A Smoking-Cessation Intervention for Hospital Patients

Many patients attempt to stop smoking during hospitalization, but most relapse after discharge. This study developed and evaluated a brief smoking-cessation and relapse-prevention program for hospitalized smokers. All hospitalized smokers (n = 1,119) were identified by questionnaire at hospital admi...

Full description

Saved in:
Bibliographic Details
Published in:Medical care 1993-01, Vol.31 (1), p.65-72
Main Authors: Stevens, Victor J., Glasgow, Russell E., Hollis, Jack F., Lichtenstein, Edward, Vogt, Thomas M.
Format: Article
Language:English
Subjects:
Adult
Biological and medical sciences
Cigarette smoking
Cigarettes
Counseling - methods
Counseling - standards
Health Maintenance Organizations
Hospital admissions
Hospitalization
Humans
Length of stay
Length of Stay - statistics & numerical data
Logistic Models
Magnetic storage
Medical sciences
Middle Aged
Oregon
Patient Education as Topic - methods
Patient Education as Topic - standards
Program Development
Public health
Public health. Hygiene
Public health. Hygiene-occupational medicine
Questionnaires
Recurrence
Self Care - standards
Smoking cessation
Smoking Cessation - methods
Telephones
Videotape Recording - standards
Washington
Citations: Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Many patients attempt to stop smoking during hospitalization, but most relapse after discharge. This study developed and evaluated a brief smoking-cessation and relapse-prevention program for hospitalized smokers. All hospitalized smokers (n = 1,119) were identified by questionnaire at hospital admission and then received either usual care or usual care plus a hospital-based smoking-cessation intervention regardless of interest in stopping smoking. Intervention components included a 20-minute bedside counseling session, a 12-minute videotape, a variety of self-help materials, and a follow-up telephone call. Special attention was given to techniques for preventing relapse after hospital discharge. Defining ex-smokers as those who reported no tobacco use at both 3- and 12-month follow-up assessments, and counting those lost to follow-up as smokers, the intervention increased the proportion of patients who quit smoking by one half (9.2% vs 13.5%, P < 0.05). These results demonstrate the efficacy of a brief in-hospital intervention and suggest that relapse-prevention efforts are needed to convert temporary cessation during hospitalization into long-term abstinence.
ISSN:0025-7079
1537-1948
DOI:10.1097/00005650-199301000-00005