title: [Motivation of High-risk Patients to Stop Smoking in the DMP].
abstract: OBJECTIVE
  Patients in disease management programmes (DMP) have a high overall cardiovascular risk. Smoking is the most important preventable risk factor. A reduction in the overall risk could be achieved in studies by multiple risk consulting. Direct influence on the smoking behaviour has not been investigated. ARRBIA heart is a risk calculator that can represent mainly the possible risk reduction through a change in behaviour such as smoking cessation. The MOTOR study should therefore review the possibility of integrating ARRBIA heart DMP in order to increase the motivation to stop smoking.
  
  
  METHODS
  As part of the usual consultation DMP 47 patients were informed about their personal overall cardiovascular risk. Then a smoking brief intervention was performed depending on the predetermined motivation stage and handed out in a self-help manual at the end of the consultation. In the control group, 33 patients were treated as usual in the DMP.
  
  
  RESULTS
  The integration of a risk consulting with ARRIBA heart is possible at a mean intervention period of 10 min in the regular DMP. Most doctors want to continue to work with ARRIBA heart. A change in smoking behaviour could not be determined by a single risk consulting. It was found, however, that the perception of risk increased with increasing motivation to stop smoking.
  
  
  CONCLUSIONS
  In a subsequent study, the effectiveness of multiple risk consulting on the smoking behaviour and the overall risk must now be checked. The integration of ARRIBA heart is a possible approach to achieve regular smoking brief interventions in the DMP.
authors.affiliation: Institut für Hausarztmedizin, Unikliniken Bonn, Bonn.
authors.forename: M
authors.initials: M
authors.lastname: Bleckwenn
authors.affiliation: Institut für Hausarztmedizin, Unikliniken Bonn, Bonn.
authors.forename: S
authors.initials: S
authors.lastname: Münster
authors.affiliation: Institut für Hausarztmedizin, Unikliniken Bonn, Bonn.
authors.forename: K
authors.initials: K
authors.lastname: Weckbecker
mesh_terms: D002318:Cardiovascular Diseases / Q000517:prevention & control / Q000523:psychology; D019468:Disease Management; D005260:Female; D005858:Germany; D057220:Health Literacy; D006293:Health Promotion / Q000458:organization & administration*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009042:Motivation; D010353:Patient Education as Topic / Q000458:organization & administration; D010358:Patient Participation / Q000379:methods / Q000523:psychology; D012017:Referral and Consultation / Q000458:organization & administration; D012307:Risk Factors; D040242:Risk Reduction Behavior; D012907:Smoking / Q000523:psychology; D016540:Smoking Cessation / Q000523:psychology*; D000074606:Smoking Prevention; D035862:Vulnerable Populations / Q000523:psychology*