title: Implementation and effectiveness of a hospital smoking cessation service in Germany.
abstract: OBJECTIVE
  Hospitalized smokers are often highly motivated to quit and receptive to assistance. There are few published accounts of hospital-based smoking cessation programmes implemented outside of a trial setting, particularly outside North America. We describe the implementation and effectiveness of a dedicated smoking cessation service in Freiburg, Germany.
  
  
  METHODS
  Measures of implementation (e.g. number of patients referred and consenting to participate, receipt of post-discharge support) and effectiveness are presented.
  
  
  RESULTS
  In the first 2 years of the service, 1432 patients were referred. Over half (55.3%) of counselled smokers agreed to participate. Sustained abstinence for 6 months was achieved by 28.0% (missing cases coded as smokers), whereas 7-day point prevalence rates were between 30 and 35% at 3, 6 and 12 months. Those who received 4+ post-discharge calls were more likely to achieve sustained abstinence, as were older smokers, those with higher self-efficacy, and cardiovascular patients.
  
  
  CONCLUSIONS
  Hospitalized patients in Germany are receptive to the offer of bedside counselling and to phone support post-discharge, and success rates are comparable to those achieved in other countries.
  
  
  CONCLUSIONS
  The findings argue strongly for the routine identification of smokers upon hospital admission, and the availability of cessation support both during hospitalization and following discharge.
authors.affiliation: Präventionsteam (PT) des Tumorzentrums, Universitätsklinikum Freiburg, Freiburg, Germany. Electronic address: James.Balmford@cancervic.org.au.
authors.forename: James
authors.initials: J
authors.lastname: Balmford
authors.affiliation: Präventionsteam (PT) des Tumorzentrums, Universitätsklinikum Freiburg, Freiburg, Germany; Department of Internal Medicine, Breisgauklinik, Bad Krozingen, Germany.
authors.forename: Jens A
authors.initials: JA
authors.lastname: Leifert
authors.affiliation: Präventionsteam (PT) des Tumorzentrums, Universitätsklinikum Freiburg, Freiburg, Germany.
authors.forename: Cornelia
authors.initials: C
authors.lastname: Schulz
authors.affiliation: Department of Thoracic Surgery, Universitätsklinikum Freiburg, Freiburg, Germany.
authors.forename: Mirjam
authors.initials: M
authors.lastname: Elze
authors.affiliation: Präventionsteam (PT) des Tumorzentrums, Universitätsklinikum Freiburg, Freiburg, Germany; Department of Psychiatry & Psychotherapy, Universitätsklinikum Freiburg, Freiburg, Germany.
authors.forename: Andreas
authors.initials: A
authors.lastname: Jaehne
mesh_terms: D000328:Adult; D000368:Aged; D003376:Counseling; D005858:Germany; D006760:Hospitalization; D006801:Humans; D007297:Inpatients; D008297:Male; D008875:Middle Aged; D009042:Motivation; D010043:Outcome and Process Assessment, Health Care; D015995:Prevalence; D016730:Program Development; D015397:Program Evaluation; D012017:Referral and Consultation / Q000706:statistics & numerical data*; D020377:Self Efficacy; D016540:Smoking Cessation / Q000379:methods* / Q000706:statistics & numerical data; D000074606:Smoking Prevention; D014029:Tobacco Use Disorder / Q000453:epidemiology / Q000534:rehabilitation*
keywords: Counselling; Hospital; Programme delivery; Smoking cessation