Validation of smoking cessation self-reported by patients with chronic obstructive pulmonary disease.

Purpose: The present study reports on the biochemical validation of the self-reported smoking status of patients with chronic obstructive pulmonary disease (COPD). The objective is to establish the proportion of overestimation of self-reported success rates.

Methods: A cross-sectional smoking-status validation study including 60 patients with COPD who reported that they had stopped smoking.

How to promote healthy behaviours in patients? An overview of evidence for behaviour change techniques.

To identify the evidence for the effectiveness of behaviour change techniques, when used by health-care professionals, in accomplishing health-promoting behaviours in patients. Reviews were used to extract data at a study level. A taxonomy was used to classify behaviour change techniques.

General practice counseling for patients with chronic obstructive pulmonary disease to quit smoking: impact after 1 year of two complex interventions.

Objective: To evaluate two counseling programs in general practice to help smokers with chronic obstructive pulmonary disease (COPD) to quit smoking.

Methods: Cluster randomized controlled trial including 68 general practices (667 patients) using a randomly assigned intervention program with counseling and advice about nicotine replacement therapy (and additional bupropion-SR in one of the programs) or usual care. Usual care consisted of periodic regular check-ups and COPD information.

Spirometry expert support in family practice: a cluster-randomised trial.

Aim: To assess the impact of two modes of spirometry expert support on Family physicians' (FPs') diagnoses and planned management in patients with apparent respiratory disease.

Method: A cluster-randomised trial was performed with family practices as the unit of randomisation. FPs from 44 family practices recorded their diagnosis and planned management before and after spirometry for 868 patients.

Effect of an integrated primary care model on the management of middle-aged and old patients with obstructive lung diseases.

Objective: To investigate the effect of a primary care model for COPD on process of care and patient outcome.

Design: Controlled study with delayed intervention in control group.

Setting: The GP delegates tasks to a COPD support service (CSS) and a practice nurse.

The feasibility of a primary care model for the management of COPD.

Aims: To investigate the feasibility of a primary care model to improve the management of COPD.

Methods: An intervention study on 1,497 patients with documented COPD from 22 general practices, involving 11 practice nurses and a COPD Support Service (CSS). Outcome measures included the successful delegation of tasks from general practitioners (GPs) to the CSS and practice nurse, and performance in daily practice according to the model components -- keeping a patient register with a recall system, periodical history taking and lung function measurements, asking diagnostic and therapeutic advice, and performing regular follow-up visits with education and counselling.

Smoking cessation in patients with COPD in daily general practice (SMOCC): six months' results.

Background: Chronic Obstructive Pulmonary Disease (COPD) forms an increasing health problem. Despite smoking cessation improving the prognosis of the disease, many patients persist smoking. The present study presents the results of a smoking cessation counseling protocol in general practice (Smoking Cessation in patients with COPD in general practice (SMOCC)).

Characteristics of patients with COPD in three motivational stages related to smoking cessation.

Objective: To characterize patients with chronic obstructive pulmonary disease (COPD) in different motivational stages related to smoking cessation.

Methods: 633 smoking COPD patients from 67 general practices participated in a cross-sectional study. The patients were compared with respect to health indicators, demographics, self-efficacy, nicotine dependence, attitudes, and action plans.