Determinants of Smoking Cessation Outcomes and Reasons for Relapse in Patients Admitted to a Smoking Cessation Outpatient Clinic in Turkey

Tijen Acar, Claire Gallagher, Yasemin Gören, Bircan Erbas () and Adem Özkara ()
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Tijen Acar: Department of Family Medicine, School of Medicine, Kafkas University, 36000 Kars, Turkey
Claire Gallagher: Centre of Epidemiology and Biostatistics, School of Population and Global Health, University of Melbourne, Parkville, VIC 3052, Australia
Yasemin Gören: Department of Family Medicine, Bozüyük State Hospital, 11300 Bilecik, Turkey
Bircan Erbas: Department of Public Health, School of Psychology & Public Health, La Trobe University, Bundoora, VIC 3086, Australia
Adem Özkara: Department of Family Medicine, Ankara Bilkent City Hospital, University of Health Sciences, 34668 İstanbul, Turkey

IJERPH, 2024, vol. 21, issue 3, 1-13

Abstract: The aim of this study was to identify the determinants of smoking cessation outcomes and reasons for relapse following smoking cessation treatment. Using a mixed-method design, 179 patients were recruited from the Smoking Cessation outpatient clinic of Ankara Numune Training and Research Hospital between May 2016 and May 2017. Quantitative data were collected via questionnaires or from patient files and qualitative data were obtained via 5 focus group interviews with 28 patients who relapsed to smoking following treatment. The success rate of the smoking cessation clinic at the end of one year was 26%. The number of applications to the clinic was significantly higher in the group who quit smoking. Treatment success was found to be higher in the group that applied behavioral recommendations. In focus group interviews with patients who relapsed, the most common causes were stressful events, especially workplace problems and serious health problems experienced by relatives. The presence of smokers in the immediate vicinity increased the risk of relapse. It was concluded that not stopping treatment before the recommended period, continuity in follow-up appointments, support of the environment, support of pharmacotherapy with cognitive behavioral therapy and improving patients’ coping skills were important.

Keywords: smoking cessation; smoking relapse; smoking reuptake (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2024
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