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Utilizing Patient E-learning in an Intervention Study on Preoperative Smoking Cessation.

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A preoperative smoking cessation program, including an e-learning module, achieved 22% abstinence at six months. This multifaceted approach helps surgical patients quit smoking and reduce surgical risks.

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Area of Science:

  • Medical research
  • Public health interventions
  • Surgical patient care

Background:

  • Smoking increases surgical complication risks, yet patient education is not standard.
  • Computer-based programs can overcome barriers to smoking cessation interventions.
  • E-learning may be effective for surgical patients aiming to quit smoking.

Purpose of the Study:

  • Develop and implement a patient e-learning program for surgical smokers.
  • Assess factors associated with smoking abstinence pre- and post-surgery.
  • Evaluate the effectiveness of a multifaceted smoking cessation program.

Main Methods:

  • Prospective multicenter study of elective noncardiac surgery smokers.
  • Intervention included e-learning, advice, pamphlet, quitline, physician letter, and pharmacotherapy.
  • Assessed 7-day point prevalence abstinence at surgery, 1, 3, and 6 months.

Main Results:

  • 459 patients participated; 6-month abstinence was 22%.
  • Pharmacotherapy use (OR 7.32) and quitline contacts (OR 1.60) predicted abstinence.
  • Household smokers (OR 0.39) and weekly cigarette spending (OR 0.73) were barriers.

Conclusions:

  • Multifaceted preoperative smoking cessation achieved 22% 6-month abstinence.
  • E-learning programs are valuable tools for surgical patient smoking cessation.
  • Intervention helps overcome barriers to quitting for surgical patients.