title: Smoking cessation treatment for COPD smokers: the role of counselling.
abstract: Smoking cessation is the only therapeutic intervention that can prevent COPD smokers from the chronic progression of their disorder. The most important intervention for helping these smokers to quit is a combination of counseling plus pharmacological treatment. The characteristics of the counseling should be different depending if this intervention is offered to smokers with a previous diagnosis of COPD or if the intervention is offered to smokers who have been recently diagnoses with COPD. The counseling of patients who have been recently diagnosed should include: a) explanation of the direct relationship between smoking and COPD, b) encouraging these patients to quit and c) using of spirometry and measurements of CO as a motivational tools. The counseling of patients who have been previously diagnosed should include: a) encouragement to make a serious quit attempt, b) an intervention that increases motivation, self-efficacy and self-esteem, c) and the intervention should also control depression and be directed to weight gain control.
authors.affiliation: Smokers Clinic, Community of Madrid, Spain. victorina@ctv.es
authors.forename: C A
authors.initials: CA
authors.lastname: Jiménez-Ruiz
authors.forename: K O
authors.initials: KO
authors.lastname: Fagerström
mesh_terms: D003376:Counseling; D003863:Depression / Q000453:epidemiology; D006801:Humans; D009042:Motivation; D029424:Pulmonary Disease, Chronic Obstructive / Q000523:psychology*; D016540:Smoking Cessation / Q000379:methods* / Q000523:psychology; D015430:Weight Gain