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Sequential changes in patient enablement instrument (PEI) during a smoking cessation program and its impact on smoking abstinence

村山, 慎一 東京慈恵会医科大学

2021.10.22

概要

Objectives: This study described the sequential changes in the Patient Enablement Instrument (PEI) scores during a smoking cessation program and clarified the impact of PEI scores on short- and long-term smoking abstinence.

Methods: This prospective cohort study included 110 patients from one hospital and nine clinics between 11/1/2015 and 2/28/2018. The main predictor is PEI scores at 1st consultation (PEI1) and final evaluation (last-PEI). The primary outcome is smoking abstinence at 4 and 24 weeks.

Results: Among 110 patients (38 females, 72 males; mean age ± standard deviation: 53.2±16.6), 75 (75/110; 68.2%) and 40 (40/99; 40.4%) individuals achieved 4 and 24 weeks- abstinence. Those who achieved 4 weeks-abstinence had higher PEI1 scores than those who did not (5.52±3.06 vs. 4.00±2.97). Those who achieved 24 weeks-abstinence had higher PEI1 and last-PEI scores than those who did not (PEI1: 5.85±3.14 vs. 4.12±2.94; last-PEI: 7.45±3.73 vs. 5.19±3.23). PEI scores indicated the statistically significant increase during the program. After adjusting for covariates by logistic regression analyses, PEI1 and last-PEI scores had a significant impact on 24 weeks-abstinence.

Conclusions: Patient enablement increased over time during a standardized smoking cessation program, and PEI1 and last-PEI scores were significant predictors for 24 weeks of smoking abstinence.

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