title: [Evaluation of a none sequential smoking cessation programme in rehabilitation centres].
abstract: OBJECTIVE
  The present study aims at developing and evaluating a non-sequential smoking cessa-ti-on programme for in-patient rehabilitation centres. The new programme challenges the standard phased approach with the stages motivation, quit day, stabilisation.
  
  
  METHODS
  A prospective multi-centre study is conducted with quasi experimental control group design. The newly developed smoking cessation programme (intervention group, IG) is compared against the treatment-as-usual (control group, CG) of participating rehabilitation centres. Data from 850 smokers in 19 in-patient rehabilitation centres are analysed.
  
  
  RESULTS
  The process evaluation of the non-sequential programme shows good acceptance among trainers and patients and easy implementation in the rehabilitation setting. Abstinence rates at the end of treatment are comparable for the IG (19.1%) and the CG (17.9%). The amount of cigarettes smoked among remaining smokers also reduced to a comparable degree in both groups. Patients in the IG showed significant improvement with regard to stages of change and self-efficacy.
  
  
  CONCLUSIONS
  The non-sequential smoking cessation programme is accepted and can be implemented in an in-patient rehabilitation setting. With regard to major outcome criteria, the programme is comparable to treatment-as-usual. Secondary outcome criteria and satisfaction ratings favour the new programme. Due to a low-threshold access to smoking cessation, the non-sequential approach offers a structural advantage.
authors.affiliation: IFT-Gesundheitsförderung, München.
authors.forename: T
authors.initials: T
authors.lastname: Birk
authors.affiliation: IFT-Gesundheitsförderung, München.
authors.forename: C B
authors.initials: CB
authors.lastname: Kröger
authors.affiliation: IFT Institut für Therapieforschung, München.
authors.forename: D
authors.initials: D
authors.lastname: Piontek
authors.affiliation: Institut und Poliklinik für Arbeits-, Sozial- und Umweltmedizin, Ludwig Maximilians Universität, DZL München, Mitglied des Deutschen Zentrums für Lungenforschung (DZL), München.
authors.forename: D
authors.initials: D
authors.lastname: Nowak
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D015928:Cognitive Behavioral Therapy / Q000379:methods / Q000706:statistics & numerical data*; D005260:Female; D005858:Germany / Q000453:epidemiology; D006760:Hospitalization; D006801:Humans; D007297:Inpatients / Q000706:statistics & numerical data*; D008297:Male; D008875:Middle Aged; D015995:Prevalence; D015397:Program Evaluation; D012047:Rehabilitation Centers / Q000706:statistics & numerical data*; D012907:Smoking / Q000453:epidemiology*; D016540:Smoking Cessation / Q000379:methods / Q000706:statistics & numerical data*; D000074606:Smoking Prevention; D016896:Treatment Outcome; D055815:Young Adult