Behaviour therapy versus doctor's anti-smoking advice in diabetic patients.
OBJECTIVE
To evaluate the efficacy of a structured behaviour therapy programme on smoking cessation in diabetic patients.


METHODS
Prospective, randomized, controlled intervention study.


METHODS
University out-patient diabetes clinic.


METHODS
A total of 794 consecutive insulin-treated smoking diabetic patients were invited to participate in a smoking cessation programme. Eighty-nine patients agreed to participate and were randomized in two groups.


METHODS
Forty-four patients were randomized to a structured extensive behaviour therapy anti-smoking intervention and 45 patients to a control group that received a single unstructured anti-smoking advice session given by a physician.


METHODS
After 6 months, nine patients were confirmed not to be smoking (i.e. urine cotinine concentration below 20 ng ml-1, 2 [5%] in the behaviour therapy intervention group and 7 [16%] in the control group.


CONCLUSIONS
In diabetic patients an extensive behaviour therapy intervention for smoking cessation is no more successful than an unstructured physician's advice.
Sawicki
P T
PT
World Health Organization Collaborating Centre for Diabetes, Heinrich-Heine University, Düsseldorf, Germany.
Didjurgeit
U
U
Mühlhauser
I
I
Berger
M
M
D000328:Adult; D001521:Behavior Therapy; D003376:Counseling; D048909:Diabetes Complications; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D016540:Smoking Cessation; D014029:Tobacco Use Disorder / Q000150:complications / Q000628:therapy*; D016896:Treatment Outcome