Abstract

ABSTRACTBackgroundSmoking cessation is the most useful and cost effective way to reduce the risk of developing chronic obstructive pulmonary disease (COPD) and stop its progression. Long‐term success rates with smoking cessation programs are known to be poor.AimTo identify factors influencing the outcomes of smoking cessation programs in COPD patients from their perspective.MethodIn‐depth interviews were conducted with 27 patients with a history of smoking, chosen from a cohort of 173 patients with moderate to severe COPD participating in a community‐based randomised trial.ResultsThe study sample consisted of 6 females and 21 males with a mean age of 69.6 years and a mean smoking history of 58.5 ± 34.1 pack years. 6 patients continued to smoke at the time of the interview. Patients had attempted both pharmacological and non‐pharmacological methods for quitting. Smoking cessation in COPD patients was influenced by various barriers and facilitators pertaining to patient, health, treatment and healthcare providers.ConclusionHealth professionals may be able to improve the outcomes of smoking cessation programs in COPD patients by being more proactive in offering combination smoking cessation interventions with adequate follow‐up.

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