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Counseling Helps Heart Disease Patients Quit Smoking

SmokeThe advice to stop smoking is a general notice from health experts. However, the warning becomes especially serious when an individual has heart disease.

New research discovers psychosocial interventions — like counseling, telephone support and self-help materials — can assist heart disease patients who are trying to give up cigarettes.

Significantly, the most successful cessation treatments last a month or more, according to a new review of studies.

The review gathers evidence from 16 randomized controlled studies of psychosocial quit-smoking interventions for patients with coronary heart disease. Many of the study participants had experienced a heart attack or an invasive treatment such as bypass surgery or angioplasty.

“We found support for the efficacy of smoking cessation interventions with more than one-month duration, but brief interventions without some follow-up contact were not effective. We were unable to determine the minimum number of contacts needed,” the review authors write.

The review appears in the latest issue of The Cochrane Library, a publication of The Cochrane Collaboration, an international organization that evaluates medical research. Systematic reviews draw evidence-based conclusions about medical practice after considering both the content and quality of existing medical trials on a topic.

Jürgen Barth, a senior researcher with the Institute of Social and Preventive Medicine at Bern University in Switzerland, led the review.

Coronary heart disease — the No. 1 cause of death in the United States — results from a buildup of plaque within the walls of the arteries that supply the heart muscle with oxygen and nutrients. Smokers have an increased risk for heart disease, and people with heart disease who smoke have an increased risk for heart attack and death.

Health professionals say that there is an added urgency to help people with heart disease give up the cigarette habit.

The review analyzed the effectiveness of different psychosocial quitting aids. The likelihood that a smoker with heart disease would remain abstinent after six to 12 months was similar for behavioral counseling, phone support and self-help (information booklets, audio- or videotapes) interventions.

“Most trials used a mixture of different intervention strategies, therefore no single strategy showed superior efficacy,” the review found.

Overall, psychosocial smoking cessation interventions in coronary heart disease patients required about 10 patients to undergo treatment for one person to be abstinent from tobacco after one year, the review found.

Saul Shiffman, addictive behavior researcher at the University of Pittsburgh, said many health care providers consider a heart attack a “teachable moment” that can persuade smokers to give up cigarettes.

“Many people do quit, but some don’t,” Shiffman said. “The biggest lesson of the review is that you can’t rely on a heart attack to scare everyone into quitting. It is just a moment and we need sustained interventions to translate that moment from the bedside into real life.”

The review authors say that after a cardiac event about 30 percent to 50 percent of smokers with coronary heart disease quit smoking without professional help. Psychosocial interventions are able to increase this rate, Barth said.

Heart disease is a slow-onset condition, so it is likely that many smokers with the condition have heard admonitions to quit smoking, Shiffman said.

He said that finding effective cessation treatments for people with heart disease is important because the patients who have not given up cigarettes are likely “battle-hardened smokers.”

Source: Health Behavior News Network

Counseling Helps Heart Disease Patients Quit Smoking

Rick Nauert PhD

Rick Nauert, PhDDr. Rick Nauert has over 25 years experience in clinical, administrative and academic healthcare. He is currently an associate professor for Rocky Mountain University of Health Professionals doctoral program in health promotion and wellness. Dr. Nauert began his career as a clinical physical therapist and served as a regional manager for a publicly traded multidisciplinary rehabilitation agency for 12 years. He has masters degrees in health-fitness management and healthcare administration and a doctoral degree from The University of Texas at Austin focused on health care informatics, health administration, health education and health policy. His research efforts included the area of telehealth with a specialty in disease management.

APA Reference
Nauert PhD, R. (2018). Counseling Helps Heart Disease Patients Quit Smoking. Psych Central. Retrieved on February 18, 2019, from
Scientifically Reviewed
Last updated: 8 Aug 2018
Last reviewed: By a member of our scientific advisory board on 8 Aug 2018
Published on Psych All rights reserved.