Cognitive changes in cardiovascular patients following a tailored behavioral smoking cessation intervention

Autor: Dink A. Legemate, Arie Dijkstra, J.C.J.M. de Haes, E. M. A. Smets, Louise C.W. Wiggers, Frans J. Oort
Přispěvatelé: Social Psychology, APH - Amsterdam Public Health, Medical Psychology, ACS - Amsterdam Cardiovascular Sciences, Surgery
Jazyk: angličtina
Rok vydání: 2005
Předmět:
Counseling
Male
PLANNED BEHAVIOR
Epidemiology
medicine.medical_treatment
RANDOMIZED TRIAL
DISEASE
law.invention
HOSPITALIZED-PATIENTS
Cognition
Randomized controlled trial
prevention
law
Behavior Therapy
Reference Values
Risk Factors
cardiovascular disease
Ambulatory Care
Medicine
Netherlands
Smoking
Theory of planned behavior
Age Factors
behavioral intervention
cognitions
Middle Aged
Combined Modality Therapy
Self Efficacy
Treatment Outcome
Cardiovascular Diseases
Female
HEALTH
Attitude to Health
SMOKERS
Adult
medicine.medical_specialty
Nicotine
Affect (psychology)
Sex Factors
Intervention (counseling)
Humans
Psychiatry
CARDIAC INPATIENTS
MOTIVATIONAL PHASES
Self-efficacy
business.industry
Public Health
Environmental and Occupational Health
SELF-EFFICACY
Nicotine replacement therapy
MYOCARDIAL-INFARCTION
Delayed-Action Preparations
Smoking cessation
Smoking Cessation
business
Follow-Up Studies
Zdroj: Preventive Medicine, 40(6), 812-821. ACADEMIC PRESS INC ELSEVIER SCIENCE
Preventive medicine, 40(6), 812-821. Academic Press Inc.
ISSN: 0091-7435
DOI: 10.1016/j.ypmed.2004.09.028
Popis: Background. Action aimed at changing smoking behavior to prevent cardiovascular patients from further impairing their health is advisable. Cognitive behavioral interventions can be effective in this regard since they attempt to influence cognitive determinants that presumably lead to smoking cessation. The Minimal Intervention Strategy for Cardiology patients (C-M IS) is such an intervention, tailored to the patients' readiness to change, Our aim is to investigate whether the C-MIS is successful in changing patients' cognitions such as attitudes, social influence, self-efficacy and intention to quit during a 1-year period,Methods. Smoking outpatients (N = 315) with cardiovascular disease were included, They were randomized and received either Nicotine Replacement Therapy (NRT) or NRT + C-MIS. At baseline (T I), sociodemographic and clinical characteristics were measured. Cognitions and quitting behavior were assessed at baseline and at four follow-up measurements,Results. Comparing treatments, the C-MIS did not affect pros of quitting. pros of smoking and social influence, We did find small effects of the C-MIS on intention to quit and self-efficacy, although only for higher-educated patients.Conclusion. The C-MIS appears successful in affecting intention to quit and self-efficacy abilities, but only for patients with higher education levels. Initial positive changes in cognitions may also emerge in a medical intervention. such as the provision of NRT. © 2004 Elsevier Inc. All rights reserved.
Databáze: OpenAIRE
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