# Evaluating the Impact of Chronic Care Model on Smoking Cessation: An Interventional Study

**Authors:** Pankaj Chaudhary, Deepika Choudhary, Anshdeep Singh, Salma H Mulla, Prashant GM, Nitin Modi, Priyanka Paul, Kumar Gaurav Chhabra

PMC · DOI: 10.7759/cureus.61512 · 2024-06-01

## TL;DR

This study tests if the Chronic Care Model helps healthcare workers quit smoking by tracking cotinine levels and behavior changes over a year.

## Contribution

The study evaluates the Chronic Care Model's effectiveness in smoking cessation among healthcare workers, emphasizing socioeconomic inclusivity.

## Key findings

- The CCM led to a significant decrease in smoking rates among participants.
- Urine cotinine levels dropped substantially over the 12-month period.
- Participants showed improved smoking-related behaviors and attitudes.

## Abstract

Background: This study aims to assess the effectiveness of the chronic care model (CCM) in helping primary healthcare workers quit smoking. The intervention involves implementing the CCM, which includes six key elements: the healthcare system, clinical care planning, clinical management information, self-management guidance, community resources, and decision-making.

Material and methods: The study is based on a population of 60 primary healthcare workers who smoke. The main outcome measure is smoking cessation, determined by cotinine levels in urine at the baseline, and at 6 and 12 months after the intervention. Other potential results include alterations in smoking-related behaviors and attitudes. Data analysis involves using descriptive statistics and inferential tests to determine the intervention's effectiveness in smoking cessation among primary healthcare workers.

Results: The CCM is expected to have contributed to a substantial decrease in the smoking rate among primary healthcare workers. It is also seen that there is a great reduction in urine cotinine levels during the 12-month intervention period. Moreover, a positive shift in the smoking-related behaviors and attitudes of the participants is expected.

Conclusion: This study provides key data about the effectiveness of the CCM in helping primary healthcare workers stop smoking. This statement emphasizes the importance of considering socioeconomic factors in the design and implementation of smoking cessation interventions. This ensures that people of different incomes and social statuses have equal access to quitting smoking and achieve similar results.

## Linked entities

- **Chemicals:** cotinine (PubChem CID 408)

## Full-text entities

- **Diseases:** Smoking (MESH:D015208)
- **Chemicals:** cotinine (MESH:D003367)

## Figures

2 figures with captions in the complete paper: https://tomesphere.com/paper/PMC11218422/full.md

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Source: https://tomesphere.com/paper/PMC11218422