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Treffer: Implementing a hospital-based smoking cessation programme: evidence for a learning effect.

Title:
Implementing a hospital-based smoking cessation programme: evidence for a learning effect.
Authors:
Raupach T; Department of Cardiology and Pneumology, University Hospital Goettingen, Germany. raupach@med.uni-goettingen.de, Shahab L, Neubert K, Felten D, Hasenfuss G, Andreas S
Source:
Patient education and counseling [Patient Educ Couns] 2008 Feb; Vol. 70 (2), pp. 199-204. Date of Electronic Publication: 2007 Nov 26.
Publication Type:
Evaluation Study; Journal Article
Language:
English
Journal Info:
Publisher: Elsevier Country of Publication: Ireland NLM ID: 8406280 Publication Model: Print-Electronic Cited Medium: Print ISSN: 0738-3991 (Print) Linking ISSN: 07383991 NLM ISO Abbreviation: Patient Educ Couns
Imprint Name(s):
Publication: Limerick : Elsevier
Original Publication: Princeton, N.J. : Excerpta Medica, c1983-
MeSH Terms:
Smoking Cessation*/methods , Smoking Cessation*/psychology , Smoking Prevention*, Ambulatory Care/*organization & administration , Patient Education as Topic/*organization & administration , Self-Help Groups/*organization & administration, Adolescent ; Adult ; Aged ; Ambulatory Care/psychology ; Cognitive Behavioral Therapy/organization & administration ; Female ; Follow-Up Studies ; Germany ; Humans ; Logistic Models ; Male ; Middle Aged ; Multivariate Analysis ; Nicotine/therapeutic use ; Nicotinic Agonists/therapeutic use ; Outcome Assessment, Health Care ; Program Development ; Program Evaluation ; Smoking/metabolism ; Smoking/psychology ; Statistics, Nonparametric ; Time Factors
Substance Nomenclature:
0 (Nicotinic Agonists)
6M3C89ZY6R (Nicotine)
Entry Date(s):
Date Created: 20071123 Date Completed: 20080417 Latest Revision: 20220309
Update Code:
20250114
DOI:
10.1016/j.pec.2007.10.005
PMID:
18031972
Database:
MEDLINE

Weitere Informationen

Objective: This study assessed a newly set-up, hospital-based smoking cessation clinic with regard to continuous abstinence rates and the effectiveness of concomittant nicotine replacement therapy.
Methods: Smoking status of 369 participants of this 8-week cognitive-behavioural smoking cessation group programme was obtained using exhaled carbon monoxide at the end of the course as well as self-report 6 months after the course. In addition to demographic data, FTND score, SDS score, and usage of nicotine replacement products were recorded.
Results: Overall, 29.8% of all participants reported to have been continuously abstinent for 6 months after the course. Success rates increased significantly during the first year after initiation of the programme (from 15 to 35%, p<0.001), indicating a learning process of the staff running the course. Nicotine replacement therapy was used by 51.3% of participants, but 58% of these discontinued its use within 5 weeks. Nicotine substitution for more than 5 weeks was associated with a 50% success rate after 6 months.
Conclusions: Our data indicate a learning effect of smoking cessation course staff and a possible minimum duration required for nicotine replacement to be effective.
Practice Implications: The observed learning effect in smoking cessation programmes should be considered when evaluating newly established interventions of this kind. Patients tend to stop nicotine replacement therapy too early, thereby decreasing their chances of middle-term abstinence.