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Smokers may Be Motivated to Quit During Interventions in Hospital Stays

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
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