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Intervention study to improve smoking cessation during hospitalization.
R Targhetta1, L Bernhard, J-M Sorokaty
1Service d'Addictologie, CHU Caremeau, Nîmes, France.
Public Health
|July 7, 2011
Summary
Hospital staff training in smoking cessation management did not significantly increase quit rates among hospitalized smokers. New strategies are needed to support addiction treatment for patients.
Area of Science:
- Public Health
- Healthcare Management
- Addiction Medicine
Background:
- Hospitals in France have been smoke-free since 2007.
- Hospitalization presents an opportunity to motivate smokers to quit.
- Medical staff training may enhance smoking cessation support for inpatients.
Purpose of the Study:
- To evaluate the impact of training healthcare professionals in smoking cessation management on inpatient smoking cessation rates.
- To assess if staff training improves the effectiveness of smoking cessation interventions during hospitalization.
Main Methods:
- A non-randomized intervention study design was employed.
- Participating hospital units were divided into intervention (trained staff) and control (untrained staff) groups.
- Smoking cessation rates and receipt of motivational counseling were compared before and after staff training.
Main Results:
- No significant difference in smoking cessation rates was observed between the intervention and control groups after training.
- While the intervention group showed a higher rate of receiving motivational counseling, this did not translate to a statistically significant increase in quit rates.
- Patients who received motivational counseling were more likely to request nicotine replacement therapy (NRT) in both groups.
Conclusions:
- Training medical staff in smoking cessation management did not significantly improve smoking cessation rates in hospitalized patients.
- Providing comprehensive smoking cessation support to all inpatients by general physician/nurse teams appears challenging.
- Specialized addiction support teams may be necessary to address the needs of hospitalized smokers effectively.
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