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Master Thesis

Proposition systématique d'une tentative d'arrêt de tabac chez tout fumeur, en médecine générale : essai clinique pragmatique randomisé en grappes : à propos de 255 patients

Abstract : Introduction: The aim of PACT 2 is to measure the impact of systematically inciting patients to stop smoking whilst offering a free of charge 7 day nicotine replacement therapy, as opposed to advice only. Method: The study is based on Cluster Randomised Trials and Intention-to- treat analysis. 255 smokers were included from March 2013 to March 2014 in the Aquitaine region by 40 investigatory doctors. 129 smokers receiving a proactive intervention were monitored in the “smoking cessation arm”. 126 patients receiving minimal advice were included in the “control arm”. The collecting of data was done by means of a self-administered questionnaire on inclusion followed by a control at least 3 months later, as the main assessment criterion, permanent smoking cessation at the end of the follow-up period. Results: A greater probability of stopping smoking for a few days or a minimum of 7 days is observed in the “smoking cessat! ion arm”. The patients from the “smoking cessation arm” are more likely to quit smoking (17.8% as opposed to 13.5% in the “control arm”). The results are not statiscally significant for stopping smoking for a few days or for quitting smoking. They are significant for stopping smoking for a minimum of 7 days. Discussion: Further reflection is required to ascertain how to remove some obstacles both for smokers and for general practitioners in order to test the feasibility of such an approach. If the benefits of supportive consultation are confirmed, this could lead to a change in the management of smoking cessation in primary care.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-01135323
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Submitted on : Wednesday, March 25, 2015 - 11:02:58 AM
Last modification on : Wednesday, August 23, 2017 - 4:33:53 PM
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Louise Harry Knafo. Proposition systématique d'une tentative d'arrêt de tabac chez tout fumeur, en médecine générale : essai clinique pragmatique randomisé en grappes : à propos de 255 patients. Médecine humaine et pathologie. 2015. ⟨dumas-01135323⟩

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