d'Hebron Hospital Universitari, Barcelona, Spain; and enrolled in PhD student program in Health at Universitat de Lleida
- Francesc Casellas Jorda, MD, PhD, is Gastroenterologist at Crohn-Colitis Care Unit, Vall d'Hebron Hospital Universitari, Barcelona, Spain
- Natalia Borruel Sainz, MD, PhD, is Gastroenterologist at Crohn-Colitis Care Unit, Vall d'Hebron Hospital Universitari, Barcelona, Spain
- Virginia Robles Alonso, MD, PhD, is Gastroenterologist at Crohn-Colitis Care Unit, Vall d'Hebron Hospital Universitari, Barcelona, Spain
- Claudia Herrera de Guise, MD, PhD, is Gastroenterologist at Crohn-Colitis Care Unit, Vall d'Hebron Hospital Universitari, Barcelona, Spain
- Arantxa Ibarz Casas, MSN, RN, is Research Nurse at Crohn-Colitis Care Unit, Vall d'Hebron Hospital Universitari, Barcelona, Spain
- Josep Maria Sánchez García, MD, is Medicine Doctor at Service of Preventive Medicine and Epidemiology, Vall d'Hebron Hospital Universitari, Barcelona, Spain
- Genoveva Vila Morte, RN, is Nurse at Service of Preventive Medicine and Epidemiology, Vall d'Hebron Hospital Universitari, Barcelona, Spain
- Carmen Fuentelsaz Gallego, RN, PhD, is Research Nurse at Vall d'Hebron Hospital Universitari, Barcelona, Spain
| | - Claudia Herrera de Guise
- Ester Navarro Correal, MSN, RN, is a PhD student, Crohn-Colitis Care Unit, Vall d'Hebron Hospital Universitari, Barcelona, Spain; and enrolled in PhD student program in Health at Universitat de Lleida
- Francesc Casellas Jorda, MD, PhD, is Gastroenterologist at Crohn-Colitis Care Unit, Vall d'Hebron Hospital Universitari, Barcelona, Spain
- Natalia Borruel Sainz, MD, PhD, is Gastroenterologist at Crohn-Colitis Care Unit, Vall d'Hebron Hospital Universitari, Barcelona, Spain
- Virginia Robles Alonso, MD, PhD, is Gastroenterologist at Crohn-Colitis Care Unit, Vall d'Hebron Hospital Universitari, Barcelona, Spain
- Claudia Herrera de Guise, MD, PhD, is Gastroenterologist at Crohn-Colitis Care Unit, Vall d'Hebron Hospital Universitari, Barcelona, Spain
- Arantxa Ibarz Casas, MSN, RN, is Research Nurse at Crohn-Colitis Care Unit, Vall d'Hebron Hospital Universitari, Barcelona, Spain
- Josep Maria Sánchez García, MD, is Medicine Doctor at Service of Preventive Medicine and Epidemiology, Vall d'Hebron Hospital Universitari, Barcelona, Spain
- Genoveva Vila Morte, RN, is Nurse at Service of Preventive Medicine and Epidemiology, Vall d'Hebron Hospital Universitari, Barcelona, Spain
- Carmen Fuentelsaz Gallego, RN, PhD, is Research Nurse at Vall d'Hebron Hospital Universitari, Barcelona, Spain
| | - Arantxa Ibarz Casas
- Ester Navarro Correal, MSN, RN, is a PhD student, Crohn-Colitis Care Unit, Vall d'Hebron Hospital Universitari, Barcelona, Spain; and enrolled in PhD student program in Health at Universitat de Lleida
- Francesc Casellas Jorda, MD, PhD, is Gastroenterologist at Crohn-Colitis Care Unit, Vall d'Hebron Hospital Universitari, Barcelona, Spain
- Natalia Borruel Sainz, MD, PhD, is Gastroenterologist at Crohn-Colitis Care Unit, Vall d'Hebron Hospital Universitari, Barcelona, Spain
- Virginia Robles Alonso, MD, PhD, is Gastroenterologist at Crohn-Colitis Care Unit, Vall d'Hebron Hospital Universitari, Barcelona, Spain
- Claudia Herrera de Guise, MD, PhD, is Gastroenterologist at Crohn-Colitis Care Unit, Vall d'Hebron Hospital Universitari, Barcelona, Spain
- Arantxa Ibarz Casas, MSN, RN, is Research Nurse at Crohn-Colitis Care Unit, Vall d'Hebron Hospital Universitari, Barcelona, Spain
- Josep Maria Sánchez García, MD, is Medicine Doctor at Service of Preventive Medicine and Epidemiology, Vall d'Hebron Hospital Universitari, Barcelona, Spain
- Genoveva Vila Morte, RN, is Nurse at Service of Preventive Medicine and Epidemiology, Vall d'Hebron Hospital Universitari, Barcelona, Spain
- Carmen Fuentelsaz Gallego, RN, PhD, is Research Nurse at Vall d'Hebron Hospital Universitari, Barcelona, Spain
| | - Josep Maria Sánchez García
- Ester Navarro Correal, MSN, RN, is a PhD student, Crohn-Colitis Care Unit, Vall d'Hebron Hospital Universitari, Barcelona, Spain; and enrolled in PhD student program in Health at Universitat de Lleida
- Francesc Casellas Jorda, MD, PhD, is Gastroenterologist at Crohn-Colitis Care Unit, Vall d'Hebron Hospital Universitari, Barcelona, Spain
- Natalia Borruel Sainz, MD, PhD, is Gastroenterologist at Crohn-Colitis Care Unit, Vall d'Hebron Hospital Universitari, Barcelona, Spain
- Virginia Robles Alonso, MD, PhD, is Gastroenterologist at Crohn-Colitis Care Unit, Vall d'Hebron Hospital Universitari, Barcelona, Spain
- Claudia Herrera de Guise, MD, PhD, is Gastroenterologist at Crohn-Colitis Care Unit, Vall d'Hebron Hospital Universitari, Barcelona, Spain
- Arantxa Ibarz Casas, MSN, RN, is Research Nurse at Crohn-Colitis Care Unit, Vall d'Hebron Hospital Universitari, Barcelona, Spain
- Josep Maria Sánchez García, MD, is Medicine Doctor at Service of Preventive Medicine and Epidemiology, Vall d'Hebron Hospital Universitari, Barcelona, Spain
- Genoveva Vila Morte, RN, is Nurse at Service of Preventive Medicine and Epidemiology, Vall d'Hebron Hospital Universitari, Barcelona, Spain
- Carmen Fuentelsaz Gallego, RN, PhD, is Research Nurse at Vall d'Hebron Hospital Universitari, Barcelona, Spain
| | - Genoveva Vila Morte
- Ester Navarro Correal, MSN, RN, is a PhD student, Crohn-Colitis Care Unit, Vall d'Hebron Hospital Universitari, Barcelona, Spain; and enrolled in PhD student program in Health at Universitat de Lleida
- Francesc Casellas Jorda, MD, PhD, is Gastroenterologist at Crohn-Colitis Care Unit, Vall d'Hebron Hospital Universitari, Barcelona, Spain
- Natalia Borruel Sainz, MD, PhD, is Gastroenterologist at Crohn-Colitis Care Unit, Vall d'Hebron Hospital Universitari, Barcelona, Spain
- Virginia Robles Alonso, MD, PhD, is Gastroenterologist at Crohn-Colitis Care Unit, Vall d'Hebron Hospital Universitari, Barcelona, Spain
- Claudia Herrera de Guise, MD, PhD, is Gastroenterologist at Crohn-Colitis Care Unit, Vall d'Hebron Hospital Universitari, Barcelona, Spain
- Arantxa Ibarz Casas, MSN, RN, is Research Nurse at Crohn-Colitis Care Unit, Vall d'Hebron Hospital Universitari, Barcelona, Spain
- Josep Maria Sánchez García, MD, is Medicine Doctor at Service of Preventive Medicine and Epidemiology, Vall d'Hebron Hospital Universitari, Barcelona, Spain
- Genoveva Vila Morte, RN, is Nurse at Service of Preventive Medicine and Epidemiology, Vall d'Hebron Hospital Universitari, Barcelona, Spain
- Carmen Fuentelsaz Gallego, RN, PhD, is Research Nurse at Vall d'Hebron Hospital Universitari, Barcelona, Spain
| | - Carmen Fuentelsaz Gallego
- Ester Navarro Correal, MSN, RN, is a PhD student, Crohn-Colitis Care Unit, Vall d'Hebron Hospital Universitari, Barcelona, Spain; and enrolled in PhD student program in Health at Universitat de Lleida
- Francesc Casellas Jorda, MD, PhD, is Gastroenterologist at Crohn-Colitis Care Unit, Vall d'Hebron Hospital Universitari, Barcelona, Spain
- Natalia Borruel Sainz, MD, PhD, is Gastroenterologist at Crohn-Colitis Care Unit, Vall d'Hebron Hospital Universitari, Barcelona, Spain
- Virginia Robles Alonso, MD, PhD, is Gastroenterologist at Crohn-Colitis Care Unit, Vall d'Hebron Hospital Universitari, Barcelona, Spain
- Claudia Herrera de Guise, MD, PhD, is Gastroenterologist at Crohn-Colitis Care Unit, Vall d'Hebron Hospital Universitari, Barcelona, Spain
- Arantxa Ibarz Casas, MSN, RN, is Research Nurse at Crohn-Colitis Care Unit, Vall d'Hebron Hospital Universitari, Barcelona, Spain
- Josep Maria Sánchez García, MD, is Medicine Doctor at Service of Preventive Medicine and Epidemiology, Vall d'Hebron Hospital Universitari, Barcelona, Spain
- Genoveva Vila Morte, RN, is Nurse at Service of Preventive Medicine and Epidemiology, Vall d'Hebron Hospital Universitari, Barcelona, Spain
- Carmen Fuentelsaz Gallego, RN, PhD, is Research Nurse at Vall d'Hebron Hospital Universitari, Barcelona, Spain
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