JAMA : the journal of the American Medical Association
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Randomized Controlled Trial Clinical Trial
Predicting smoking cessation. Who will quit with and without the nicotine patch.
To identify predictors of smoking cessation success or failure with and without transdermal nicotine patch treatment. ⋯ Smoking status (abstinent or smoking) during the first 2 weeks of nicotine patch therapy, particularly week 2, was highly correlated with clinical outcome and can serve as a powerful predictor of smoking cessation. Early smoking behavior also predicted outcome among placebo patch users. Traditional measures of dependence are not consistently predictive of cessation success. Clinicians are advised to emphasize the importance of total abstinence after a quit attempt and to follow-up with patients within the first 2 weeks of quitting; smoking during this critical time should be assessed and treatment may be altered as appropriate.
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Randomized Controlled Trial Clinical Trial
A randomized trial of physical rehabilitation for very frail nursing home residents.
Past studies suggest multidisciplinary interventions that include physical therapy (PT) can improve function of nursing home residents. This trial specifically evaluates effects of PT for frail long-stay nursing home residents. ⋯ This standardized physical therapy program provided modest mobility benefits for very frail long-stay nursing home residents with physical disability due to multiple comorbid conditions.