The 13th World Conference on Tobacco OR Health

Objective: A multifaceted intervention to implement a smoking cessation protocol was tested in routine daily practice. A cost-effectiveness analyses was performed.

Methods: Design: a RCT with a follow-up of 12 months. Intervention: a multifaceted strategy containing: - a 4h central training for GPs and practice nurses - 4 support visits at the practice location - detection of patients using an algorithm for electronic medical records - a patient counseling protocol (invitation for control visits, assessment of motivational stage, education materials, 1-3 follow-up visits depending on stage of change, NRT, telephone follow-up by practice nurse). Measures: self-reported and biochemically validated point prevalence, incremental cost-effectiveness ratio (ICER). Analysis: Chi-squares, multilevel multivariate logistic regression, intention to treat analysis. The cost-effectiveness analysis (CEA) addressed the ICER as the difference in intervention + medical costs between the arms divided by the difference in percentages of biochemically validated quitters.

Results: The control arm had 148 patients, the SMOCC arm 244 (N = 22 and 21 practices). After 12 months, more patients in the SMOCC arm reported having quit smoking(14.4% vs 7.4%). Biochemical validation resulted in a decline of quit rates (respectively 8.6% and 4.1%). Associations with successful smoking cessation are presented. The ICER was preliminary calculated at € 1680,--.