There were no significant mean reductions for body mass index or serum cholesterol .
Nurse-led interventions produced greater improvements than ' usual care ' for HbA1c , serum triglyceride and smoking cessation and support an increased independent role for nurses in diabetes management
Quit in general practice: a cluster randomized trial of enhanced in-practice support for smoking cessation.
OBJECTIVES To evaluate the uptake and effectiveness of tailored smoking cessation support , provided primarily by the practice nurse ( PN ) , and compare this to other forms of cessation support . METHODS Three arm cluster r and omized controlled trial conducted in 101 general practice s in Sydney and Melbourne involving 2390 smokers . The Quit with PN intervention was compared to Quitline referral and a usual care control group . Smoking cessation pharmacotherapy was recommended to all groups . Outcomes were assessed by self-report at 3- and 12-month follow-up . Uptake of the interventions is also reported . RESULTS The three groups were similar at baseline . Follow-up at 12 months was 82 % . The sustained and point prevalence abstinence rates , respectively , at 3 months by group were : PN intervention 13.1 % and 16.3 % ; Quitline referral 10.8 % and 14.2 % ; Usual GP care 11.4 % and 15.0 % . At 12 months , the rates were : PN intervention 5.4 % and 17.1 % ; Quitline referral 4.4 % and 18.8 % ; Usual GP care 2.9 % and 16.4 % . Only 43 % of patients in the PN intervention group attended to see the nurse . Multilevel regression analysis showed no effect of the intervention overall , but patients who received partial or complete PN support were more likely to report sustained abstinence [ partial support odds ratio ( OR ) 2.27 ; complete support OR 5.34 ] . CONCLUSION The results show no difference by group on intention to treat analysis . Those patients who received more intensive PN intervention were more likely to quit . This may have been related to patient motivation or an effect of PN led cessation support
There were no significant mean reductions for body mass index or serum cholesterol .
Nurse-led interventions produced greater improvements than ' usual care ' for HbA1c , serum triglyceride and smoking cessation and support an increased independent role for nurses in diabetes management