Effectiveness of Tobacco Cessation Interventions in Sweden

NCT04819152 | Unknown

• 3 other identifiers: RökstoppsprojektetDnr: 2019-022212017-01681
• Study Type: observational
• Target: 8,000
• Locations: 1 country
• Sites: 8

Brief Summary

Smoking is still one of the most important risk factors causing morbidity and mortality in Sweden. Every year, 12,000 Swedish citizens die prematurely from smoking, and smoking is responsible for up to 60% of the inequity in health. Though the smoking prevalence is relatively low in Sweden in an international context (8% and 10% for men and women respectively in 2016), specific vulnarable groups have a very high prevalence; e.g. about 80% in alcohol and drug abusers. Furthermore, Sweden has a unique high prevalence of snus users and in 2016 the daily use of tobacco was 25% for men and 14% for women. In addition, products such as cigarettes, snus, and e-cigettes are often mixed. Despite the fact that about a thousand counsellors have been trained in manual-based person-centred tobacco cessation interventions in Sweden, the effectiveness of the interventions remains unknown, as a follow-up on effect of in-person interventions is not systematically collected in Sweden. Therefore, as of today it is not possible, on a national level, to compare the effectiveness of differences in these interventions, providers, or different groups of tobacco users including disadvantaged and vulnerable groups. In this study the investigators will evaluate the effectiveness of already implemented in-person cessation interventions targeting smoking, use of snus and/or e-cigarettes, focusing on disadvantaged and vulnerable groups of tobacco users. Furthermore, important factors associated with a successful outcome after controlling for confounders will be identified (in relation to programme, patients and setting).

Conditions

Tobacco Use; Smoking; Cigarette Use, Electronic

Keywords

National cohort study; Effectiveness; Tobacco use cessation; Smoking cessation; Vulnerable groups

Outcome Measures

Primary Outcomes (1)

• % of patients that are continuously smokefree

  Self-reported smoking status, questionnaire completed by telephone interview

  6 months

Secondary Outcomes (3)

• % of patients that are smokefree

  On completion of the tobacco cessation programme (app. 1 month after quitting)

• % of patients that have been smokefree for at least the latest 14 days

  6 months

• % of patients that are satisfied with the smoking cessation intervention

  6 months

Study Arms (2)

Exposed

Several studies will be performed based on this cohort. I each study the exposed group will be a group of tobacco users evaluatedin the relevant study. This could be a vulnarable group tobacco users such as: users without a job, with short or no education, without permanent housing, diagnosed with mental illness, diagnosed with chronic obstructive pulmonary disease (COPD), undergoing surgery, adolescents, elderly, migrants, or pregnant women.

Behavioral: Tobacco cessation intervention

Unexposed

In each study the unexposed group will consist of tobacco user from the study cohort without the condition examined in the relevant study.

Behavioral: Tobacco cessation intervention

Interventions

Tobacco cessation intervention BEHAVIORAL

Already implemented in-person (including online meetings) tobacco cessation interventions in Sweden

Exposed; Unexposed

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

The population in this study are tobacco users in Sweden, who have attented an in-person tobacco cessation programme.

You may qualify if:

• Both individual and group-based interventions can be included.

You may not qualify if:

• Withdrawing consent.
• Reduced ability to give informed consent, due to inadequate language skills, dementia, and other conditions.

Sponsors & Collaborators

• Lund University: lead

Study Sites (8)

Tobaksavvänjningen, Kirurgisk mott., CLV Växjö lasarett

Vaxjo, Kronoberg County, Sweden

RECRUITING

Capio Go

Malmo, Skåne County, Sweden

RECRUITING

Livsstilsmedicin Österåsen

Sollefteå, Västernorrland County, Sweden

RECRUITING

Tobakspreventiva enheten, USÖ

Örebro, Sweden

RECRUITING

Tybble vårdcentral

Örebro, Sweden

RECRUITING

Ekeby Hälsocenter

Uppsala, Sweden

RECRUITING

Flogsta vårdcentral

Uppsala, Sweden

RECRUITING

Tobakspreventiv mottagning Karlskoga

Karlskoga, Örebro County, Sweden

RECRUITING

Related Publications (1)

• Rasmussen M, Larsson M, Gilljam H, Adami J, Warjerstam S, Post A, Bjork-Eriksson T, Helgason AR, Tonnesen H. Effectiveness of tobacco cessation interventions for different groups of tobacco users in Sweden: a study protocol for a national prospective cohort study. BMJ Open. 2022 Jan 25;12(1):e053090. doi: 10.1136/bmjopen-2021-053090.

  PMID: 35078840 BACKGROUND

MeSH Terms

Conditions

Tobacco Use; Smoking; Vaping; Tobacco Use Cessation; Smoking Cessation

Condition Hierarchy (Ancestors)

Behavior; Health Behavior

Study Officials

• Hanne Tønnesen, DSc

  Lund University, Clinical health promotion centre

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Mette Rasmussen, PhD

CONTACT

+4538163850; mette.rasmussen@med.lu.se

Hanne Tønnesen, DSc

CONTACT

+46724531481; hanne.tonnesen@med.lu.se

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Professor

Study Record Dates

• First Submitted: March 23, 2021
• First Posted: March 26, 2021
• Study Start: April 9, 2020
• Primary Completion: December 1, 2022
• Study Completion: December 1, 2023
• Last Updated: August 18, 2022

Record last verified: 2022-08

Locations

SE (8)