Featured Research

from universities, journals, and other organizations

Intervention helps smokers quit following hospital stay

Date:
August 19, 2014
Source:
JAMA - Journal of the American Medical Association
Summary:
Among hospitalized adult smokers who wanted to quit, a postdischarge intervention that included automated telephone calls and free medication resulted in higher sustained smoking cessation rates at six months than standard postdischarge advice to use smoking cessation medication and counseling, according to a study.

Among hospitalized adult smokers who wanted to quit, a postdischarge intervention that included automated telephone calls and free medication resulted in higher sustained smoking cessation rates at six months than standard postdischarge advice to use smoking cessation medication and counseling, according to a study in the August 20 issue of JAMA.

Cigarette smoking is the leading preventable cause of death in the United States. For the nearly 4 million smokers hospitalized each year, a hospital stay offers a good opportunity to quit smoking because all hospitals are now smoke-free, requiring patients to abstain temporarily from tobacco use. The major challenge for hospitals in providing evidence­based care is identifying how to sustain tobacco treatment after discharge, according to background information in the article.

Nancy A. Rigotti, M.D., of Massachusetts General Hospital, Boston, and colleagues randomly assigned 397 hospitalized daily smokers (average age, 53 years) who wanted to quit smoking after discharge to sustained or standard tobacco treatment care. Sustained care participants (n = 198) received automated interactive voice response telephone calls and their choice of free smoking cessation medication (any type approved by the U.S. Food and Drug Administration) for up to 90 days. The automated telephone calls promoted cessation, provided medication management, and triaged smokers for additional counseling. Standard care participants (n = 199) received recommendations for postdischarge pharmacotherapy and counseling.

The researchers found that more participants in the sustained care group than in the standard care group achieved the primary outcome of biochemically confirmed past 7-day tobacco abstinence (using saliva samples to measure a nicotine metabolite) at 6-month follow-up (26 percent vs 15 percent, respectively). Sustained care also resulted in higher self-reported continuous abstinence rates for 6 months after discharge (27 percent vs 16 percent for standard care).

"[This] trial demonstrated the effectiveness of a program to promote long-term tobacco cessation among hospitalized cigarette smokers who received an inpatient tobacco dependence intervention and expressed an interest in cessation treatment after discharge. The intervention aimed to sustain the tobacco cessation treatment that had begun in the hospital. It succeeded in improving the use of both counseling and pharmacotherapy by smokers after discharge, and it increased by 71 percent the proportion of patients with biochemically confirmed tobacco abstinence 6 months after discharge, which is a standard measure of long-term smoking cessation. The intervention appeared to be effective across abroad range of smokers and provided high-value care at a relatively low cost," the authors write.

"These findings, if replicated, suggest a translatable, low-cost approach to achieving sustained smoking cessation after a hospital stay."


Story Source:

The above story is based on materials provided by JAMA - Journal of the American Medical Association. Note: Materials may be edited for content and length.


Journal Reference:

  1. Nancy A. Rigotti, Susan Regan, Douglas E. Levy, Sandra Japuntich, Yuchiao Chang, Elyse R. Park, Joseph C. Viana, Jennifer H. K. Kelley, Michele Reyen, Daniel E. Singer. Sustained Care Intervention and Postdischarge Smoking Cessation Among Hospitalized Adults. JAMA, 2014; 312 (7): 719 DOI: 10.1001/jama.2014.9237

Cite This Page:

JAMA - Journal of the American Medical Association. "Intervention helps smokers quit following hospital stay." ScienceDaily. ScienceDaily, 19 August 2014. <www.sciencedaily.com/releases/2014/08/140819195930.htm>.
JAMA - Journal of the American Medical Association. (2014, August 19). Intervention helps smokers quit following hospital stay. ScienceDaily. Retrieved October 23, 2014 from www.sciencedaily.com/releases/2014/08/140819195930.htm
JAMA - Journal of the American Medical Association. "Intervention helps smokers quit following hospital stay." ScienceDaily. www.sciencedaily.com/releases/2014/08/140819195930.htm (accessed October 23, 2014).

Share This



More Mind & Brain News

Thursday, October 23, 2014

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

Academic Scandal Shocks UNC

Academic Scandal Shocks UNC

AP (Oct. 23, 2014) — A scandal involving bogus classes and inflated grades at the University of North Carolina was bigger than previously reported, a new investigation found. (Oct. 23) Video provided by AP
Powered by NewsLook.com
Working Mother Getaway: Beaches Turks & Caicos

Working Mother Getaway: Beaches Turks & Caicos

Working Mother (Oct. 22, 2014) — Feast your eyes on this gorgeous family-friendly resort. Video provided by Working Mother
Powered by NewsLook.com
What Your Favorite Color Says About You

What Your Favorite Color Says About You

Buzz60 (Oct. 22, 2014) — We all have one color we love to wear, and believe it or not, your color preference may reveal some of your character traits. In celebration of National Color Day, Krystin Goodwin (@kyrstingoodwin) highlights what your favorite colors may say about you. Video provided by Buzz60
Powered by NewsLook.com
First-Of-Its-Kind Treatment Gives Man Ability To Walk Again

First-Of-Its-Kind Treatment Gives Man Ability To Walk Again

Newsy (Oct. 21, 2014) — A medical team has for the first time given a man the ability to walk again after transplanting cells from his brain onto his severed spinal cord. Video provided by Newsy
Powered by NewsLook.com

Search ScienceDaily

Number of stories in archives: 140,361

Find with keyword(s):
 
Enter a keyword or phrase to search ScienceDaily for related topics and research stories.

Save/Print:
Share:  

Breaking News:

Strange & Offbeat Stories

 

Health & Medicine

Mind & Brain

Living & Well

In Other News

... from NewsDaily.com

Science News

Health News

Environment News

Technology News



Save/Print:
Share:  

Free Subscriptions


Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. Or view hourly updated newsfeeds in your RSS reader:

Get Social & Mobile


Keep up to date with the latest news from ScienceDaily via social networks and mobile apps:

Have Feedback?


Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Have any problems using the site? Questions?
Mobile iPhone Android Web
Follow Facebook Twitter Google+
Subscribe RSS Feeds Email Newsletters
Latest Headlines Health & Medicine Mind & Brain Space & Time Matter & Energy Computers & Math Plants & Animals Earth & Climate Fossils & Ruins