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Immediate smoking cessation support increases 12-month quit rates in adults with chronic airway diseasesScheduling Quit Appointments Now Boosts Long-Term Success For Asthma Patients

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Key Takeaway
Consider immediate referral for smoking cessation support in adults with asthma, COPD, or bronchiectasis who smoke.

This multicenter randomized trial enrolled 397 adult people who smoke diagnosed with asthma, COPD, or bronchiectasis. Participants were assigned to immediate support (brief advice plus a scheduled appointment at a smoking cessation clinic) or usual support (brief advice only). The primary outcome was continuous abstinence at 12 months.

The 12-month smoking cessation rate was significantly higher in the immediate support group compared with the usual support group (20.7% vs. 11.6%, p = 0.019). Among non-quitters, quit attempts, smoking cessation clinic admission, and pharmacotherapy use were also significantly more common in the immediate support group (p < 0.05).

Safety and tolerability were not reported. A key limitation is that 330 (83.1%) of 397 randomized patients completed the 12-month follow-up.

The findings support the integration of proactive referral strategies into routine management of patients with chronic airway diseases. The evidence is from a single trial, and longer-term outcomes and broader populations require further study.

Imagine you have a chronic cough that keeps you up at night. You finally see a doctor and ask for help to stop smoking. The doctor gives you some advice and sends you home. You try to quit on your own. But by the time you feel ready to make a real change, weeks have passed.

That delay can be the difference between success and failure. A new study shows that getting help right away changes everything.

The Problem With Waiting Too Long

People with asthma, COPD, or bronchiectasis often struggle to quit smoking. These conditions make breathing hard and smoking makes it worse. Many patients try to quit on their own or get brief advice from their doctor.

But this approach often fails. Most people relapse within the first few months. The gap between diagnosis and getting real help is too wide. Patients lose motivation while waiting for an appointment.

A Simple Change In Timing

But here is the twist. The study found that timing matters more than we thought. When doctors schedule a quit clinic appointment for the very next day, patients succeed much more often.

This simple change in how we organize care creates a powerful momentum. It turns a vague idea to quit into a concrete plan. Patients do not have to wait until they feel "ready." They get support before they slip back into old habits.

How The Body Responds To Support

Think of quitting smoking like trying to fix a leaky pipe. You can tell the homeowner to be careful, but you must also turn off the water. Support acts like the wrench that turns off the water.

When a patient gets an appointment immediately, they get tools before the urge to smoke becomes overwhelming. The brain learns new habits while the old ones are still fresh. This is like training a muscle before it gets weak.

What The Study Actually Tested

Researchers looked at 397 adult smokers with lung diseases. They split the group into two teams. One team got standard advice and waited for a future appointment. The other team got advice plus an appointment scheduled for the very next day.

The team followed everyone for one full year. They called patients to check their smoking status. Those who said they quit also took a breath test to confirm they were truly smoke-free.

The Big Results After One Year

The numbers tell a clear story. The group with immediate appointments had a 20.7 percent quit rate. The group with usual care had only an 11.6 percent quit rate.

That is a huge difference. More than one in five people in the immediate support group stayed quit for a year. In the other group, fewer than one in ten succeeded. The study also found that more people in the immediate group tried to quit and used medicine to help them.

This doesn't mean this treatment is available yet.

What Experts Say About This Finding

Doctors agree that this approach fits well into standard care. It does not require expensive new drugs or complex technology. It just requires a small shift in how clinics schedule visits.

This method builds on what we already know. Proactive referral strategies work better than waiting for patients to ask for help. It turns a passive conversation into an active plan.

If you have asthma or COPD and want to quit, ask your doctor about scheduling a quit clinic visit now. Do not wait until you feel ready. Ask for help immediately after your diagnosis.

Talk to your doctor about pharmacotherapy options. These medicines can double your chances of success. Combine them with a scheduled appointment for the best results.

The Limits Of This Research

This study had some limitations. It only included adults with specific lung diseases. The results might differ for other groups. Also, the study was done in specific clinics. Not all hospitals can offer immediate appointments.

What Happens Next

More research is needed to see if this works everywhere. Clinics will need to change their schedules to offer immediate slots. Insurance companies may need to cover these specialized visits.

The goal is to make this standard practice soon. Every patient deserves a fighting chance to quit. Getting that chance starts with a simple phone call today.

Study Details

Study typeRct
EvidenceLevel 2
Follow-up0.2 mo
PublishedMay 2026
View Original Abstract ↓
BACKGROUND: Tobacco cessation support remains underutilized in routine care for patients with airway diseases such as asthma and COPD. In this multicenter randomized trial (NCT05764343, registration date: 2023-03-01), we previously reported that immediately scheduled appointments to smoking cessation clinics improved access and quit rates at 1-week and 3-month follow-ups. The present study evaluated whether these effects were sustained at 12 months. METHODS: This prospective, parallel-arm, multicenter randomized trial included 397 adult people who smoke diagnosed with asthma, COPD, or bronchiectasis. Participants were allocated to either usual support (brief advice only) or immediate support (brief advice plus an appointment scheduled at a smoking cessation clinic). Smoking status was assessed by telephone at 12 months. Self-reported quitters were invited for exhaled carbon monoxide (CO) testing. The primary outcome was continuous abstinence at 12 months, analyzed on an intention-to-treat basis. RESULTS: Of 397 randomized patients, 330 (83.1%) completed the 12-month follow-up, with similar loss to follow-up between groups. In the intention-to-treat analysis, the 12-month smoking cessation rate was significantly higher in the immediate support group compared with the usual support group (20.7% vs. 11.6%, p = 0.019). Among non-quitters, quit attempts, smoking cessation clinic admission, and pharmacotherapy use were significantly more common in the immediate support group (p < 0.05). CONCLUSION: Immediate scheduling of smoking cessation clinic appointments resulted in significantly higher 12-month quit rates compared to usual care. These findings support the integration of proactive referral strategies into routine management of patients with chronic airway diseases.
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