Navigation Links
Smokers may Be Motivated to Quit During Interventions in Hospital Stays

Hospitalized patients make a great captive audience for smoking cessation efforts, according to a new systematic review .

The researchers found that when smokers become hospital inpatients, regardless of the reason for admission, they are receptive to efforts to help them to quit smoking after discharge and more likely succeed in the long run.

Smokers know that smoking is harmful to a persons health, but many of them dont really believe that smoking is harmful to their own health until they get sick, said lead author Nancy Rigotti, M.D., director of the Tobacco Research and Treatment Center at Massachusetts General Hospital and associate professor of medicine at Harvard Medical School.

The aim of the systematic review was to evaluate how effective smoking cessation programs are when directed to patients admitted to a hospital.

The review appears in the current issue of The Cochrane Library, a publication of The Cochrane Collaboration, an international organization that evaluates research in all aspects of health care.

Systematic reviews draw evidence-based conclusions about medical practice after considering both the content and quality of existing trials on a topic.

Smoking cigarettes increases the risks of many health problems, such as cancer, heart disease and lung disease and many patients with these conditions end up in the hospital.

A hospital stay is a good time to get their attention, the reviewers say, when cessation programs might be more successful because they target a teachable moment when illness makes smokers feel vulnerable to the health risks of smoking.

Kelly Kessler, vice president of program services for the American Lung Association of Maryland, agreed.

For many smokers, life-changing events, such as illness or loss of a loved one, can be very influential in motivating them to make a quit attempt, [but] for others, the stress o f an illness can also make it more difficult, she said.

Rigotti said that the hospital environment a nonsmoking environment adds to the success of cessation counseling. The smoke-free environment is critical, Rigotti said. When people cant smoke for several days, they begin to understand that they can live without cigarettes. Taking advantage of this jump-start helps them to stay quit after leaving the hospital.

The reviewers evaluated 33 studies that included nearly 14,500 adults who had smoked cigarettes within the past month. Patients received advice to quit smoking and/or behavioral counseling by a research nurse or a trained smoking cessation counselor.

Counseling ranged from less than five minutes to an hour. Twenty-five of the studies gave participants follow-up support after discharge from the hospital, usually by telephone calls.

The interventions that the review considered intensive provided smokers with at least 30 minutes of counseling during the hospital stay, which was followed by supportive calls for at least one month after discharge.

The Cochrane reviewers estimated that when smokers underwent interventions such as these, the odds of quitting smoking increased by 65 percent at six months to 12 months after discharge from the hospital. Less intensive interventions did not produce any benefit.

Just offering brief advice to quit, or even counseling someone for 30 minutes in the hospital is effective only if some continuing contact is provided after the smoker leaves the hospital, Rigotti said. Counseling in the hospital has to be followed by supportive contacts for at least one month afterwards. This package really helps people to quit.

The Cochrane review also found that adding nicotine replacement or bupropion (Wellbutrin) to counseling, which is standard treatment for smokers who do not enter the hospital, appears to increase the success of hospital-b ased programs.

According to Kessler, professionals who are skilled in giving cessation interventions can be invaluable.

What motivates an individual to make a quit attempt can be greatly influenced by the advice of those seen as authority figures such as physicians and employers, making it critical that those key people are trained to provide help for patients or employees wanting to quit, she said.

Health Behavior News Service: Lisa Esposito at (202) 387-2829 or hbns-editor@cfah.org


'"/>




Related medicine news :

1. Smokers children likely to develop caries
2. Smokers more prone to depression
3. Female Smokers More Prone To Lung Cancer
4. Young Smokers at Increased Risk Of Developing a Heart Attack
5. Women Smokers More Prone To Lung Cancer
6. Creating A Greater Awareness Among Smokers
7. Smokers may differ in their cravings for smoking
8. Trained Counselors Counseling Pregnant Smokers To Quit May Not Work
9. Smokers Avoid Dental Care More Than Others
10. Smokers Face The Risk Of Becoming Blind In Later Life
11. New Vaccination For Smokers To Quit Smoking
Post Your Comments:
*Name:
*Comment:
*Email:


(Date:12/6/2016)... Albuquerque, NM (PRWEB) , ... December 06, 2016 ... ... awarded JumpStart Autism Center with an Award of Distinction, recognizing the organization as ... needs providers that excel in the areas of clinical quality, staff satisfaction and ...
(Date:12/6/2016)... ... December 06, 2016 , ... Experimentation involving human stem cells ... due to its potential for revolutionizing human disease treatment. There are multiple HSC ... stem cells (hiPSCs). , Both platforms have distinct advantages and disadvantages, but ...
(Date:12/6/2016)... , ... December 06, 2016 , ... ... one-stop portal for all the knowledge resources, including white papers, guides, handbooks, case ... more. , To access more than 9,000 documents, webinars and videos available ...
(Date:12/6/2016)... , ... December 06, 2016 , ... 'Tis the season ... daily routines. That means it's also the season when eating healthy, staying active, and ... diabetes) on schedule is harder to do. , "Shopping trips, parties and family ...
(Date:12/6/2016)... ... 06, 2016 , ... Specialty Technical Publishers (STP) and Specialty ... Consortium (IAPC) EHS audit protocol for Great Britain . Leading companies around ... EHS regulatory obligations and rapidly collect, share, archive, and export audit findings in ...
Breaking Medicine News(10 mins):
(Date:12/5/2016)... , December 5, 2016 According to a new report ... by Application - Global Opportunity Analysis and Industry Forecast, 2014 - 2022", the ... to reach $5,255 million by 2022, growing at a CAGR of 6.4% from ... than four-fifths share. Continue Reading ... ...
(Date:12/5/2016)... and PUNE, India , December 5, ... by Allied Market Research, titled, "Global Cancer Biomarkers Market - ... of cancer biomarkers market is projected to reach $15,737 million ... of 13.3% from 2016 to 2022. Omic technologies segment accounted ... and is expected to maintain its dominance during the forecast ...
(Date:12/5/2016)... Dec. 5, 2016   TrainerMD , the first HIPAA compliant ... new collaboration with Styku . Styku, a ... Kinect hardware to provide users world-class, real-time 3D body scanning and ... the means to see, hear and feel their health like never ... , , ...
Breaking Medicine Technology: