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BMC Public Health. 2012; 12: 322.
Published online 2012 July 4. doi:  10.1186/1471-2458-12-322
PMCID: PMC3390274
Clinical trial on the efficacy of exhaled carbon monoxide measurement in smoking cessation in primary health care
Joana Ripoll,corresponding author1 Helena Girauta,1 Maria Ramos,2 David Medina-Bombardó,3 Agnès Pastor,4 Cristina Alvarez-Ossorio,5 Lucía Gorreto,6 Maria Esteva,7 Elena García,8 Ana Uréndez,9 Ana Buades,1 and Elena Torres1
1Primary Care Research Unit of Mallorca, Baleares Health services-IbSalut, Mallorca, Spain
2Public Health Department, Balearic Islands Health Department, Mallorca, Spain
3Manacor Health Care Centre, Baleares Health services-IbSalut, Mallorca, Spain
4Sineu Health Care Centre, Baleares Health services-IbSalut, Mallorca, Spain
5Camp Redó Health Care Centre, Baleares Health services-IbSalut, Mallorca, Spain
6Emili Darder Health Care Centre, Baleares Health services-IbSalut, Mallorca, Spain
7Artà Health Care Centre, Baleares Health services-IbSalut, Mallorca, Spain
8Sant Agustí Health Care Centre, Baleares Health services-IbSalut, Mallorca, Spain
9Son Pisà Health Care Centre, Baleares Health services-IbSalut, Mallorca, Spain
corresponding authorCorresponding author.
Joana Ripoll: jripoll/at/ibsalut.caib.es; Helena Girauta: hgirauta/at/ibsalut.caib.es; Maria Ramos: mramos/at/dgsanita.caib.es; David Medina-Bombardó: dmedina/at/ibsalut.caib.es; Agnès Pastor: apastor/at/ibsalut.caib.es; Cristina Alvarez-Ossorio: calvaezossorio/at/ibsalut.caib.es; Lucía Gorreto: lgorreto/at/ibsalut.caib.es; Maria Esteva: maesteva/at/ibsalut.caib.es; Elena García: elenagarcia/at/ibsalut.caib.es; Ana Uréndez: amurendez/at/ibsalut.caib.es; Ana Buades: ambuades/at/ibsalut.caib.es; Elena Torres: elenatorres/at/ibsalut.caib.es
Received March 16, 2012; Accepted May 2, 2012.
Abstract
Background
Smoking cessation is beneficial for our health at any point in life, both in healthy people and in people already suffering from a smoking-related disease. Any help to quit smoking can produce considerable benefits for Public Health. The purpose of the present study is to evaluate the efficacy of the CO-oximetry technique together with brief advice in smoking cessation, in terms of reduction of the number of cigarettes or in the variation of the motivation to quit smoking at month 12 compared with brief advice alone.
Methods/Design
Randomised, parallel, single-blind clinical trial in a primary health care setting in Majorca (Spain). Smokers in contemplation or pre-contemplation phase will be included in the study. Exclusion criteria: Smokers in preparation phase, subjects with a terminal illness or whose health status does not allow them to understand the study or complete the informed consent, and pregnant or breastfeeding women. The subjects will be randomly assigned to the control group (CG) or the intervention group (IG). The CG will receive brief advice, and the IG will receive brief advice together with a measurement of exhaled CO. There will be follow-up evaluations at 6 and 12 months after inclusion. 471 subjects will be needed per group in order to detect a difference between groups  5%. Primary outcome: sustained smoking cessation (at 6 and 12 months) confirmed by urine cotinine test. Secondary outcomes: point smoking cessation at 6 and 12 months both confirmed by urine cotinine analysis and self-reported, reduction in cigarette consumption, and variation in phase of smoking cessation.
Discussion
CO-oximetry is an inexpensive, non-invasive, fast technique that requires little technical training; making it a technique for risk assessment in smokers that can be easily applied in primary care and, if proven effective, could serve as a reinforcement aid in smoking cessation intervention activities.
Trial Registration
Current Controlled Trials ISRCTN67499921
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