Branin J; AcademyHealth. Meeting (2004 : San Diego, Calif.).
Abstr AcademyHealth Meet. 2004; 21: abstract no. 1820.
University of La Verne, Health Services Management, 2043 North Allen Avenue, Altadena, CA 91001 Tel. 626.794.3665 Fax 626.794.3883
RESEARCH OBJECTIVE: Research suggests that a twenty minute intervention conducted by a trained smoking cessation counselor will sufficiently increase the quit rate for hospitalized patients. The purpose of this research was to compare the effectiveness of an outpatient smoking cessation education program and an inpatient bedside smoking cessation intervention in increasing the quit rate with cardiac patients at a major health maintenance organization in Southern California. Cardiac patients receiving the bedside smoking cessation intervention were expected to have a higher quit rate at one-year follow-up than did those cardiac patients receiving the outpatient smoking cessation education program. STUDY DESIGN: The 15-20 minute bedside smoking cessation intervention consisted of counseling by a Smoking Cessation Specialist, patient readiness-to-change assessments, written self-help smoking cessation materials, education on the proper use of the nicotine patch, smoke-free hot line numbers, and community smoking cessation resources. The content of the outpatient education program was identical to the bedside smoking cessation intervention. The major difference between the two smoking cessation was the program delivery site, i.e., the outpatient smoking cessation education program for cardiac patients was conducted in the facility's educational conference room while the bedside smoking cessation intervention was conducted at the cardiac patient's bedside. POPULATION STUDIED: Inpatient participants were 192 hospitalized cardiac patients who had an average age of 56 years, smoked 2.1 packs/per day, and a three-day length of stay. Outpatient participants were 625 members with cardiac conditions who had an average age of 53 years, smoked 1.5 packs/per day and participated in three 20-30 minute smoking cessation education classes. Participants in both groups were mostly females. Both groups were tracked for one year. PRINCIPAL FINDINGS: There was a statistically significant difference in the quit rate between the two groups (p<.01). Those who participated in the bedside smoking cessation intervention had a smoking quit rate at one-year follow-up of 66% compared to 45% for those who participated in the outpatient education program. There was a positive correlation between health status measured using the SF-36 general health perceptions subscale and quit rates. There was a negative correlation between number of years smoking and quit rates. There was no statistically significant gender, ethnicity, or educational level differences in quit rates between the smoking cessation programs. CONCLUSIONS: Hospitalization of cardiac patients may provide the ideal "teachable moment" to promote smoking cessation. IMPLICATIONS FOR POLICY, DELIVERY OR PRACTICE: These findings suggest that bedside smoking cessation interventions can lead to (1) better quit rates over a longer time period, (2) improved quality of life, and (3) lower utilization of healthcare resources in the future.
Publication Types:
Keywords:
- Behavior Therapy
- California
- Counseling
- Educational Status
- Female
- Health Education
- Hospitalization
- Humans
- Inpatients
- Nicotine
- Outpatients
- Patient Education as Topic
- Research
- Smoking
- Smoking Cessation
- Teaching
- education
- hsrmtgs
UI: 103624854
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