Intervention study to improve smoking cessation during hospitalization
Summary Objectives In France, hospitals have been smoke free since February 2007. A period of hospitalization may be a good time to enhance a smoker’s motivation to quit. This study aimed to assess whether training medical staff in smoking cessation management might improve the rate of smoking cessa...
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| Veröffentlicht in: | Public health (London) 2011-07, Vol.125 (7), p.457-463 |
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| creator | Targhetta, R Bernhard, L Sorokaty, J.-M Balmes, J.-L Nalpas, B Perney, P |
| description | Summary Objectives In France, hospitals have been smoke free since February 2007. A period of hospitalization may be a good time to enhance a smoker’s motivation to quit. This study aimed to assess whether training medical staff in smoking cessation management might improve the rate of smoking cessation during hospitalization. Study design Non-randomized intervention study. Methods Staff of the participating care units either received (intervention group) or did not receive (control group) training in smoking cessation management. The dependent variable was the proportion of inpatients that continued to smoke before (Period 1) and after (Period 2) the training session. Results In total, 358 patients were included. In Period 1, 55.6% and 50% of the smokers from the intervention and control groups stopped smoking, respectively; the corresponding rates in Period 2 were 64.3% and 48.1%. In Period 2, 36.4% and 31.8% of the smokers from the intervention and control groups claimed that they had received motivational counselling. In the intervention group, the request rate for nicotine replacement therapy (NRT) was higher (41.7%) compared with the control group (11.1%). In both groups, patients asked for NRT more often ( P |
| doi_str_mv | 10.1016/j.puhe.2011.03.011 |
| format | Article |
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A period of hospitalization may be a good time to enhance a smoker’s motivation to quit. This study aimed to assess whether training medical staff in smoking cessation management might improve the rate of smoking cessation during hospitalization. Study design Non-randomized intervention study. Methods Staff of the participating care units either received (intervention group) or did not receive (control group) training in smoking cessation management. The dependent variable was the proportion of inpatients that continued to smoke before (Period 1) and after (Period 2) the training session. Results In total, 358 patients were included. In Period 1, 55.6% and 50% of the smokers from the intervention and control groups stopped smoking, respectively; the corresponding rates in Period 2 were 64.3% and 48.1%. In Period 2, 36.4% and 31.8% of the smokers from the intervention and control groups claimed that they had received motivational counselling. In the intervention group, the request rate for nicotine replacement therapy (NRT) was higher (41.7%) compared with the control group (11.1%). In both groups, patients asked for NRT more often ( P < 0.001) when they had received motivational counselling. Conclusions This study was not able to demonstrate that training medical staff in smoking cessation management has a significant impact on smoking cessation in hospitalized smokers. The delivery of medium-intensity support to all smokers appears to be out of reach of physician/nurse teams. New strategies are needed, including a team specifically dedicated to the problems of addiction.</description><identifier>ISSN: 0033-3506</identifier><identifier>EISSN: 1476-5616</identifier><identifier>DOI: 10.1016/j.puhe.2011.03.011</identifier><identifier>PMID: 21729818</identifier><language>eng</language><publisher>Netherlands: Elsevier Ltd</publisher><subject>Adult ; Aged ; Aged, 80 and over ; Cessation ; Directive Counseling ; France ; Hospitalization ; Humans ; Infectious Disease ; Inpatients ; Internal Medicine ; Intervention studies ; Medical education ; Middle Aged ; Motivation ; Motivational interview ; Nicotine replacement therapy ; Nurse's Role ; Patient Discharge ; Physician's Role ; Smoking ; Smoking cessation ; Smoking Cessation - methods ; Teams ; Tobacco ; Treatment Outcome</subject><ispartof>Public health (London), 2011-07, Vol.125 (7), p.457-463</ispartof><rights>The Royal Society for Public Health</rights><rights>2011 The Royal Society for Public Health</rights><rights>Copyright © 2011 The Royal Society for Public Health. Published by Elsevier Ltd. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c508t-bc43d63e52754d1e195ac26769294b780fa1c8f8ccf0c9967e63a32f6bc63883</citedby><cites>FETCH-LOGICAL-c508t-bc43d63e52754d1e195ac26769294b780fa1c8f8ccf0c9967e63a32f6bc63883</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0033350611000849$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3536,27903,27904,30979,65309</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21729818$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Targhetta, R</creatorcontrib><creatorcontrib>Bernhard, L</creatorcontrib><creatorcontrib>Sorokaty, J.-M</creatorcontrib><creatorcontrib>Balmes, J.-L</creatorcontrib><creatorcontrib>Nalpas, B</creatorcontrib><creatorcontrib>Perney, P</creatorcontrib><title>Intervention study to improve smoking cessation during hospitalization</title><title>Public health (London)</title><addtitle>Public Health</addtitle><description>Summary Objectives In France, hospitals have been smoke free since February 2007. A period of hospitalization may be a good time to enhance a smoker’s motivation to quit. This study aimed to assess whether training medical staff in smoking cessation management might improve the rate of smoking cessation during hospitalization. Study design Non-randomized intervention study. Methods Staff of the participating care units either received (intervention group) or did not receive (control group) training in smoking cessation management. The dependent variable was the proportion of inpatients that continued to smoke before (Period 1) and after (Period 2) the training session. Results In total, 358 patients were included. In Period 1, 55.6% and 50% of the smokers from the intervention and control groups stopped smoking, respectively; the corresponding rates in Period 2 were 64.3% and 48.1%. In Period 2, 36.4% and 31.8% of the smokers from the intervention and control groups claimed that they had received motivational counselling. In the intervention group, the request rate for nicotine replacement therapy (NRT) was higher (41.7%) compared with the control group (11.1%). In both groups, patients asked for NRT more often ( P < 0.001) when they had received motivational counselling. Conclusions This study was not able to demonstrate that training medical staff in smoking cessation management has a significant impact on smoking cessation in hospitalized smokers. The delivery of medium-intensity support to all smokers appears to be out of reach of physician/nurse teams. New strategies are needed, including a team specifically dedicated to the problems of addiction.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Cessation</subject><subject>Directive Counseling</subject><subject>France</subject><subject>Hospitalization</subject><subject>Humans</subject><subject>Infectious Disease</subject><subject>Inpatients</subject><subject>Internal Medicine</subject><subject>Intervention studies</subject><subject>Medical education</subject><subject>Middle Aged</subject><subject>Motivation</subject><subject>Motivational interview</subject><subject>Nicotine replacement therapy</subject><subject>Nurse's Role</subject><subject>Patient Discharge</subject><subject>Physician's Role</subject><subject>Smoking</subject><subject>Smoking cessation</subject><subject>Smoking Cessation - methods</subject><subject>Teams</subject><subject>Tobacco</subject><subject>Treatment Outcome</subject><issn>0033-3506</issn><issn>1476-5616</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><recordid>eNqFks1r3DAQxUVpaDZp_4Eeim_txc6MZH0YSiGEJg0EcmjuwiuPG238sZXshe1fXzmb9pBDcnow_N5jmDeMfUQoEFCdbYrtfE8FB8QCRJHkDVthqVUuFaq3bAUgRC4kqGN2EuMGALgW8h075qh5ZdCs2OX1MFHY0TD5ccjiNDf7bBoz32_DuKMs9uODH35ljmKsH5FmDsvgfoxbP9Wd__M4fs-O2rqL9OFJT9nd5fe7ix_5ze3V9cX5Te4kmClfu1I0SpDkWpYNElaydlxpVfGqXGsDbY3OtMa5FlxVKU1K1IK3au2UMEacss-H2LTd75niZHsfHXVdPdA4R2uMQQWixNdJbWRVKqkT-eVFEg1PJzSiwtdRlAgCBFcJ5QfUhTHGQK3dBt_XYW8R7NKe3dilPbu0Z0HYJMn06Sl_XvfU_Lf8qysBXw8ApRvvPAUbnafBUeMDuck2o385_9szu-v84F3dPdCe4macw5Das2gjt2B_Lv-zvA9ieh1TVuIvJrG_QQ</recordid><startdate>20110701</startdate><enddate>20110701</enddate><creator>Targhetta, R</creator><creator>Bernhard, L</creator><creator>Sorokaty, J.-M</creator><creator>Balmes, J.-L</creator><creator>Nalpas, B</creator><creator>Perney, P</creator><general>Elsevier Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope><scope>7QJ</scope><scope>7X8</scope></search><sort><creationdate>20110701</creationdate><title>Intervention study to improve smoking cessation during hospitalization</title><author>Targhetta, R ; Bernhard, L ; Sorokaty, J.-M ; Balmes, J.-L ; Nalpas, B ; Perney, P</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c508t-bc43d63e52754d1e195ac26769294b780fa1c8f8ccf0c9967e63a32f6bc63883</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Cessation</topic><topic>Directive Counseling</topic><topic>France</topic><topic>Hospitalization</topic><topic>Humans</topic><topic>Infectious Disease</topic><topic>Inpatients</topic><topic>Internal Medicine</topic><topic>Intervention studies</topic><topic>Medical education</topic><topic>Middle Aged</topic><topic>Motivation</topic><topic>Motivational interview</topic><topic>Nicotine replacement therapy</topic><topic>Nurse's Role</topic><topic>Patient Discharge</topic><topic>Physician's Role</topic><topic>Smoking</topic><topic>Smoking cessation</topic><topic>Smoking Cessation - methods</topic><topic>Teams</topic><topic>Tobacco</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Targhetta, R</creatorcontrib><creatorcontrib>Bernhard, L</creatorcontrib><creatorcontrib>Sorokaty, J.-M</creatorcontrib><creatorcontrib>Balmes, J.-L</creatorcontrib><creatorcontrib>Nalpas, B</creatorcontrib><creatorcontrib>Perney, P</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>MEDLINE - Academic</collection><jtitle>Public health (London)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Targhetta, R</au><au>Bernhard, L</au><au>Sorokaty, J.-M</au><au>Balmes, J.-L</au><au>Nalpas, B</au><au>Perney, P</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Intervention study to improve smoking cessation during hospitalization</atitle><jtitle>Public health (London)</jtitle><addtitle>Public Health</addtitle><date>2011-07-01</date><risdate>2011</risdate><volume>125</volume><issue>7</issue><spage>457</spage><epage>463</epage><pages>457-463</pages><issn>0033-3506</issn><eissn>1476-5616</eissn><abstract>Summary Objectives In France, hospitals have been smoke free since February 2007. A period of hospitalization may be a good time to enhance a smoker’s motivation to quit. This study aimed to assess whether training medical staff in smoking cessation management might improve the rate of smoking cessation during hospitalization. Study design Non-randomized intervention study. Methods Staff of the participating care units either received (intervention group) or did not receive (control group) training in smoking cessation management. The dependent variable was the proportion of inpatients that continued to smoke before (Period 1) and after (Period 2) the training session. Results In total, 358 patients were included. In Period 1, 55.6% and 50% of the smokers from the intervention and control groups stopped smoking, respectively; the corresponding rates in Period 2 were 64.3% and 48.1%. In Period 2, 36.4% and 31.8% of the smokers from the intervention and control groups claimed that they had received motivational counselling. In the intervention group, the request rate for nicotine replacement therapy (NRT) was higher (41.7%) compared with the control group (11.1%). In both groups, patients asked for NRT more often ( P < 0.001) when they had received motivational counselling. Conclusions This study was not able to demonstrate that training medical staff in smoking cessation management has a significant impact on smoking cessation in hospitalized smokers. The delivery of medium-intensity support to all smokers appears to be out of reach of physician/nurse teams. New strategies are needed, including a team specifically dedicated to the problems of addiction.</abstract><cop>Netherlands</cop><pub>Elsevier Ltd</pub><pmid>21729818</pmid><doi>10.1016/j.puhe.2011.03.011</doi><tpages>7</tpages></addata></record> |
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| source | Applied Social Sciences Index & Abstracts (ASSIA); MEDLINE; Elsevier ScienceDirect Journals |
| subjects | Adult Aged Aged, 80 and over Cessation Directive Counseling France Hospitalization Humans Infectious Disease Inpatients Internal Medicine Intervention studies Medical education Middle Aged Motivation Motivational interview Nicotine replacement therapy Nurse's Role Patient Discharge Physician's Role Smoking Smoking cessation Smoking Cessation - methods Teams Tobacco Treatment Outcome |
| title | Intervention study to improve smoking cessation during hospitalization |
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