ABSTRACT 5513 What causes smoking relapse? Ramos Díaz de la Rocha, Marta; Ángel Maqueda, Rafael Domínguez Santaella, Miguel Ubiña Carbonero, Antonio Rodríguez Ladrón de Guevara, Sara Campos Cuenca, Soledad Crossa Bueno Marina Sánchez Sánchez, Clara Román Cereto, Montserrat Member of GRAP (Grupo Respiratorio en Atención Primaria), Spain. Member of Respiratory Group of SAMFyC, Spain. “Victoria” Health Center. Distrito Sanitario Málaga-Guadalhorce

AIM: This study aims to discover why smokers who have attended a tobacco withdrawal workshop relapse and start smoking again. Determining these factors will allow us to focus strategies on these. Currently, the workshop uses cognitive behavioural therapy to support quit attempts. This approach is based on the assumption that environmetal and social factors are the most frequent causes of restarting smoking. This study aims at knowing the reasons why the smokers attending our tobacco withdrawal workshops relapse. By knowing them we will be able to work on those factors that lead to relapse in order to prevent them. Currently, cognitive-behavioural therapy is being used to help withdraw smoking, assuming environment and social events as the most frequent causes of relapse. Suggest change to : This study aims to discover why smokers who have attended a tobacco withdrawal workshop relapse and start smoking again. Determining these factors will allow us to focus strategies on these. Currently, the workshop uses cognitive behavioural therapy to support quit attempts. This approach si based on the assumption that enioronmmetla and social factors are the most frequent causes of restarting smoking. (or of cessation relapse)

Location “Victoria” Health Center. Urban Health center Málaga-Guadalhorce Primary Care District , Málaga, Spain.

METHODS: DESIGN: Descriptive cross-sectional study. LOCATION: Primary Care. “Victoria” Health Center, Malaga-Guadalhorce Primary Care District , Málaga, Spain. Period: 2010 – 2015. Data was collected from smokers who attended the tobacco withdrawal workshop together with the corresponding informed consent. Analysis of the reasons why the patients relapsed after some time without smoking, the length of this time and the method used for smoking cessation in previous attempt. A data collection about the smokers who attended the tobacco withdrawal workshop together with the corresponding informed consent. Analysis of the reasons why the patients relapsed after some time without smoking, the length of this time and the method used for withdrawing. LOCATION: Primary Care Suggest: Data was collected from smokers who attended the tobacco withdrawal workshop NEED- numbers (total numbers attended, numbers who you got data from) and the dates Information gathered and analysed included reason why patients starting smoking again, the length of time of smoking cessation and the initial method used to help smoking cessation/withdrawal

RESULTS: Questionnaires: 156. Males: 46.2%. Females: 53.8%. Average age: 52. Average smoking time: 32.74 years. Average withdrawal time: 14.36 months.

Diagram

RESULTS: Number who reported reasons for relapse: 70 (62%). Suggest change informed to number who reported reasons for relapse

RESULTS: Reasons to relapse Most of these (39, 55,7%) related relapse with social events and over-confidence in controlling the habit. There is also a high proportion of smokers who relapse because of stress or low mood (26, 37,1%).

RESULTS: It would be good to have more detail about what is meant by these broad terms e.g. “social events”. You also mention smoking environments in the next slide, but it dost appear here, and probably needs explanation. - social events and environments where others were smoking –

CONCLUSIONS: The results confirmed that psychosocial factors - social events and environments where others were smoking – predisposed to relapse. We conclude that interventions for smoking cessation must use strategies to address these factors and reinforce their importance so that smokers stay Smoke Free for longer. As it was assumed, psychosocial factors such as social events or smoking environments predispose to smoking relapse. We conclude that in the interventions the strategies affecting these factors must be reinforced so that the smokers stay smoke-free longer. Suggest The results confirmed that psychosocial factors- social events and environments where others were smoking – predisposed to relapse. We conclude that interventions for smoking cessation must use strategies to address these factors and reinforce their importance so that smokers stay smoke free for longer

Declaration of Interest: The authors declare that they have no conflicts interests.

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