Increasing smoking cessation care provision in hospitals: A meta-analysis of intervention effect

Freund, Megan; Campbell, Elizabeth; Paul, Christine; Sakrouge, Rebecca; McElduff, Patrick; Walsh, Raoul A.; Wiggers, John; Knight, Jenny; Girgis, Afaf

doi:10.1093/ntr/ntp056

Cited by 44 publications

(46 citation statements)

References 69 publications

(141 reference statements)

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“…A lack of insight from patient perspectives in hospitals with smokefree grounds policies hinders our ability to both enhance health outcomes of patients addicted to nicotine [14,15] and to achieve policy compliance of smoke-free grounds [20]. Studies in health care settings have reported that tobacco dependence treatment continues to be inadequate [2][3][4][5], even though smoking bans have become increasingly stricter. Patients who self-identified as current and former smokers highlighted the inadequate treatment for their tobacco dependence.…”

Section: Discussionmentioning

confidence: 99%

“…The primary goals of second-hand smoke exposure protection and denormalization messages are joined with the anticipation of reducing or eliminating tobacco use among patients, staff and visitors [1]. In acute care hospitals with smokefree building restrictions, research suggests that tobacco dependence treatment is either inconsistently offered or not present [2][3][4][5]. Additionally, in hospitals with smoke-free grounds policy, evidence suggests that noncompliance is a persistent issue [6,7].…”

Section: Introductionmentioning

confidence: 99%

“…Reducing tobacco use with effective treatment of nicotine withdrawal during hospitalization would support optimal health trajectories among patients that smoke [14,15]; yet, evidence suggests inadequate tobacco dependence treatment during hospitalization is the practice norm [2,3,5,8]. Evidence of non-compliance issues [6,7], smoking on hospital property, along with limited tobacco dependence treatment suggests that patients addicted to nicotine are experiencing withdrawal symptoms and they are going outside to smoke.…”

Section: Introductionmentioning

confidence: 99%

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Impact of smoke-free hospital grounds policies: Patient experiences and perceptions

et al. 2012

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Impact of smoke-free hospital grounds policies: Patient experiences and perceptions

et al. 2012

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“…(16)(17)(18)(19) Even simple interventions, without previous planning and with an emphasis on motivation for smoking cessation, show favorable results. (20,21) However, it should be borne in mind that smoking cessation is multifactorial (9,14,(22)(23)(24)(25)(26)(27) and is often hindered by factors unrelated to physician intervention. (28) In addition to physician intervention, there are pharmacological treatments that assist patients in smoking cessation.…”

Section: Discussionmentioning

confidence: 99%

Cessação de tabagismo em pacientes de um hospital universitário em Curitiba

et al. 2011

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Objective: To determine the prevalence of smoking and the frequency of smoking cessation counseling among patients at a university hospital, as well as to compare smokers and former smokers in terms of smoking history. Methods:A cross-sectional study involving 629 patients at the Federal University of Paraná Hospital de Clínicas, located in the city of Curitiba, Brazil. Results: Of the 629 patients, 206 (32.7%) were male, 76 (12.1%) were smokers, 179 (28.5%) were former smokers, and 374 (59.5%) were nonsmokers. The mean age of the patients was 49.9 ± 15.0 years (range, 18-84 years). Of the 76 smokers and 179 former smokers, 72 (94.7%) and 166 (92.7%), respectively, were questioned about tobacco use. Smoking history and degree of nicotine dependence were higher among the former smokers (p = 0.0292 and p = 0.0125, respectively). Gender, age at smoking initiation, physician inquiry about tobacco use, and smoking cessation counseling were comparable between the two groups. The smoking cessation rate was 0.70. The prevalence of heavy smoking varied by gender and by age bracket, being higher in males and in the 41-70 year age bracket. Conclusions: The smoking prevalence in this group of patients was lower than that reported for patients at another university hospital, for adults in Curitiba, and for adults in Brazil. The smoking cessation rate was higher in these patients than in the general population of Curitiba. Smokers and former smokers differed regarding age, smoking history, and degree of nicotine dependence. Heavy smoking and a moderate or high degree of nicotine dependence were not obstacles to smoking cessation. ResumoObjetivo: Determinar a prevalência de tabagismo e do aconselhamento para a cessação do tabagismo em um grupo de pacientes de um hospital universitário, assim como comparar a carga tabágica entre fumantes e ex-fumantes. Métodos: Estudo transversal com 629 pacientes do Hospital de Clínicas da Universidade Federal do Paraná, localizado em Curitiba. Resultados: Dos 629 pacientes, 206 (32,7%) eram do sexo masculino, 76 (12,1%) eram fumantes, 179 (28,5%) eram ex-fumantes, e 374 (59,5%) eram não fumantes. A média de idade dos pacientes foi de 49,9 ± 15,0 anos (variação: 18-84 anos). Dos 76 fumantes e 179 ex-fumantes, 72 (94,7%) e 166 (92,7%), respectivamente, foram indagados sobre o hábito de fumar. A carga tabágica e o grau de dependência de nicotina foram maiores entre os ex-fumantes (p = 0,0292 e p = 0,0125, respectivamente). Gênero, idade ao início do tabagismo, questionamento médico sobre hábito de fumar e orientação para cessação do fumo foram semelhantes entre os dois grupos. O índice de cessação de tabagismo foi de 0,70. A prevalência de fumo pesado variou entre os gêneros e as faixas etárias -maior entre os homens e na faixa etária de 41-70 anos. Conclusões: A prevalência de tabagismo neste grupo de pacientes foi menor do que a observada em pacientes de outro hospital universitário e na população adulta de Curitiba e do Brasil. O índice de cessação do tabagismo foi maior do que o da ...

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“…Healthcare professional advice to quit smoking has been shown to be effective at reducing the levels of smoking amongst patients [5,6,7], particularly if followed up with further support [8,9]. Hospitalised patient populations may be highly receptive to such advice, for example one large study revealed as many as 75% of cardiac in-patient smokers are prepared to quit [10].…”

Section: Introductionmentioning

confidence: 99%

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

et al. 2012

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Increasing smoking cessation care provision in hospitals: A meta-analysis of intervention effect

Abstract: Interventions can be effective in increasing the routine provision of hospital smoking cessation care. Future research should use more rigorous study design, examine a broader range of smoking cessation care practices, and focus on hospital-wide intervention implementation.

Cited by 44 publications

References 69 publications

Impact of smoke-free hospital grounds policies: Patient experiences and perceptions

Impact of smoke-free hospital grounds policies: Patient experiences and perceptions

Cessação de tabagismo em pacientes de um hospital universitário em Curitiba

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

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