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

Bibliographic Data

ID9103980
AuthorsVictor J Stevens (Kaiser Permanente Center for Health Research, corresponding author), Russell E Glasgow (0000-0003-4218-3231, Oregon Research Institute), Jack F Hollis (Kaiser Permanente Center for Health Research, corresponding author), Kathy Mount (Kaiser Permanente Center for Health Research, corresponding author)
Year2000
Volume38
Issue5
Pages451-459
Publication date2000-05-01
Open AccessNo
TypeARTICLE
VenueMedical Care (JOURNAL)
Journal identifiersISSN: 0025-7079 • E-ISSN: 1537-1948
PublisherOvid Technologies (Wolters Kluwer Health) (PUBLISHER)
DOI10.1097/00005650-200005000-00002
PMID10800972
OpenAlexW2334274027
LanguageEN
Citations received4
References cited28

OBJECTIVES: Previous research has documented that hospital-based smoking-cessation counseling is efficacious and cost-effective when delivered by research staff. This study evaluated the implementation and effectiveness of this intervention program when delivered by respiratory therapists chosen from the regular hospital staff. METHODS: A total of 1,173 hospitalized smokers were randomly assigned to either usual care or a stage-based bedside counseling program supplemented with a videotape, self-help materials, and a follow-up telephone call. RESULTS: Using an intent-to-treat analysis and counting those lost to follow-up as smokers, we did not find a significant difference in outcome between intervention (14.2% reported being abstinent for > or =6 months at the 1-year follow-up) and usual care conditions (13.6% abstinence). Process analyses revealed that these results were due to a combination of failure to reach many patients and reduced effectiveness of respiratory therapist interventionists compared with experienced professional counselors in a previous study conducted in the same hospitals. CONCLUSIONS: We recommend implementation of hospital-based smoking-cessation counseling by professional counselors whose primary responsibility is to deliver the intervention. Recommendations for future research and for innovative ways to reach hospitalized smokers who are not receiving intervention are discussed

Abstinence · Family medicine · Intervention (counseling) · Physical therapy · Psychiatry · Respiratory therapist · Smoking cessation · Telephone counseling · Chronic Obstructive Pulmonary Disease (COPD) Research · Emergency Medicine · Medicine · Nursing · Smoking Behavior and Cessation · Substance Abuse Treatment and Outcomes

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    Richard T Meenan, Victor J Stevens et al.•Medical Care•1998

  • A Smoking-Cessation Intervention for Hospital Patients

    Victor J Stevens, Russell E Glasgow et al.•Medical Care•1993

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Citations per year0.15
Citation span1999 - 2006 (8)
Highly citedNo

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