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Title: A randomised controlled trial to evaluate the efficacy of a nurse-provided intervention for hospitalised smokers
Contributor(s): Nagle, Amanda L (author); Hensley, Michael J (author); Schofield, Margot Jocelyn  (author); Koschel, Alison J (author)
Publication Date: 2005
DOI: 10.1111/j.1467-842X.2005.tb00770.x
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Abstract: Objective: Does the provision of a nurse-based intervention lead to smoking cessation in hospital patients? Methods: 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.
Publication Type: Journal Article
Source of Publication: Australian & New Zealand Journal of Public Health, 29(3), p. 285-291
Publisher: Wiley-Blackwell Publishing Asia
Place of Publication: Richmond (VIC), Australia
ISSN: 1326-0200
Field of Research (FOR): 111799 Public Health and Health Services not elsewhere classified
HERDC Category Description: C2 Non-Refereed Article in a Scholarly Journal
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