Nursing interventions for smoking cessation

Rice, Virginia Hill; Hartmann‐Boyce, Jamie; Stead, Lindsay F

doi:10.1002/14651858.cd001188.pub4

Cited by 105 publications

(62 citation statements)

References 133 publications

(2 reference statements)

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“…Hospitalization has been coined as a "teachable moment" for addressing tobacco use and supporting cessation [25,26]. The resonating message from participants in this study conveyed an overall openness to exploring tobacco dependence treatment and reducing the amount of cigarettes smoked, even if the individual was not interested in quitting during their hospitalization.…”

Section: Discussionmentioning

confidence: 90%

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

et al. 2012

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Section: Discussionmentioning

confidence: 90%

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

et al. 2012

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“…Advice, Counseling, and Behavioral Interventions Offering smokers simple advice to quit smoking from physicians at office visits has resulted in a modest but significantly greater quit rate compared with patients who quit on their own initiative ($2.5% difference). [26][27][28] Advice from nurses improved quit rates by 1% compared with control groups. 27 Similar results have been obtained in smokers with COPD.…”

Section: Confronting Smokers With Results Of Spirometrymentioning

confidence: 98%

Smoking Cessation in Chronic Obstructive Pulmonary Disease

Tashkin

2015

Semin Respir Crit Care Med

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Smoking cessation is the most effective strategy for slowing down the progression of chronic obstructive pulmonary disease (COPD) and reducing mortality in the approximately 50% of patients with diagnosed COPD who continue to smoke. While behavioral interventions (including simple advice) have modest efficacy in improving smoking quit rates, the combination of counseling and pharmacotherapy is more effective than either alone. When combined with even brief counseling, nicotine replacement therapy (NRT), bupropion SR, and varenicline have all been shown to be effective in promoting smoking cessation and sustained abstinence in smokers with COPD to a degree comparable to that observed in the general smoking population. However, the recidivism rate is high after initial quitting so that at the end of 1 year, approximately 80% or more of patients are still smoking. Thus, new approaches to smoking cessation are needed. One approach is to combine different pharmacotherapies, for example, nicotine patch plus rapidly acting NRT (e.g., gum or nasal spray) and/or bupropion or even varenicline plus either NRT or bupropion, in a stepwise approach over a varying duration depending on the severity of nicotine dependence and nicotine withdrawal symptoms during the quit attempt, as proposed in the American College of Chest Physicians Tobacco Dependence Took Kit. Electronic (e)-cigarettes, which deliver vaporized nicotine without most of the noxious components in the smoke from burning tobacco cigarettes, also has potential efficacy as a smoking cessation aid, but their efficacy and safety as either substitutes for regular cigarettes or smoking cessation aids require additional study. This task is complicated because e-cigarettes are currently unregulated and hundreds of different brands are currently available.

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“…We encourage Cochrane to evaluate whether formal inclusion of performance bias is appropriate for behavioral intervention trials, or make the distinction between ‘lack of blinding’ providers and participants and ‘inability to blind’ them. This precedent has been set by other Cochrane reviews on health behaviors 26, 27, although criteria alternative to blinding are needed to judge performance bias in this area, rather than not judging studies by this risk of bias at all 28. It is worth emphasizing, however, that blinding of outcome assessors is encouraged in behavioral intervention trials, especially given that subjective outcome measures are used prevalently in this area of research 25.…”

Section: Risk Of Biasmentioning

confidence: 99%

Reviewing and interpreting the effects of brief alcohol interventions: comment on a Cochrane review about motivational interviewing for young adults

et al. 2015

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BackgroundCochrane recently published a systematic review on motivational interviewing (MI) for alcohol misuse in young adults. The review authors concluded that ‘there are no substantive, meaningful benefits of MI interventions for the prevention of alcohol misuse’ (p. 2), as effect sizes were ‘small and unlikely to be of any meaningful benefit in practice’ (p. 27). As most of these interventions were quite brief, we wish to open a dialogue about interpreting effect sizes in this review and of (brief) alcohol interventions more generally.AnalysisWe analyze four methodological aspects of the review that likely influenced the author's conclusions about intervention effects: (1) risk of bias assessments, (2) search strategies, (3) assessing the quality of the body of evidence and (4) definitions of sustainability and clinical significance.ConclusionsWe interpret the effect sizes found in this review to indicate modest yet beneficial and potentially meaningful effects of these interventions, given their brevity and low cost. This interpretation is consistent with other reviews on brief, MI‐based interventions and brief interventions more generally. We therefore encourage the field to re‐open dialogue about the clinical importance of the effects of MI on alcohol misuse by young adults. Rather than dismissing interventions with small effects, we believe a more fruitful way forward for the field would be to catalogue effect sizes for various alcohol interventions. Such a catalogue would help stakeholders themselves to choose which interventions meet their minimum desired impact, and thus may be suitable given their targeted populations, setting and resources.

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Nursing interventions for smoking cessation

Abstract: Editorial group: Cochrane Tobacco Addiction Group. Publication status and date: New search for studies and content updated (no change to conclusions), published in Issue 12, 2017.

Cited by 105 publications

References 133 publications

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

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

Smoking Cessation in Chronic Obstructive Pulmonary Disease

Reviewing and interpreting the effects of brief alcohol interventions: comment on a Cochrane review about motivational interviewing for young adults

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