title: Impact of spirometry feedback and brief motivational counseling on long-term smoking outcomes: a comparison of smokers with and without lung impairment.
abstract: OBJECTIVE
  We compared long-term outcomes among smokers with and without impaired lung functioning who received brief counseling highlighting their spirometric test results.
  
  
  METHODS
  Participants in this analysis all received a brief motivational intervention for smoking cessation including spirometric testing and feedback ( approximately 20 min), were advised to quit smoking, offered free access to a phone-based smoking cessation program, and followed for one year. Outcomes were analyzed for smokers with (n=99) and without (n=168) impaired lung function.
  
  
  RESULTS
  Participants with lung impairment reported greater use of self-help cessation materials at 6 months, greater use of non-study-provided counseling services at 6 and 12 months, higher 7-day PPA rates at 6 months, and were more likely to talk with their doctor about their spirometry results.
  
  
  CONCLUSIONS
  Further research is warranted to determine if spirometry feedback has a differential treatment effect among smokers with and without lung impairment.
  
  
  CONCLUSIONS
  It is premature to make practice recommendations based on these data.
authors.affiliation: Group Health Research Institute in Seattle, WA 98101, USA. McClure.J@GHC.org
authors.forename: Jennifer B
authors.initials: JB
authors.lastname: McClure
authors.forename: Evette J
authors.initials: EJ
authors.lastname: Ludman
authors.forename: Lou
authors.initials: L
authors.lastname: Grothaus
authors.forename: Chester
authors.initials: C
authors.lastname: Pabiniak
authors.forename: Julie
authors.initials: J
authors.lastname: Richards
mesh_terms: D000328:Adult; D000368:Aged; D003376:Counseling; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008171:Lung Diseases / Q000503:physiopathology; D008297:Male; D008875:Middle Aged; D009042:Motivation; D018570:Risk Assessment / Q000379:methods; D012907:Smoking / Q000009:adverse effects; D016540:Smoking Cessation / Q000379:methods / Q000523:psychology / Q000706:statistics & numerical data*; D000074606:Smoking Prevention; D013147:Spirometry / Q000295:instrumentation / Q000379:methods*; D013689:Telephone; D013997:Time Factors; D016896:Treatment Outcome