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Effects of Feedback on Spirometry in Primary Care on Motivation for Smoking Cessation


Walters, JA and Johns, DP and Blizzard, L and Walters, EH and Wood-Baker, R, Effects of Feedback on Spirometry in Primary Care on Motivation for Smoking Cessation , Journal of Smoking Cessation, 4, (1) EJ ISSN 1834-2612 (2009) [Refereed Article]

DOI: doi:10.1375/jsc.4.1.34


We evaluated the effect of feedback after opportunistic spirometry in general practice on motivation for smoking cessation using stage change in the transtheoretical model. A total of 328 smokers aged over 35 years were given immediate feedback on the presence or absence of lung damage due to smoking, plus brief standard cessation advice. At 3 months, 99 (30.2%) smokers reported making an attempt to quit and 17 (5.2%) smokers reported moving into action stage for cessation. Of 297 (80.5%) successfully followed up, 81 (27.3%) smokers demonstrated forward shift and 35 (11.8%) smokers demonstrated backward shift. Feedback on the presence of lung damage was not significantly associated with reporting a quit attempt (p = .31) or moving into action stage for cessation (p = .30). Odds of forward or backward shift were not independently associated with either feedback on the presence of lung damage or normal lung function. Odds of backward shift with feedback on lung damage depended on participants’ assessments of quit benefits, which were correlated with their prior self-assessment of lung damage. Our findings suggest that feedback to smokers after spirometry about the absence of lung damage is not harmful. However, eliciting personal health attitudes is also important so cessation advice can be tailored especially for smokers who believe they already have lung damage from smoking.

Item Details

Item Type:Refereed Article
Research Division:Biomedical and Clinical Sciences
Research Group:Cardiovascular medicine and haematology
Research Field:Respiratory diseases
Objective Division:Health
Objective Group:Public health (excl. specific population health)
Objective Field:Behaviour and health
UTAS Author:Walters, JA (Dr Julia Walters)
UTAS Author:Johns, DP (Associate Professor David Johns)
UTAS Author:Blizzard, L (Professor Leigh Blizzard)
UTAS Author:Walters, EH (Professor Haydn Walters)
UTAS Author:Wood-Baker, R (Professor Richard Wood-Baker)
ID Code:59117
Year Published:2009
Deposited By:Menzies Institute for Medical Research
Deposited On:2009-11-18
Last Modified:2010-04-16

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