- Title
- A randomised controlled trial to evaluate the efficacy of a nurse-provided intervention for hospitalised smokers
- Creator
- Nagle, Amanda L.; Hensley, Michael John; Schofield, Margot J.; Koschel, Alison J.
- Relation
- Australian and New Zealand Journal of Public Health Vol. 29, Issue 3, p. 285-291
- Publisher Link
- http://dx.doi.org/10.1111/j.1467-842X.2005.tb00770.x
- Publisher
- Public Health Association of Australia
- Resource Type
- journal article
- Date
- 2005
- Description
- Objective: Does the provision of a nurse-based intervention lead to smoking cessation in hospital patients? Method: At tertiary teaching hospital in Newcastle, Australia, 4,779 eligible (aged 18-80, admitted for at least 24 hours, and able to provide informed consent) and consenting (73.4%)in-patients were recruited into a larger cross-sectional survey. 1,422 (29.7%)smokers (in the last 12 months) were randomly assigned to control (n=711) or intervention group (n=711). The brief nurse-delivered intervention incorporated: tailored information, assessment of withdrawal, offer of nicotine replacement therapy, booklets, and a discharge letter. Self-reported cessation at 12 months was validated with CO and salivary cotinine. Results: There were no significant differences between groups in self-reported abstinence at three or 12 months post intervention, based on an intention to treat analysis. At three months, self-reported abstinence was 27.3% (I) and 27.5% (C); at 12 months was 18.5% (I) and 20.6% (C). There were no differences in validation of self-report between intervention and control groups at 12 months. Conclusion: This brief nurse-provided in-patient intervention did not significantly increase the smoking cessation rates compared with the control group at either three or 12-month follow-up. Implications: A systematic total quality improvement model of accountable outcome-focused treatment, incorporating assertive physician-led pharmacotherapy, routine assessment and recording of nicotine dependence (ICD 10 coding), in- and outpatient services and engagement from multidisciplinary teams of health professionals may be required to improve treatment modalities for this chronic addictive disorder.
- Subject
- smoking; patients; nursing; hospitals; public health; statistics; New South Wales; behaviour; surveys; demography
- Identifier
- http://hdl.handle.net/1959.13/27331
- Identifier
- uon:1569
- Identifier
- ISSN:1326-0200
- Language
- eng
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