title: Dissemination of an effective inpatient tobacco use cessation program.
abstract: The present study aimed to determine whether tobacco use cessation rates observed in controlled trials of a hospital-based tobacco use cessation program could be replicated when the program was disseminated to a wide range of hospitals in a two-stage process including implementation and institutionalization phases. Using a nonrandomized, observational design, we recruited six hospitals to participate in the study. The research team helped implement the program during the first year of participation (implementation) and then withdrew from active involvement during the second year (institutionalization). The mean 6-month self-reported cessation rates were 26.3% (range = 17.6%-52.8%) for the implementation phase and 22.7% (range = 12.9%-48.2%) for the institutionalization phase. Hospitals with paid professionals providing the program had the best outcomes. Inpatient tobacco use cessation programs are feasible to implement and should target a 6-month self-reported cessation rate of at least 25%.
authors.affiliation: Department of Psychiatry Stanford, University School of Medicine, Stanford, CA 94305-5722, USA. btaylor@stanford.edu
authors.forename: C Barr
authors.initials: CB
authors.lastname: Taylor
authors.forename: Nancy Houston
authors.initials: NH
authors.lastname: Miller
authors.forename: Rebecca P
authors.initials: RP
authors.lastname: Cameron
authors.forename: Emily Wien
authors.initials: EW
authors.lastname: Fagans
authors.forename: Smita
authors.initials: S
authors.lastname: Das
mesh_terms: D000328:Adult; D002140:California / Q000453:epidemiology; D016009:Chi-Square Distribution; D005260:Female; D006284:Health Plan Implementation / Q000458:organization & administration* / Q000706:statistics & numerical data; D006293:Health Promotion / Q000458:organization & administration* / Q000706:statistics & numerical data; D006769:Hospitals, General / Q000458:organization & administration*; D006801:Humans; D007297:Inpatients / Q000706:statistics & numerical data*; D008297:Male; D008875:Middle Aged; D017063:Outcome Assessment, Health Care; D015397:Program Evaluation; D016540:Smoking Cessation / Q000379:methods* / Q000706:statistics & numerical data; D014029:Tobacco Use Disorder / Q000453:epidemiology / Q000534:rehabilitation*; D016896:Treatment Outcome