Nursing interventions for smoking cessation in hospitalized patients: a systematic review

Kazemzadeh, Zeinab; Manzari, Zahra Sadat; Pouresmail, Zohre

doi:10.1111/inr.12320

Cited by 22 publications

(20 citation statements)

References 30 publications

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“…The role of health care providers is crucial for technology-based interventions such as mobile text messages or e-mails from clinicians, 99 or computer-generated expert letters, 84 or online resources supported by nurses 72 to assist high-risk smokers to reduce and cease tobacco consumption. Programs provided largely by nurses, 152 dentists, or physicians help to effectively foster patients’ initial attempts to quit and help them consider using preferred smoking cessation technology platforms. 153 – 155 For quit program developers it is often challenging to engage clinicians who are busy and not familiar with advanced technology.…”

Section: Discussionmentioning

confidence: 99%

Which eHealth interventions are most effective for smoking cessation? A systematic review

Phuc¹,

Tran²,

Pham³

et al. 2018

PPA

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PurposeTo synthesize evidence of the effects and potential effect modifiers of different electronic health (eHealth) interventions to help people quit smoking.MethodsFour databases (MEDLINE, PsycINFO, Embase, and The Cochrane Library) were searched in March 2017 using terms that included “smoking cessation”, “eHealth/mHealth” and “electronic technology” to find relevant studies. Meta-analysis and meta-regression analyses were performed using Mantel–Haenszel test for fixed-effect risk ratio (RR) and restricted maximum-likelihood technique, respectively. Protocol Registration Number: CRD42017072560.ResultsThe review included 108 studies and 110,372 participants. Compared to nonactive control groups (eg, usual care), smoking cessation interventions using web-based and mobile health (mHealth) platform resulted in significantly greater smoking abstinence, RR 2.03 (95% CI 1.7–2.03), and RR 1.71 (95% CI 1.35–2.16), respectively. Similarly, smoking cessation trials using tailored text messages (RR 1.80, 95% CI 1.54–2.10) and web-based information and conjunctive nicotine replacement therapy (RR 1.29, 95% CI 1.17–1.43) may also increase cessation. In contrast, little or no benefit for smoking abstinence was found for computer-assisted interventions (RR 1.31, 95% CI 1.11–1.53). The magnitude of effect sizes from mHealth smoking cessation interventions was likely to be greater if the trial was conducted in the USA or Europe and when the intervention included individually tailored text messages. In contrast, high frequency of texts (daily) was less effective than weekly texts.ConclusionsThere was consistent evidence that web-based and mHealth smoking cessation interventions may increase abstinence moderately. Methodologic quality of trials and the intervention characteristics (tailored vs untailored) are critical effect modifiers among eHealth smoking cessation interventions, especially for web-based and text messaging trials. Future smoking cessation intervention should take advantages of web-based and mHealth engagement to improve prolonged abstinence.

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Section: Discussionmentioning

confidence: 99%

Which eHealth interventions are most effective for smoking cessation? A systematic review

Phuc¹,

Tran²,

Pham³

et al. 2018

PPA

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“…The tobacco cessation reality in China is that drug therapy alone or in combination with the smoking cessation interventions could enhance quit rates 27 , but pharmacotherapy is still a barrier for nursing staff in tobacco cessation services 28 . Gaining insight into pharmacotherapy administration can improve nursing students’ 5As behaviour in helping smokers quit, and tobacco cessation self-help materials are the most universal and straightforward tobacco control education resources in a clinic 29 . Although some have reported that self-help education material help smokers less than other resources 30 , nevertheless such convenient and accessible resources in internship units provide the possibility for students to improve their behaviour towards helping patients quit smoking.…”

Section: Discussionmentioning

confidence: 99%

Impact of tobacco control auxiliary resources on the 5As behavior in nursing interns: Self-reports from students

Zhang¹,

Li²,

Lv³

et al. 2020

Tob. Induc. Dis.

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year from tobacco-related diseases 1. China will be confronted with a larger number of premature deaths if no rapid, extensive and effective measures are taken ABSTRACT INTRODUCTION The help of healthcare professionals for smokers to quit is critically important to increase quit rates. In the future, internship nursing students will potentially become the largest population of medical professionals. This study explored the impact of the use and awareness of universal tobacco control auxiliary resources on nursing students' 5As behavior in helping patients to quit smoking during a 40-week clinical internship in the last year of nursing school in Chongqing, China. METHODS A survey was conducted in 13 teaching hospitals selected from 29 in Chongqing, China, in 2019, by a random cluster sampling method. It investigated, by self-reported questionnaires, student 5As behavior in helping patients to quit smoking and use and knowledge of tobacco cessation auxiliary resources (tobacco cessation self-education manual, tobacco cessation guidelines, tobacco cessation drugs, tobacco cessation websites, and hotline). The relationship between tobacco cessation auxiliary resources and 5As behavior in helping patients to quit smoking was analyzed with a multivariate linear mixed-effect model. RESULTS In all, 534 (39.3%) students, of a total of 1358, reported that the majority of internship units provided a tobacco control self-education manual; 674 (49.6%) ever skimmed through tobacco cessation guidelines; 641 (47.2%) browsed tobacco cessation websites; 738 (54.3%) knew some cessation-assistance drugs; and 93 (6.8%) knew of and could recall the tobacco cessation hotline. Except for tobacco cessation websites, tobacco cessation auxiliary resources affected nursing interns' 5As behavior in helping patients to quit (p<0.05). CONCLUSIONS Tobacco cessation auxiliary resources influenced students' 5As behavior in helping patients to quit smoking. Students knew a little of tobacco cessation auxiliary resources. To improve students' 5As behavior for helping patients to quit, more tobacco cessation resources need to be developed and more students need to become acquainted with them.

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“…Thus, resources to support smoking cessation during residential therapy are mostly limited to one brief counselling appointment, ranging from 5 min to 2 h, self-help materials and supplementary follow-up calls after discharge. For a detailed overview, see Kazemzadeh et al and Rigotti et al [31,32]. Different scientific reviews have shown brief counseling interventions to be cost-effective as first-line therapy for smokers, yet long-term abstinence rates remain rather low [26,[31][32][33][34][35].…”

Section: Background and Rationale {6a}mentioning

confidence: 99%

“…For a detailed overview, see Kazemzadeh et al and Rigotti et al [31,32]. Different scientific reviews have shown brief counseling interventions to be cost-effective as first-line therapy for smokers, yet long-term abstinence rates remain rather low [26,[31][32][33][34][35]. There is reason to doubt that a brief therapy session allows for enough support of motivational and volitional processes as well as development and evaluation of new behavioral patterns for long-term abstinence.…”

Section: Background and Rationale {6a}mentioning

confidence: 99%

Efficacy of a short-term residential smoking cessation therapy versus standard outpatient group therapy (‘START-Study’): study protocol of a randomized controlled trial

Dickreuter

Schmoor

Bengel³

et al. 2020

Trials

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Background: In Germany, evidence-based outpatient smoking cessation therapies are widely available. Long-term abstinence rates, however, are limited. Studies suggest that short-term residential therapy enables a higher level of environmental control, more intense contact and greater support among patients and from therapists, which could result in higher abstinence rates. The aim of the current START-study is to investigate the long-term efficacy of a short-term residential therapy exclusively for smoking cessation, conducted by a mobile team of expert therapists. Methods: A randomized controlled trial (RCT) is conducted to examine the efficacy of residential behavior therapeutic smoking cessation therapy compared to standard outpatient behavior therapeutic smoking cessation group therapy. Adult smokers consuming 10 or more cigarettes per day, who are willing to stop smoking, are randomized in a ratio of 1:1 between therapy groups. The primary endpoint is sustained abstinence for 6-month and 12-month periods. Secondary endpoints include smoking status after therapy, 7-day point abstinence after the 6-month and 12-month follow-ups, level of physical dependence, cost-effectiveness, use of nicotine replacement products, health-related quality of life, self-efficacy expectation for tobacco abstinence, motivational and volitional determinants of behavior change, self-reported depressive symptom severity, adverse events and possible side effects. Assessments will take place at baseline, post-therapy, and at 6-month and 12-month intervals after smoking cessation. Discussion: There is a high demand for long-term effective smoking cessation therapies. This study represents the first prospective RCT to examine the long-term efficacy of a residential smoking cessation therapy program compared to standard outpatient group therapy as an active control condition. The residential therapeutic concept may serve as a new model to substantially enhance future cessation therapies and improve the understanding of therapeutic impact factors on tobacco abstinence. Utilizing a mobile team, the model could be applied efficiently to medical centers that do not have permanent and trained personnel for smoking cessation at their disposal.

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Nursing interventions for smoking cessation in hospitalized patients: a systematic review

Abstract: Quitting smoking can reduce lung cancers and other health problems. Nurses play an important role in helping patients to quit smoking.

Cited by 22 publications

References 30 publications

Which eHealth interventions are most effective for smoking cessation? A systematic review

Which eHealth interventions are most effective for smoking cessation? A systematic review

Impact of tobacco control auxiliary resources on the 5As behavior in nursing interns: Self-reports from students

Efficacy of a short-term residential smoking cessation therapy versus standard outpatient group therapy (‘START-Study’): study protocol of a randomized controlled trial

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