Smoking Cessation Models for COPD
Smoking is the primary risk factor for COPD and can contribute to diminished lung function among COPD patients.
Among individuals who smoke, cessation is one of the most
effective ways to manage COPD symptoms and reduce morbidity.
A 2001 study in Chest found that smokers
with COPD had greater nicotine dependency compared to other smokers, while a
2015 Respiration article reports that
smokers with COPD had higher levels of depression, higher cigarette dependence, and lower self-efficacy to stop
smoking than smokers without COPD.
systematic literature review found the most effective smoking cessation strategy for patients with COPD
included a combination of behavioral counseling and pharmacotherapy. It also found that using nicotine
replacement therapy, as well as with smoking cessation aids like varenicline and bupropion, has shown higher
relative efficacy in smoking cessation among smokers with COPD.
RHIhub has developed a Rural Tobacco Control and Prevention Toolkit that
contains extensive information about smoking among rural populations, including statistics and examples of
smoking cessation and other tobacco control programs.
Examples of Smoking Cessation Models
Typically, smoking cessation programs are not tailored specifically to smokers with COPD. Several examples of
smoking cessation models can be found in the Rural Tobacco Control and Prevention Toolkit's Program Models
section, with links to specific examples listed below.
Considerations for Implementation
Since smokers with COPD report less confidence in their ability to quit smoking, it's important to build
self-efficacy. Additionally, a 2015 analysis
mentioned several characteristics of effective smoking cessation counseling for patients with COPD, including:
Provide a clear explanation of the relationship between smoking and COPD. Explain that quitting smoking is
the best option to slow the progression of COPD and improve outcomes.
Use spirometry results to increase motivation to quit.
Inform patients that inhaled treatments may not work as well if they continue to smoke.
Inform patients that quitting smoking can improve airflow obstruction, which alleviates COPD symptoms of
breathlessness, cough, wheezing, and chest pain.
Resources to Learn More
A smoking cessation guide created for people aged 50 or older.
Organization(s): National Cancer Institute
Smoking Cessation Effectiveness in
Smokers with COPD and Asthma under Real Life Conditions
Study comparing the long-term effectiveness of a rigorous smoking cessation program between smokers with COPD,
smokers with asthma, and a control group.
Author(s): Gratziou, C., Florou, A., Ischaki, E., Eleftheriou, K., Sachlas, A., Bersimis,
S., & Zakynthinos, S.
Citation: Respiratory Medicine, 108 (4)