¿Son eficientes los tratamientos psicológicos para dejar de fumar?

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Sobradiel, V. García-Vicent" "autores" => array:2 [ 0 => array:2 [ "nombre" => "N." "apellidos" => "Sobradiel" ] 1 => array:2 [ "nombre" => "V." 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Olano, S. Veiga, A. Esteban, B. Matilla, M. Otero" "autores" => array:5 [ 0 => array:2 [ "nombre" => "E." "apellidos" => "Olano" ] 1 => array:2 [ "nombre" => "S." "apellidos" => "Veiga" ] 2 => array:2 [ "nombre" => "A." "apellidos" => "Esteban" ] 3 => array:2 [ "nombre" => "B." "apellidos" => "Matilla" ] 4 => array:2 [ "nombre" => "M." "apellidos" => "Otero" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S157509730775626X?idApp=UINPBA00004N" "url" => "/15750973/0000000900000001/v1_201604050041/S157509730775626X/v1_201604050041/es/main.assets" ] "es" => array:15 [ "idiomaDefecto" => true "cabecera" => "Original" "titulo" => "¿Son eficientes los tratamientos psicológicos para dejar de fumar?" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "21" "paginaFinal" => "30" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "F. Alonso-Pérez, R. Secades-Villa, G. Duarte Climent" "autores" => array:3 [ 0 => array:3 [ "nombre" => "F." "apellidos" => "Alonso-Pérez" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "a" "identificador" => "aff1" ] ] ] 1 => array:4 [ "nombre" => "R." "apellidos" => "Secades-Villa" "email" => array:1 [ 0 => "secades@uniovi.es" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "b" "identificador" => "aff2" ] 1 => array:2 [ "etiqueta" => "*" "identificador" => "cor1" ] ] ] 2 => array:3 [ "nombre" => "G." "apellidos" => "Duarte Climent" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "c" "identificador" => "aff3" ] ] ] ] "afiliaciones" => array:3 [ 0 => array:3 [ "entidad" => "Servicio de Salud del Principado de Asturias. Área de Salud V. Gijón" "etiqueta" => "a" "identificador" => "aff1" ] 1 => array:3 [ "entidad" => "Departamento de Psicología. Universidad de Oviedo. Oviedo. España" "etiqueta" => "b" "identificador" => "aff2" ] 2 => array:3 [ "entidad" => "DC Cuidados Sociosanitarios. Málaga" "etiqueta" => "c" "identificador" => "aff3" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor1" "etiqueta" => "⁎" "correspondencia" => "Correspondencia: R. Secades-Villa Facultad de Psicología. Universidad de Oviedo. Plaza Feijoo s/n. 33003 Oviedo." ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Are psychological treatments effective to stop smoking?" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2007-02-05" "fechaAceptado" => "2007-02-27" "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec639086" "palabras" => array:4 [ 0 => "Tabaquismo" 1 => "Tratamientos psicológicos" 2 => "Eficiencia" 3 => "Atención Primaria" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec639085" "palabras" => array:4 [ 0 => "Smoking" 1 => "Psychological treatments" 2 => "Efficiency" 3 => "Primary Care" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:2 [ "titulo" => "Resumen" "resumen" => "ObjetivoAnalizar el coste-efectividad y la aceptación de tres tratamientos psicológicos (con y sin parches de nicotina), aplicados en un contexto de Atención Primaria. Material y métodosParticiparon 164 fumadores que fueron distribuidos al azar a tres condiciones de tratamiento: consejo breve, autoayuda más seguimiento telefónico y tratamiento psicológico intensivo. Además, dentro de cada condición, los participantes se distribuyeron en dos subgrupos: tratamiento psicológico solo frente a tratamiento psicológico más parches de nicotina. ResultadosDe las 6 condiciones de tratamiento, los tratamientos que no emplearon parches de nicotina fueron más eficientes. El tratamiento más intensivo fue el que consiguió el mayor grado de adhesión. El 75% de los pacientes de este grupo acudieron a todas las sesiones y el 68% completaron las 8 semanas de parches de nicotina. ConclusionesLos tratamientos conductuales son altamente coste-efectivos cuando se aplican en los centros de salud. Estos resultados apoyan la factibilidad de integrar las orientaciones clínica y de salu pública en un único entorno, facilitando la accesibilidad de tratamientos eficaces a poblaciones amplias de fumadores." ] "en" => array:2 [ "titulo" => "Abstract" "resumen" => "ObjectiveTo analyze the cost-effectiveness and acceptability of three psychological treatments (with and without nicotine patches), applied in the Primary Care context. Material and methodsParticipants were 164 smokers randomly distributed to three treatment conditions: brief advice, self-help plus telephone followup, and intensive psychological treatment. Moreover, within each condition, participants were distributed in two sub-groups: psychological treatment only versus psychological treatment plus nicotine patches. ResultsOf the six treatment conditions, those without the use of nicotine patches were more efficient. The most intensive treatment was that which achieved the highest level of adherence. A total of 75% of the patients from this group attended all the sessions, and 68% completed the eight weeks of nicotine patches. ConclusionsBehavioural treatments are highly cost-effective when applied in Primary Care. These results support the viability of combining clinical and public health approaches in a single context, thus facilitating accessibility to effective treatment for large populations of smokers." ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:1 [ "bibliografiaReferencia" => array:26 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1." 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