Impact of Primary Care COPD Screening Strategies on the Smoking Cessation Process (DISCO-SET)
Condition: Smoking Cessation; Pulmonary Disease, Chronic Obstructive
MeSH terms: Pulmonary Disease, Chronic Obstructive
Study type: Observational

Summary: 
      The general practitioner is confronted with unselected smokers whose attempts to quit smoking
      are often repeated over time before leading to a definitive cessation.

      Each year, 3-5% of smokers succeed in quitting in the general population. The corollary is
      that the majority of smokers are in a situation of failure in their attempt to quit: 33%
      declared during the 2019 French Health Barometer to have made an attempt of at least 7 days
      in the past year. Thus, this status of "smoker" can cover a wide variety of situations: no
      attempt to stop smoking, attempt(s) of more or less clinical significance, previous support
      or not by a health professional, etc. Currently, the HAS recommendations do not determine a
      specific course of action for these smokers, whose experiences may be very different. It
      could therefore be interesting to objectivize the smoking cessation process of these patients
      who have or have not succeeded in quitting, in order to deduce profiles of smokers according
      to their previous smoking cessation experiences. Furthermore, the choice and relevance of the
      cessation criteria used are debated.

      Following the randomized controlled trial DISCO on COPD screening interventions in primary
      care (3 intervention arms, 1 control arm), the investigators will carry out a pilot
      cross-sectional survey on the cessation process of smokers during the 2 years following their
      participation, evaluating the incidence and modalities of cessation attempts of smokers
      belonging to an age group at risk of COPD (40-80 years) and who initially consulted their
      general practitioner for any reason 2 years ago at the time of their inclusion.

      The impact on future management could be the personalization of cessation advice given to
      smokers according to quantitative and qualitative indicators specific to their experience,
      their previous history of smoking cessation, their health situation and socio-demographic
      characteristics. Eventually, a gradation of the levels of support offered to patients in
      general practice on the basis of predictive factors of smoking cessation could be studied.

      The investigators hypothesize that participation in COPD screening with the GP may be
      associated with patient progress in quitting smoking. This pilot study will be conducted on a
      random sample of 120 participants from the subgroup of 544 patients who were smokers at
      inclusion in DISCO.
    


Intervention name(s): Phone survey about smoking cessation process since intervention in DISCO trial
Intervention type(s): Other
Intervention description(s): We will conduct a phone survey at 2 years follow-up with a random sample of smoking patients at inclusion in DISCO trial, to know the evolution of their smoking habits, the quit attempts since the intervention and the modalities of these attempts.
Observational model: Other
Time perspective: Cross-Sectional
Sampling method: Probability Sample
Study population: 
        Random sample of 120 patients from the subgroup of 544 patients who were active smokers at
        inclusion in the DISCO study two years ago
      
Keywords: Tobacco use cessation devices; Electronic Nicotine Delivery Systems; Cross-Sectional Studies; Smokers; Primary Care