Wirksamkeit telefonischer Nachsorge im Anschluss an ein Tabakentwöhnungsprogramm für Frauen in stationärer Rehabilitation

Abstract

A structured telephone aftercare proves to be an effective intervention for women, which stabilizes the abstinence rate following a clinic based smoking cessation program.

Interventions for smoking cessation in hospitalised patients

“…Eight that did not contribute (Campbell 1991; Campbell 1996; Ortega 2011; Rigotti 2006; Planer 2011; Simon 2009; Smith BJ 2011; Steinberg 2011) did not include a control group of usual care or less intensive counselling; the intervention tested in those studies was pharmacotherapy as an adjunct to behavioural support. Three studies that were performed in rehabilitation hospitals (Floter 2009; Haug 2011; Metz 2007) were also analysed separately from the studies conducted in acute care hospitals. Twenty-six studies (Bolman 2002; Borglykke 2008; Campbell 1991; Campbell 1996; CASIS 1992; Chouinard 2005; Cossette 2011; Croghan 2005; DeBusk 1994; Dornelas 2000; Feeney 2001; Froelicher 2004; Hajek 2002; Miller 1997; Mohiuddin 2007; Ortigosa 2000; Pedersen 2005; Pederson 1991; Pelletier 1998; Planer 2011; Quist-Paulsen 2003; Reid 2003; Reid 2007; Rigotti 1994; Rigotti 2006; Smith 2009; Taylor 1990) provided separate data by disease and contributed to the comparison of intervention versus control in different disease categories.…”

“…Counselling ranged in duration from less than five minutes to two hours. In nine studies, counselling was delivered on more than one occasion during the hospitalisation period (Borglykke 2008; CASIS 1992; Cossette 2011; Floter 2009; Metz 2007; Nagle 2005; Ortega 2011; Pederson 1991; Rigotti 1994). Most studies also included materials such as self-help booklets, relaxation audio tapes and video tapes.…”

“…Of these, 29 offered support by telephone (Caruthers 2006; CASIS 1992; Chouinard 2005; Cossette 2011; de Azevedo 2010; DeBusk 1994; Dornelas 2000; Floter 2009 ; Froelicher 2004; Hasuo 2004; Hennrikus 2005; Lacasse 2008; Lewis 1998; Metz 2007; Miller 1997; Ortigosa 2000; Quist-Paulsen 2003; Rigotti 1994; Rigotti 1997; Rigotti 2006; Simon 1997; Simon 2003; Simon 2009; Smith 2009; Smith BJ 2011; Smith PM 2011; Stevens 1993; Stevens 2000; Taylor 1990), nine provided in-person support in various settings (Borglykke 2008; Campbell 1991; Campbell 1996; Meysman 2010; Mohiuddin 2007; Pedersen 2005; Reid 2003; Steinberg 2011; Vial 2002), and two offered support by telephone and/or in-person (Ortega 2011; Planer 2011). Two studies used newer technologies to contact patients after discharge: Haug 2011 provided individual feedback letters, an internet-based smoking cessation program and offered email support and Reid 2007 used an Interactive Voice Response (IVR) system.…”

“…Results from each arm of these studies were included separately in the analysis by intervention intensity. In four other studies that compared two intervention arms to a usual care control, the behavioural support offered in the two arms was comparable and results of the two intervention arms were combined in the analysis by intensity subgroups (Floter 2009; Lewis 1998; Molyneux 2003; Vial 2002). In Lewis 1998 and Molyneux 2003, the two intervention arms differed by the presence or absence of nicotine replacement, and these arms were directly compared in the pooled analysis of the effect of NRT.…”

Intervallrehabilitation bei Diabetes mellitus: Ergebnisse einer randomisierten kontrollierten Studie zur Nachsorge in der medizinischen Rehabilitation

“…Die Gesprächsinhalte waren grob vorgegeben, aber der Patient konnte frei wählen, welche Themen ihn derzeit beschäf-tigen, und eigene Schwerpunkte setzen. Eine Nachsorgestudie zur Raucherentwöhnung bei Müttern [ 28 ] zeigte, dass nur die Gruppe mit strukturierten Gesprächen höhere Abstinenzraten erzielte, nicht aber die mit nondirektiven. Rau Förderung ▼ Dieses Projekt wurde durch das Rehabilitations-Forschungsnetzwerk refonet der Deutschen Rentenversicherung Rheinland gefördert (Projektnummer 05008).…”