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 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.
Stevens
V J
VJ
Kaiser Permanente Center for Health Research, Portland, OR 97227-1098.
Glasgow
R E
RE
Hollis
J F
JF
Lichtenstein
E
E
Vogt
T M
TM
D000328:Adult; D003376:Counseling / Q000379:methods / Q000592:standards; D006279:Health Maintenance Organizations; D006760:Hospitalization; D006801:Humans; D007902:Length of Stay / Q000706:statistics & numerical data; D016015:Logistic Models; D008875:Middle Aged; D009922:Oregon; D010353:Patient Education as Topic / Q000379:methods / Q000592:standards*; D016730:Program Development; D012008:Recurrence; D012648:Self Care / Q000592:standards; D016540:Smoking Cessation / Q000379:methods*; D014743:Videotape Recording / Q000592:standards; D014861:Washington