Implementation and Effectiveness of a Brief Smoking-Cessation Intervention for Hospital Patients

Stevens, Victor J.; Glasgow, Russell E.; Hollis, Jack F.; Mount, Kathy

doi:10.1097/00005650-200005000-00002

Cited by 56 publications

(61 citation statements)

References 28 publications

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“…We also found a higher odds of treatment among patients who received nurse-delivered predischarge counseling. Although there is concern about the effectiveness of this low-intensity counseling intervention alone to produce sustained quit rates, 27,28 an associated increase in the use of pharmacotherapy for tobacco cessation may prove to be effective, and is supported by our results. Pairing this nurse-based intervention with other processes that facilitate treatment, such as changes to electronic discharge order sets, may further improve the use of medications.…”

Section: Discussionsupporting

confidence: 67%

Predictors of Pharmacotherapy for Tobacco Use Among Veterans Admitted for COPD: The Role of Disparities and Tobacco Control Processes

et al. 2016

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BACKGROUND: Many smokers admitted for chronic obstructive pulmonary disease (COPD) are not given smoking cessation medications at discharge. The reasons behind this are unclear, and may reflect an interplay of patient characteristics, health disparities, and the receipt of inpatient tobacco control processes. OBJECTIVES: We aimed to assess potential disparities in treatment for tobacco use following discharge for COPD, examined in the context of inpatient tobacco control processes. PARTICIPANTS: Smokers aged ≥ 40 years, admitted for treatment of a COPD exacerbation within the VA Veterans Integrated Service Network 20, identified using ICD-9 discharge codes and admission diagnoses from 2005-2012. MAIN MEASURES: The outcome was any tobacco cessation medication dispensed within 48 hours of discharge. We assessed potential predictors administratively up to 1 year prior to admission. We created the final logistic regression model using manual model building, clustered by site. Variables with p < 0.2 in biviariate models were considered for inclusion in the final model. RESULTS: We identified 1511 subjects. 16.9 % were dispensed a medication at discharge. In the adjusted model, several predictors were associated with decreased odds of receiving medications: older age (OR per year older 0.96, 95 % CI 0.95-0.98), black race (OR 0.34, 95 % CI 0.12-0.97), higher comorbidity score (OR 0.89, 95 % CI 0.82-0.96), history of psychosis (OR 0.40, 95 % CI 0.31-0.52), hypertension (OR 0.75, 95 % CI 0.62-0.90), and treatment with steroids in the past year (OR 0.80, 95 % CI 0.70-0.90). Inpatient tobacco control processes were associated with increased odds of receiving medications: documented brief counseling at discharge (OR 3.08, 95 % CI 2.02-4.68) and receipt of smoking cessation medications while inpatient (OR 5.95,. CONCLUSIONS: Few patients were treated with tobacco cessation medications at discharge. We found evidence for disparities in treatment, but also potentially beneficial effects of inpatient tobacco control measures. Further focus should be on using novel processes of care to improve provision of medications and decrease the observed disparities.

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Section: Discussionsupporting

confidence: 67%

Predictors of Pharmacotherapy for Tobacco Use Among Veterans Admitted for COPD: The Role of Disparities and Tobacco Control Processes

et al. 2016

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“…Canga et al found it possible for a single nurse to provide services to a wide variety of primary care and hospital practices. This is consistent with the results of a recently reported hospital-based smoking cessation program (9), which found smoking cessation to be more effective when delivered by trained experienced smoking counselors rather than when delivered by respiratory therapists who had many other responsibilities. It would be informative to know more about how Canga et al handled the linkage to primary care, kept the practices informed, and used them to reinforce patient success.…”

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confidence: 90%

Giving smoking cessation the attention that it deserves.

Glasgow¹

2000

Diabetes Care

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“…For example, a meta-analysis of multisystemic therapy for adolescent conduct disorder reported that effect sizes achieved in community effectiveness studies were less than one-third of those reported in university-based efficacy studies. 53,54 In some cases, interventions that appear clearly efficacious may be ineffective in a community setting, 55 although equivalent outcomes may also sometimes be reported. 56 The generally accepted 'technology model' of psychotherapy research 57,58 involves three elements: specification of treatments in manuals, training and supervision of therapists to ensure that treatment is delivered as uniformly as possible, and monitoring of treatment delivery.…”

Section: Fidelity Of the Interventionmentioning

confidence: 99%

A cluster randomised controlled trial of a manualised cognitive behavioural anger management intervention delivered by supervised lay therapists to people with intellectual disabilities

Willner

Rose²,

Jahoda³

et al. 2013

Health Technol Assess

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This report should be referenced as follows:Willner P, Rose J, Jahoda A, Stenfert Kroese B, Felce D, MacMahon P, et al. A cluster randomised controlled trial of a manualised cognitive-behavioural anger management intervention delivered by supervised lay therapists to people with intellectual disabilities. Health Technol Assess 2013;17(21). This journal is a member of and subscribes to the principles of the Committee on Publication Ethics (COPE) (www.publicationethics.org/). Health Technology Assessment is indexed and abstracted inEditorial contact: nihredit@southampton.ac.ukThe full HTA archive is freely available to view online at www.journalslibrary.nihr.ac.uk/hta. Print-on-demand copies can be purchased from the report pages of the NIHR Journals Library website: www.journalslibrary.nihr.ac.uk Criteria for inclusion in the Health Technology Assessment journalReports are published in Health Technology Assessment (HTA) if (1) they have resulted from work for the HTA programme, and (2) they are of a sufficiently high scientific quality as assessed by the reviewers and editors.Reviews in Health Technology Assessment are termed 'systematic' when the account of the search appraisal and synthesis methods (to minimise biases and random errors) would, in theory, permit the replication of the review by others. HTA programmeThe HTA programme, part of the National Institute for Health Research (NIHR), was set up in 1993. It produces high-quality research information on the effectiveness, costs and broader impact of health technologies for those who use, manage and provide care in the NHS. 'Health technologies' are broadly defined as all interventions used to promote health, prevent and treat disease, and improve rehabilitation and long-term care.The journal is indexed in NHS Evidence via its abstracts included in MEDLINE and its Technology Assessment Reports inform National Institute for Health and Care Excellence (NICE) guidance. HTA research is also an important source of evidence for National Screening Committee (NSC) policy decisions.For more information about the HTA programme please visit the website: www.hta.ac.uk/ This reportThe research reported in this issue of the journal was funded by the HTA programme as project number 08/53/34. The contractual start date was in May 2009. The draft report began editorial review in May 2012 and was accepted for publication in August 2012. The authors have been wholly responsible for all data collection, analysis and interpretation, and for writing up their work. The HTA editors and publisher have tried to ensure the accuracy of the authors' report and would like to thank the reviewers for their constructive comments on the draft document. However, they do not accept liability for damages or losses arising from material published in this report.This report presents independent research funded by the National Institute for Health Research (NIHR). The views and opinions expressed by authors in this publication are those of the authors and do not necessarily reflect those of the ...

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Implementation and Effectiveness of a Brief Smoking-Cessation Intervention for Hospital Patients

Cited by 56 publications

References 28 publications

Predictors of Pharmacotherapy for Tobacco Use Among Veterans Admitted for COPD: The Role of Disparities and Tobacco Control Processes

Predictors of Pharmacotherapy for Tobacco Use Among Veterans Admitted for COPD: The Role of Disparities and Tobacco Control Processes

Giving smoking cessation the attention that it deserves.

A cluster randomised controlled trial of a manualised cognitive behavioural anger management intervention delivered by supervised lay therapists to people with intellectual disabilities

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