The combination of a smoking cessation programme with rehabilitation increases stop-smoking rate

J Rehabil Med. 2008 Aug;40(8):672-7. doi: 10.2340/16501977-0234.


Objective and study design: A parallel group study to investigate the effectiveness of a smoking cessation programme performed during routine rehabilitation practice for outpatients.

Patients and methods: The study participants comprised an intervention group of 102 consecutive smokers who underwent a smoking cessation programme in a rehabilitation centre and a control group of 101 consecutive smokers who were referred to a smoking cessation centre in a pulmonary hospital. All participants underwent physical examination,pulmonary function tests and received identical behavioural and/or pharmacological treatment. In addition, the intervention group underwent rehabilitation practice 3 times a week for 3 months.

Results: The continuous abstinence rate at 12 months, which was validated by an expired air carbon monoxide concentration of 10 parts per million or less and a household interview, was 68% in the intervention group and 32% in the control group. Multivariable analysis showed that rehabilitation was significantly associated with smoking cessation after adjusting for years of smoking, number of cigarettes smoked,gender and treatment (odds ratio = 4.34, p < 0.001).

Conclusion: This study suggests that smoking cessation programmes during routine rehabilitation may be highly effective in helping smoking withdrawal and should be a strongly recommended component of rehabilitation practice.

MeSH terms

  • Adult
  • Bupropion / administration & dosage
  • Dopamine Uptake Inhibitors / administration & dosage
  • Follow-Up Studies
  • Humans
  • Middle Aged
  • Nicotine / administration & dosage
  • Prognosis
  • Pulmonary Disease, Chronic Obstructive / rehabilitation
  • Rehabilitation Centers
  • Smoking / psychology
  • Smoking Cessation* / methods
  • Smoking Cessation* / psychology
  • Smoking Prevention*
  • Treatment Outcome


  • Dopamine Uptake Inhibitors
  • Bupropion
  • Nicotine