A survey of the prevalence of smoking and smoking cessation advice received by inpatients in a large teaching hospital in Ireland

Bartels, Christie M.; AbuHaliga, A. R. Y.; McGee, Hannah; Morgan, Kàren; McElvaney, Noel G.; Doyle, Frank

doi:10.1007/s11845-011-0792-3

Cited by 10 publications

(16 citation statements)

References 13 publications

(16 reference statements)

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“…These findings suggest that organisational and attitudinal change is needed, and smoke-free policies may help address this issue. A previous Irish study in 2011 reported that only 44% of current/recent smokers had received smoking cessation advice from a health professional in the past year (Bartels et al, 2011). However, this was a single-site study, and the site examined in this study did not have the smoke-free policy in place at the time of the survey.…”

Section: Introductionmentioning

confidence: 86%

“…Cronbach's alpha for the FTND in this sample was 0.77. Attitudes to smoking and cessation were examined using questions developed as part of previous work in order to facilitate direct comparison (Bartels et al, 2011). Data were collected using an encrypted iPad device.…”

Section: Methodsmentioning

confidence: 99%

“…However, despite its proven effectiveness, international studies have shown that provision of smoking cessation advice to in-patients is suboptimal (Bartels, McGee, Morgan, McElvaney, & Doyle, 2011;Freund et al, 2009;Raupack, Hasenfuss, Andreas, & Pipe, 2011). The reasons for low rates of delivery of smoking cessation advice have been attributed to attitudes of health-care professionals towards cessation advice, including misperceptions regarding effectiveness of cessation methods, a lack of time and a lack of training to appropriately counsel smoking patients, and a lack of belief in its effectiveness (Thy, Boker, Gallefoss, & Bakke, 2007;Vogt, Hall, & Marteau, 2005).…”

Section: Introductionmentioning

confidence: 99%

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Smoking, attitudes to smoking and provision of smoking cessation advice in two teaching hospitals in Ireland: do smoke-free policies matter?

Ohakim

Mellon

Jafar

et al. 2015

Health Psychology and Behavioral Medicine

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Brief cessation advice from health-care professionals in the hospital setting significantly increases the likelihood of patients quitting smoking, yet patients are not routinely provided with this advice. Smoke-free hospital policies aim to protect individuals from the adverse effects of smoking; however, it is unclear if such policies encourage systematic delivery of cessation advice by health-care professionals. The study's aim was to determine the prevalence of smoking and cessation advice received by in-patients in two teaching hospitals in Ireland which have implemented smoke-free hospital policies, and to examine patient attitudes towards smoking cessation. Change in smoking prevalence and delivery of smoking cessation advice prior to and post-policy implementation was also examined in one hospital. This study surveyed 466 in-patients across 2 hospital sites, over a 3-week and 5week period, respectively. Data were also compared to a survey completed prior to the implementation of the smoke-free policy in one of the hospital sites. Smoking prevalence was 17% in Beaumont Hospital and 28% in Connolly Hospital. Overall, nicotine dependence was low (Mean Fagerström Test for Nicotine Dependence = 4.21, ±2.9). Overall, 62% of smokers did not receive smoking cessation advice from a health professional, although 55% indicated a willingness to engage with this type of service. The before-and-after analysis of Beaumont Hospital showed a reduction in smoking prevalence (17% vs 21%) amongst hospital in-patients, and a 6% increase in reported cessation advice provided following the introduction of the hospital smoke-free policy. Smoke-free hospital policies play a role in decreasing the prevalence of in-patient smokers, but further intervention is needed to increase rates of cessation advice provided. Positive attitudes to smoking cessation, coupled with low average nicotine dependence, suggest that lowintensity interventions would be beneficial for most smokers. A systematic focus on provision of brief smoking cessation advice is needed in hospitals.

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Section: Introductionmentioning

confidence: 86%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Smoking, attitudes to smoking and provision of smoking cessation advice in two teaching hospitals in Ireland: do smoke-free policies matter?

Ohakim

Mellon

Jafar

et al. 2015

Health Psychology and Behavioral Medicine

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“…Unfortunately, despite hospitalization being a teachable moment for smoking cessation, healthcare professionals advise patients to quit less often than they should (1,61,62).…”

Section: Treatments and Hospitalizationmentioning

confidence: 99%

Systematic Review and Meta-Analysis of the Impact of Depression on Subsequent Smoking Cessation in Patients With Coronary Heart Disease

Doyle

Rohde

Rutkowska

et al. 2014

Psychosomatic Medicine

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Objective:Smoking cessation is crucial for patients with coronary heart disease (CHD), yet depression may impede cessation success. We systematically reviewed the longitudinal association between depression and subsequent smoking cessation in individuals with CHD in order to quantify this effect. Methods:Electronic databases (PsychInfo, PubMed, CINAHL) were searched for prospective studies of CHD patients which measured depression at baseline (scales, diagnostic interview or antidepressant prescription) and reported smoking continuation/cessation at follow-up. Inclusive dates were 1 st January 1990 to 22 nd May 2013. Standardized mean differences (SMD) and associated 95% confidence interval (CI) were estimated using random effects meta-analysis. Sensitivity analysis explored the impact of limiting metaanalysis to studies using different depression measures (validated scales, diagnostic interviews, antidepressant prescription), different durations of follow-up, or higher quality studies. Results:From 1451 citations retrieved, 28 relevant articles were identified. Meta-analysis of all available data from 20 unique datasets found that depressed CHD patients were significantly less likely to quit smoking at follow-up (SMD=-.39, 95% CI -.50 to -.29; I 2 =51.2%, p=.005). Estimates remained largely unchanged for each sensitivity analysis, except for two studies that used antidepressants, which showed a much larger effect (SMD=-.94, -1.38 to -.51; I 2 =57.7%, p=.124).--2 Conclusions:CHD patients with depressive symptoms are significantly less likely to quit smoking than their non-depressed counterparts. This may have implications for cardiovascular prognosis, and CHD smokers may require aggressive depression treatment to enhance their chances of quitting.Keywords: Depression; coronary heart disease; health behaviors; smoking; smoking

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“…Perceived or assumed patient resistance 21,22 and a tendency to assume patients are not motivated 25 have also emerged in the research as barriers in spite of numerous studies showing a positive attitude amongst patients to smoking cessation advice. Interventions should address this knowledge gap by making efforts to educate healthcare staff about the often positive attitudes of smoking patients towards quitting 26,27 . Additional barriers include HCPs not regarding smoking cessation counselling as part of their role 23 and lack of reimbursement [20][21][22] .…”

Section: Introductionmentioning

confidence: 99%

Irish Healthcare staff- Smoking, training and activity in treatment of tobacco dependence -an online survey

Clancy¹,

Keogan²,

Babineau³

et al. 2016

Tob. Prev. Cessation

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INTRODUCTION Ireland has strong tobacco control legislation but must get smokers to stop if the national plan of having a smoking prevalence of 5% by the year 2025 is possible. Involving all healthcare staff in this effort is regarded as important. We surveyed the present situation. METHODS An online survey was conducted of 1257 healthcare staff; 520 nurses, 440 doctors, 297 dentists in 2014. The sample was accessed with the help of the Irish Nurses and Midwifes Organisation (INMO), Irish Medical Organisation (IMO) and the Irish Dental Association (IDA). The questionnaire addressed individual smoking habits and attitudes, training and practice with regard to smoking cessation. RESULTS The prevalence in our sample was 8.5%. Nurses had the highest prevalence. Doctors had the highest never smoked rate. Smoking was related to age. Attitudes to treating smoking were positive among all HCP groups. Overall 96.4% of HCPs agreed that they should routinely ask patients about smoking and 94% agreed that they should advise all smokers to quit. 20.7 % of HCPs said they had formal training in smoking cessation and this was correlated to asking or giving advice. 42.9% with training while only 7.6% without training felt well prepared to assist smokers quit (p <001). Time, work priorities and lack of training were identified as the main barriers by all HCPs. Doctors particularly reported time problems (χ2 = 158.021, p <001). CONCLUSION Prevalence of smoking is low in HCPs, formal training in SC is low but the need for HCPs to be involved in SC is widely accepted.

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A survey of the prevalence of smoking and smoking cessation advice received by inpatients in a large teaching hospital in Ireland

Abstract: Background: The adverse effects of smoking are well documented and it is

Cited by 10 publications

References 13 publications

Smoking, attitudes to smoking and provision of smoking cessation advice in two teaching hospitals in Ireland: do smoke-free policies matter?

Smoking, attitudes to smoking and provision of smoking cessation advice in two teaching hospitals in Ireland: do smoke-free policies matter?

Systematic Review and Meta-Analysis of the Impact of Depression on Subsequent Smoking Cessation in Patients With Coronary Heart Disease

Irish Healthcare staff- Smoking, training and activity in treatment of tobacco dependence -an online survey

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