title: Behaviour therapy versus doctor's anti-smoking advice in diabetic patients.
abstract: 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.
authors.affiliation: World Health Organization Collaborating Centre for Diabetes, Heinrich-Heine University, Düsseldorf, Germany.
authors.forename: P T
authors.initials: PT
authors.lastname: Sawicki
authors.forename: U
authors.initials: U
authors.lastname: Didjurgeit
authors.forename: I
authors.initials: I
authors.lastname: Mühlhauser
authors.forename: M
authors.initials: M
authors.lastname: Berger
mesh_terms: 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