Smoking Cessation Interventions for Hospitalized Smokers

Rigotti, Nancy A.; Munafò, Marcus R; Stead, Lindsay F

doi:10.1001/archinte.168.18.1950

Cited by 239 publications

(213 citation statements)

References 43 publications

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“…[21][22][23][24] The newborn engenders in both parents an overwhelming need to protect it from harm, making the immediate postpartum period a potential teachable mo- …”

Section: Discussionmentioning

confidence: 99%

Using the Postpartum Hospital Stay to Address Mothers' and Fathers' Smoking: The NEWS Study

et al. 2010

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OBJECTIVE: The objective of this study was to test the feasibility and acceptability of introducing an intervention to address mothers' and fathers' smoking during the postpartum hospitalization. METHODS: During a 14-month period (February 2005 to April 2006), we assessed the smoking status of both parents of all newborns who were delivered at a hospital child birth center. Parents who were current smokers (1 cigarette, even a puff, in past 30 days) or recent quitters (smoked since 1 month before conception) were eligible for the study. Parents were assigned to intervention or usual care control condition on the basis of day of study enrollment. Smoking outcomes were assessed at 3 months by telephone survey and cotinine confirmation; quitline use was assessed at 3 months by using quitline database. RESULTS: A total of 101 (64%) of 159 eligible parents enrolled in the study (n = 53 control subject, n = 48 intervention), including 72 (71%) current smokers and 29 (29%) recent quitters. All parents in the intervention group received the in-hospital counseling session, 94% had a fax sent to a provider, and 36 (75%) accepted quitline enrollment. In an intention-to-treat analysis that included both current smokers and recent quitters, self-reported 7-day abstinence decreased from 31% to 25% among intervention parents versus 38% to 23% among control subjects (effect size 9.4%; nonsignificant). Among current smokers at baseline who were reached at follow-up (n = 36), self-reported 24-hour quit attempts were higher in the intervention group versus control group (64% vs 18%; P = .005), whereas the cotinine-confirmed 7-day abstinence rates at follow-up were 9% in the intervention group and 3% in the control group (nonsignificant). CONCLUSIONS: Enrolling mothers and fathers into tobacco treatment services during the immediate postpartum hospital stay is feasible and seems to stimulate quit attempts. The birth of an infant presents a teachable moment to reach both parents and to provide cessation assistance.

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“…[21][22][23][24] The newborn engenders in both parents an overwhelming need to protect it from harm, making the immediate postpartum period a potential teachable mo- …”

Section: Discussionmentioning

confidence: 99%

Using the Postpartum Hospital Stay to Address Mothers' and Fathers' Smoking: The NEWS Study

et al. 2010

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“…It is likely that rates of successful quit attempts would be lower with longer-term follow-up periods, given previous literature demonstrating the difficulty with long-term abstinence. 21 Last, the study was not able to account for potential effects that hospitalization itself may have on preparedness, as patients may be more likely to report being prepared to quit when in the face of a health shock, 22 as well as the fact that some patients may demonstrate a socially desirable response bias influenced by hospitalization.…”

Section: Discussionmentioning

confidence: 99%

Effect of clinician advice and patient preparedness to quit on subsequent quit attempts in hospitalized smokers

Shah

King

Basu

et al. 2010

Journal of Hospital Medicine

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BACKGROUND:Although smoking cessation counseling for cardiac inpatients is a quality measure, little data exist regarding postdischarge quit attempts in a primarily urban, African American, underserved population. This study aimed to assess preparedness to quit smoking and quit behaviors.METHODS:Smokers on the cardiology service were asked to rate preparedness using the 10‐step Contemplation Ladder. During phone surveys given 30‐days postdischarge, patients reported whether they made quit attempts, method and success of attempts, and recall of receiving advice to quit.RESULTS:From February 2006 through July 2007, 2906 of 3364 of inpatients were interviewed. Fifteen percent (436/2906) were current smokers and 415/436 completed the inpatient assessment. Of these, 75% (310/415) indicated they were prepared to quit. At the 1‐month follow‐up, 67% (276/415) were interviewed and 71% of those patients (195/276) reported making a quit attempt, with most (76%) reporting quitting “cold turkey” (without aid). Compared with less prepared patients, prepared patients were more likely to report making a quit attempt after discharge (77% [163/212] vs. 50% [32/64], P < 0.001) and were successful in that attempt (43% [90/212] vs. 25% [16/64], P = 0.010).CONCLUSIONS:The majority of smokers hospitalized with cardiac disease reported being prepared to quit smoking. Those prepared, and who received advice to quit, were more likely to make a quit attempt and report abstinence than those less prepared. However, most quit attempts were made using the least effective methods. Future studies in a population of primarily African American patients should assess preparedness to quit and target prepared patients with more effective interventions. Journal of Hospital Medicine 2010;5:26–32. © 2010 Society of Hospital Medicine.

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“…Healthcare professional advice to quit smoking has been shown to be effective at reducing the levels of smoking amongst patients [5,6,7], particularly if followed up with further support [8,9]. Hospitalised patient populations may be highly receptive to such advice, for example one large study revealed as many as 75% of cardiac in-patient smokers are prepared to quit [10].…”

Section: Introductionmentioning

confidence: 99%

A survey of the prevalence of smoking and smoking cessation advice received by inpatients in a large teaching hospital in Ireland

et al. 2012

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Smoking Cessation Interventions for Hospitalized Smokers

Cited by 239 publications

References 43 publications

Using the Postpartum Hospital Stay to Address Mothers' and Fathers' Smoking: The NEWS Study

Using the Postpartum Hospital Stay to Address Mothers' and Fathers' Smoking: The NEWS Study

Effect of clinician advice and patient preparedness to quit on subsequent quit attempts in hospitalized smokers

A survey of the prevalence of smoking and smoking cessation advice received by inpatients in a large teaching hospital in Ireland

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