PA Medical News about smoking cessation; COPD

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What mediates the effect of confrontational counselling on smoking cessation in smokers with COPD?
Patient Education and Counselling, 06/24/09

Kotz D et al. - Confrontational counselling increases risk perceptions and self-efficacy, and decreases self-exempting beliefs (risk denial) in smokers with previously undetected COPD. These changes in mediators are associated with a higher likelihood of smoking cessation. Apart from the intensity, the content of smoking cessation counselling may be an important factor of success. A confrontational counselling approach as the authors applied may have the potential to alter smoking-related cognitions in such a way that smokers are more successful in quitting. Nurses can be trained to deliver this treatment.