Changes in the Success and Characteristics of Tobacco Dependence Treatment before and during the COVID-19 Pandemic: Clinical Sample Comparisons
Jazyk angličtina Země Švýcarsko Médium electronic
Typ dokumentu časopisecké články, srovnávací studie
Grantová podpora
207037-1, and 207031-6
Chrales University Cooperatio Program, research area Metabolic Diseases 207037-1, and research area Health Sciences: Public Health, Hygiene and Epidemiology, Occupational Medicine
PubMed
39336500
PubMed Central
PMC11434142
DOI
10.3390/medicina60091459
PII: medicina60091459
Knihovny.cz E-zdroje
- Klíčová slova
- COVID-19 pandemic, tobacco dependence, treatment,
- MeSH
- COVID-19 * epidemiologie MeSH
- dospělí MeSH
- lidé středního věku MeSH
- lidé MeSH
- odvykání kouření metody statistika a číselné údaje MeSH
- pandemie MeSH
- poruchy vyvolané užíváním tabáku * terapie epidemiologie MeSH
- retrospektivní studie MeSH
- SARS-CoV-2 MeSH
- výsledek terapie MeSH
- Check Tag
- dospělí MeSH
- lidé středního věku MeSH
- lidé MeSH
- mužské pohlaví MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- srovnávací studie MeSH
- Geografické názvy
- Česká republika epidemiologie MeSH
Background and Objectives: There is little information on changes in the process and outcomes of intensive tobacco dependence treatment during the COVID-19 pandemic. The following characteristics were evaluated: interest in treatment, the number of face-to-face or telephone follow-ups, the duration of pharmacotherapy use, and the success rate. The aim of our study was to compare the number of patients who entered tobacco dependence treatment programmes and evaluate the one-year success rate in patients three years before and three years after the COVID-19 pandemic. Materials and Methods: A single-site retrospective cohort study using data from patients treated at the Centre for Tobacco Dependence in Prague, Czech Republic, between 2017 and 2022 (n = 2039) was performed. The one-year abstinence rate was validated by measuring carbon monoxide in exhaled air (6 ppm cut-off). Patients were divided into two groups: the group for which treatment was initiated in 2017-2019 (i.e., before the COVID-19 pandemic, BC; n= 1221) and the group for which treatment was initiated in 2020-2022 (i.e., during the COVID-19 pandemic, DC; n = 818). Results: No significant differences in the success rate of tobacco dependence treatment were found between the two groups (BC group, 40.5% (494/1221) vs. DC group, 42.2% (345/818)) (χ2 (1, N = 2.039) = 0.6, p = 0.440). Furthermore, differences were not found in sex, education level, age at first cigarette, the duration of pharmacotherapy use, or the number of in-person visits. In contrast, there was an increase in the number of telephone contacts between the groups (18.7% (SD = 17.5%) vs. 32.9% (SD = 18.2%), p < 0.001). Conclusions: The number of patients who started treatment during the COVID-19 pandemic decreased by one-third compared to that during the 3-year period before the pandemic. The overall treatment success rate did not change significantly even with the increase in the number of telephone visits with the therapist.
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