Ömer Faruk ÖZCEYLAN, Turan SET
Eurasian Journal of Family Medicine - 2026;15(2):106-117
Aim: This study aimed to compare smoking cessation outcomes between cardiovascular risk assessment-based advice and the 5A-5R approach. Methods: This intervention study was conducted between June and July 2023 at the Family Medicine Clinic of Karadeniz Technical University. Volunteer participants aged 18-40 years, who had smoked at least 10 cigarettes per day for at least one year and had a lipid profile available within the preceding six months, were included. A total of 164 participants were allocated in a 1:1 ratio. Both groups completed a face-to-face questionnaire assessing sociodemographic characteristics and smoking habits. The control group received counseling based on the 5A-5R strategy, whereas the intervention group received smoking cessation advice guided by the 2019 ESC/EAS guidelines, including a 10-year cardiovascular risk estimation for young adults. Smoking status was assessed at six months via telephone or face-to-face follow-up interviews. Results: The median age of participants was 33 years (interquartile range: 25-37). Overall, 61.6% (n=101) of participants had not been asked about smoking during their last outpatient visit, and 36% (n=59) had never received advice to quit. After six months, at least one quit attempt was reported by 29.3% (n=24) of the control group and 42.7% (n=35) of the intervention group. Conclusion: Smoking cessation advice based on cardiovascular risk assessment resulted in a comparable number of quit attempts relative to the 5A-5R strategy.
