Increasing nursing referral to telephone quitlines for smoking cessation using a web-based program
Linda Sarna1, Stella A Bialous, Michael K Ong
1School of Nursing, University of California-Los Angeles, Los Angeles, CA 90095, USA. lsarna@sonnet.ucla.edu
Nursing Research
|October 18, 2012
Summary
A web-based educational program significantly improved nurses' smoking cessation interventions and quitline referrals. Printed materials also increased awareness, showing both strategies effectively promote this vital resource for smokers.
Area of Science:
- Nursing
- Public Health
- Behavioral Science
Background:
- Hospitalized smokers benefit from cessation support, including quitlines.
- Healthcare providers infrequently refer smokers to quitlines.
- Effective translation of clinical guidelines into practice is crucial.
Purpose of the Study:
- To evaluate a web-based program's impact on implementing the 2008 Treating Tobacco Use and Dependence Guideline.
- To compare nurses' self-reported smoking cessation intervention performance (5As) and quitline referrals between a web-based program and printed materials.
Main Methods:
- 30 hospitals randomly assigned nurses to a web-based intervention or control (printed materials) group.
- Nurses completed baseline and 6-month surveys on the 5As (Ask, Advise, Assess, Assist, Arrange) and quitline referrals.
- Logistic regression analyzed differences in intervention components and consistent quitline referral.
Main Results:
- The web-based program group showed significantly greater improvement in Advise, Assess, Assist, Arrange, and quitline referrals.
- The control group also improved in Advise and quitline referrals.
- Consistent quitline referral was higher in the intervention group (OR=1.74), particularly for webinar attendees (OR=2.34).
Conclusions:
- The web-based program enhanced nurses' smoking cessation interventions and quitline referral consistency.
- Printed materials alone also improved nurses' awareness and referral rates.
- Both educational strategies are effective in increasing the use of quitline resources by healthcare providers.
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