2016 Conference
    Home
    • 2016 Conference
      • Programme
      • Presentations A-Z
      • Posters A-Z
      • Delegate list
      • Venue
      • Exhibition
    • 2015 Archive
      • Programme
      • Presentations A-Z
      • Posters A-Z
      • Delegate list
      • Venue
      • Exhibition
    • 2014 Archive
      • Programme
      • Presentations A-Z
      • Posters A-Z
      • Delegate list
      • Venue
      • Exhibition
    • 2013 Archive
      • Programme
      • Presentations A-Z
      • Posters A-Z
      • Delegate list
      • Venue
      • Exhibition
    • 2012 Archive
      • Programme
      • Presentations A-Z
      • Posters A-Z
      • Delegate list
      • Venue
      • Accommodation
      • Exhibition
      • Photos
    • 2011 Archive
      • Programme
      • Presentations A-Z
      • Posters A-Z
      • Delegate list
      • Venue
      • Exhibition
      • Photos
    • Archive 2005 - 2010
        About us
        2014 Archive Poster
        Abstract
        Identifying needs of highly nicotine dependent COPD smokers using a stepped care model of psychological intervention

        Author(s)

        Su Yin Yap, Myra Stern, Elizabeth Pang, Sarah Lunn and Carla Croft

        Presenter(s)

        Dr Myra Stern  Consultant Physician, Whittington Health, Whittington Hospital, London

        Dr Su Yin Yap  Clinical Health Psychologist, Camden and Islington NHS Foundation Trust, London

        Abstract

        Smoking cessation is the most effective treatment for smokers with COPD. Quit rates are low, relapse rates high. We report a pilot study assessing benefits of adjunctive psychological intervention for smokers already on intensive treatment for stop smoking.

        Method: COPD smokers attending a stop smoking service were offered up to12 clinical psychology sessions. Initial assessment & formulation around factors maintaining smoking led to individualised psychological interventions. Baseline data included demographics, smoking history & disease severity. Outcomes included attendance, quit rate & thematic analysis of barriers to cessation.

        Results: 57 patients (moderate COPD, high prevalence of complex physical & psychological comorbidities) were referred. 38% patients never engaged, 26% were lost to follow-up, 35% patients attended >2 sessions (mean=5, range 2-12). 7/20 had already quit (relapse prevention referrals), 13 were smokers. 86% of the relapse prevention group maintained their quit. No smoker quit although 4/13 reduced tobacco intake.  Complex psychosocial barriers to quitting were identified.

        Conclusions: For COPD smokers with a heavy smoking history & multiple quit attempts, additional psychological interventions with quit smoking support may aid in preventing relapse but did not increase quit rates. Findings suggest that multi-skilled teams offering more targeted psychological intervention may help this group.


        Presenter biography

        Dr Myra Stern (PhD, FRCP) is an Integrated Consultant Respiratory Physician. She is clinical lead for Stop Smoking at Whittington Health, London and national lead for the British Thoracic Society Stop Smoking Champions.

        Source of funding: London Borough of Islington/North Central London Public Health

        Declaration of interest: None

         
        Abstract
        Join our mailing list