Smoking cessation for hospitalized smokers: An evaluation of the “Ottawa Model”

Reid, Robert D.; Mullen, Kerri-Anne; D’Angelo, Monika E. Slovinec; Aitken, Debbie; Papadakis, Sophia; Haley, Patricia M.; McLaughlin, Christine A.; Pipe, Andrew

doi:10.1093/ntr/ntp165

Cited by 151 publications

(138 citation statements)

References 20 publications

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“…This treatment gap is perplexing, especially as within Canada there exists an evidence-based hospital tobacco dependence treatment program. 30 Unintended patient safety consequences of smoke-free property necessitate effective tobacco dependence treatment during a stay in hospital; simply as a risk-management action. Moreover, a health-promoting policy that causes patients to face diverse safety concerns (treatment disruption, infectious disease contact, exposure to adverse weather and possible violence) projects a contradictory health message.…”

Section: Patientsmentioning

confidence: 99%

A qualitative investigation of smoke-free policies on hospital property

Schultz

Finegan²,

Nykiforuk³

et al. 2011

Canadian Medical Association Journal

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Background: Many hospitals have adopted smoke-free policies on their property. We examined the consequences of such polices at two Canadian tertiary acute-care hospitals. Methods:We conducted a qualitative study using ethnographic techniques over a sixmonth period. Participants (n = 186) shared their perspectives on and experiences with tobacco dependence and managing the use of tobacco, as well as their impressions of the smoke-free policy. We interviewed inpatients individually from eight wards (n = 82), key policy-makers (n = 9) and support staff (n = 14) and held 16 focus groups with health care providers and ward staff (n = 81). We also reviewed ward documents relating to tobacco dependence and looked at smoking-related activities on hospital property. Results:Noncompliance with the policy and exposure to secondhand smoke were ongoing concerns. Peoples' impressions of the use of tobacco varied, including divergent opinions as to whether such use was a bad habit or an addiction. Treatment for tobacco dependence and the management of symptoms of withdrawal were offered inconsistently. Participants voiced concerns over patient safety and leaving the ward to smoke.Interpretation: Policies mandating smoke-free hospital property have important consequences beyond noncompliance, including concerns over patient safety and disruptions to care. Without adequately available and accessible support for withdrawal from tobacco, patients will continue to face personal risk when they leave hospital property to smoke. AbstractSee related commentary by Lawn at www.cmaj.ca/lookup

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Section: Patientsmentioning

confidence: 99%

A qualitative investigation of smoke-free policies on hospital property

Schultz

Finegan²,

Nykiforuk³

et al. 2011

Canadian Medical Association Journal

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“…The 'Ottawa Model for Smoking Cessation' (OMSC), is a multicomponent intervention for addressing tobacco use with smokers in primary care settings that is based on the 5A's model 11,18,19 . Evaluation of the OMSC program in Canadian primary care practices reveals a significant improvement in the rates at which evidence-based tobacco treatments are delivered in a large sample of primary care practices 11,20 .…”

Section: Study Protocol Tobacco Prevention and Cessationmentioning

confidence: 99%

Tobacco treatment TrAining Network in Crete (TiTAN-Crete): protocol for a controlled before-after study

Girvalaki¹,

Papadakis²,

Vardavas³

et al. 2016

Tob. Prev. Cessation

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INTRODUCTION Rates of tobacco use in Greece are among the highest in Europe and are responsible for an enormous burden of chronic disease and death. A large proportion of tobacco users report an interest in quitting. Family medicine practices have been identified as important settings for identifying tobacco users, delivering advice to quit smoking, and providing tobacco treatment interventions. The 5A's (ask, advice, assess, assist, arrange) schema is an evidence-based model for addressing tobacco use in clinical settings. The rates at which primary care clinicians in Greece address tobacco use in their practice is unknown but, as in other countries, is understood to be sub-optimal. This paper describes the rationale, design, and protocol for a pre/post, controlled study to compare the effectiveness of a smoking cessation intervention delivered in primary care practices in Heraklion, Greece. The TiTAN-Crete intervention includes a 1-day tobacco treatment training program, dissemination of provider and patient resources and two booster training sessions. Participating providers and a cross-sectional sample of patients from their practices, will be surveyed. Outcome measures include changes in provider attitudes and beliefs, perceived behavioral control, intentions, and barriers related to smoking cessation treatment delivery. Rates at which providers deliver tobacco treatment to patients will be measured by patient report of 5As delivery. Multi-level modeling will be used to examine the effects of the intervention. This study will lead to a better understanding of how to best assist clinicians in Greece to enhance the rates at which smoking cessation treatments are delivered to smokers. INTRODUCTIONGreece has one of the highest rates of tobacco use among members of the European Union (EU), estimated at slightly above 38% of the adult population 1 . In addition, high rates of tobacco addiction have been reported, with 53% of Greek tobacco users consuming more than 20 cigarettes per day, a rate that is also one of the highest in the EU 2,3 . Tobacco use is responsible for an enormous burden of chronic disease and death 4 . Moreover, tobacco use places an extraordinary burden on the national health care system and is responsible for an estimated 200,000 hospital admissions (8.9% of the national total), with attributable hospital treatment costs calculated at over 554 million Euro, which represents 10.7% of the national hospital budget

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“…[13][14][15] We adopted the same approach and used portions of the RE-AIM model criteria to compare different versions of our RMR program. RE-AIM is a model proposed by Glasgow et al 16 for program planning and evaluation that addresses both internal and external validity.…”

Section: Measures and Statisticsmentioning

confidence: 99%