Evaluation of the INSPIRE Respiratory Health Program for Smoking Cessation and patient’s satisfaction

<bold>Introduction:</bold> Smoking cessation associated to respiratory assessment can improve the patient’s adherence. <bold>Objectives:</bold> Assess the satisfaction of patients attended in the detection of respiratory disease associated to smoking cessation program <bold>Methods:</bold> The INSPIRE program in public health service in Botucatu, Brazil, focuses on early detection of chronic respiratory diseases. It provides spirometry, lung cancer screening, nutritional evaluation, and pulmonology assessments. Active smokers undergo multidisciplinary treatment. To assess effectiveness and satisfaction, we interviewed active smokers in the program after three months. <bold>Results:</bold> We assessed 303 patients, 126 were active smokers, 86 were contacted (56% female). 16.7% successfully quit smoking. 65.9% received medication prescriptions, but only 26.3% used to stop smoking. Non-adherence reasons included financial difficulties (45.6%), medication side effects (26.2%), perceived lack of improvement (19%) and relapse (11.9%). For those who failed to quit, 88.4% attributed it to withdrawal symptoms, 15.9% to passive smoking and 24.6% to difficulty attending appointments. 90,5% expressed maximum satisfaction with the INSPIRE program (Likert score=10). Of these, 47% recommended cheaper or free medications to stop smoking, and 26.3% suggested alternative consultation times. <bold>Conclusion:</bold> Despite high satisfaction, a minority successfully quit smoking associated with a financial challenge to pharmacological adherence. Withdrawal symptoms and difficulties attending appointments were pivotal factors contributing to unsuccessful smoking cessation. The findings highlight the complexity of intersection of patient and public health programs.

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Published
2024-09-14
DOI
https://doi.org/10.1183/13993003.congress-2024.pa4917
Primary Topic
Health and Wellbeing Research
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article
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article

Evaluation of the INSPIRE Respiratory Health Program for Smoking Cessation and patient’s satisfaction

Mariana de Souza Dorna, Érica Nishida Hasimoto, Bianca Oliveira Ismael da Costa, Gabriella Caroline de Carvalho Gomes et al.
Health and Wellbeing Research
article

Evaluation of the INSPIRE Respiratory Health Program for Smoking Cessation and patient’s satisfaction

Mariana de Souza Dorna, Érica Nishida Hasimoto, Bianca Oliveira Ismael da Costa, Gabriella Caroline de Carvalho Gomes, Marília Carneiro de Araújo Machado, Bruno Araújo, Suzana Érico Tanni, Liana Sousa Coelho, Robson Prudente, M. Callegari, Amanda André de Mendonça, Estefânia Franco, Vinícius de Oliveira Gonçalves, Thomaz Almeida Vargas, Luís Brizola, Bruno Gil de Carvalho Líma, Luiz Henrique de Araújo Machado, Julio De Oliveira, Letícia Ishimoto, I. Aguiar, Talita Jacon Cezare, Larissa Molero, Giovana Holouka, Jéssica Geronutti, Felipe Silva, J. R. da S. C. de Moraes, Bruno Freire, Bruna Carolina Corrêa, Gustavo Rios, Priscila Leocádia Rosa Dourado, Maércio Santos, Gabriel Artiga, Gabriel Renó, Luis Batalin, Vinícius Maehara, Vitor Nishiyiama, Bruno Deo
article en

Abstract

<bold>Introduction:</bold> Smoking cessation associated to respiratory assessment can improve the patient’s adherence. <bold>Objectives:</bold> Assess the satisfaction of patients attended in the detection of respiratory disease associated to smoking cessation program <bold>Methods:</bold> The INSPIRE program in public health service in Botucatu, Brazil, focuses on early detection of chronic respiratory diseases. It provides spirometry, lung cancer screening, nutritional evaluation, and pulmonology assessments. Active smokers undergo multidisciplinary treatment. To assess effectiveness and satisfaction, we interviewed active smokers in the program after three months. <bold>Results:</bold> We assessed 303 patients, 126 were active smokers, 86 were contacted (56% female). 16.7% successfully quit smoking. 65.9% received medication prescriptions, but only 26.3% used to stop smoking. Non-adherence reasons included financial difficulties (45.6%), medication side effects (26.2%), perceived lack of improvement (19%) and relapse (11.9%). For those who failed to quit, 88.4% attributed it to withdrawal symptoms, 15.9% to passive smoking and 24.6% to difficulty attending appointments. 90,5% expressed maximum satisfaction with the INSPIRE program (Likert score=10). Of these, 47% recommended cheaper or free medications to stop smoking, and 26.3% suggested alternative consultation times. <bold>Conclusion:</bold> Despite high satisfaction, a minority successfully quit smoking associated with a financial challenge to pharmacological adherence. Withdrawal symptoms and difficulties attending appointments were pivotal factors contributing to unsuccessful smoking cessation. The findings highlight the complexity of intersection of patient and public health programs.

Universidade Nove de Julho (BR), São Paulo State Technological College (BR), Medecell (Brazil) (BR), Fundação Padre Albino (BR), Universidade Estadual Paulista (Unesp) (BR)
Good health and well-being
Openalex Percentile: Top 65%
Health and Wellbeing Research
DOISourceOpenAlex
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