Research SummaryWhat determines the provision of smoking cessation advice by dental care teams? Rosseel JP, Jacobs JE, Hilberink SR, Maassen LM (2009) BDJ 206: E13

ObjectiveThis 12-month study in a primary healthcare network aimed to assess the effectiveness of usual smoking cessation advice compared with personalised information about the spirometry results.DesignRandomised, parallel, controlled, multicentre clinical trial.SettingThis study involved 12 primary healthcare centres (Tarragona, Spain).ParticipantsActive smokers aged 35–70 years, without known respiratory disease. Each participant received brief smoking cessation advice along with a spirometry assessment. Participants with normal results were randomised to the intervention group (IG), including detailed spirometry information at baseline and 6-month follow-up or control group (CG), which was simply informed that their spirometry values were within normal parameters.Main outcomeProlonged abstinence (12 months) validated by expired-CO testing.ResultsSpirometry was normal in 571 patients in 571 patients (45.9% male), 286 allocated to IG and 285 to CG. Baseline characteristics were comparable between the groups. Mean age was 49.8 (SD ±7.78) years and mean cumulative smoking exposure was 29.2 (±18.7) pack-years. Prolonged abstinence was 5.6% (16/286) in the IG, compared with 2.1% (6/285) in the CG (p=0.03); the cumulative abstinence curve was favourable in the IG (HR 1.98; 95% CI 1.29 to 3.04).ConclusionsIn active smokers without known respiratory disease, brief advice plus detailed spirometry information doubled prolonged abstinence rates, compared with brief advice alone, in 12-month follow-up, suggesting a more effective intervention to achieve smoking cessation in primary healthcare.Trial registration numberNCT01194596.

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Attitudes Toward Giving Smoking Cessation Advice Among Nursing Staff at a Long-Term Residential Care Facility.

Psychology of Addictive Behaviors ◽

10.1037/0893-164x.18.1.56 ◽

2004 ◽

Vol 18 (1) ◽

pp. 56-63 ◽

Cited By ~ 6

Author(s):

Celia A. Watt ◽

Ann Marie Carosella ◽

Carol Podgorski ◽

Deborah J. Ossip-Klein

Keyword(s):

Smoking Cessation ◽

Residential Care ◽

Nursing Staff ◽

Care Facility ◽

Residential Care Facility ◽

Smoking Cessation Advice

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COVID-19: Smoking cessation and the science of dissemination and implementation in dental care

Journal Of Oral Research ◽

10.17126/joralres.2021.013 ◽

2020 ◽

Vol S (2) ◽

pp. 55-58

Author(s):

Ana Cristina Mafla ◽

◽

Mary Jo Neil ◽

◽

Keyword(s):

Smoking Cessation ◽

Dental Care ◽

Dissemination And Implementation

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Audit of inpatient smoking cessation advice

BJPsych Open ◽

10.1192/bjo.2021.280 ◽

2021 ◽

Vol 7 (S1) ◽

pp. S92-S93

Author(s):

Flensham Mohamed ◽

Mohamed Bader

Keyword(s):

Smoking Cessation ◽

Risk Factor ◽

Physical Health ◽

Replacement Therapy ◽

Nicotine Replacement Therapy ◽

Smoking Status ◽

Health Board ◽

List Type ◽

Nicotine Replacement ◽

Smoking Cessation Advice

AimsAudit carried out to assess whether or not patients had been asked about their smoking status during admission onto an acute adult mental health ward, as well as if they had received any smoking cessation advice or offered nicotine replacement therapy.Background•Physical health outcomes in patients with serious mental illness (SMI) are consisitently worse than the general public This is due to multiple factors; adverse effects of medication (including metabolic syndromes with psychotropics) as well as poor lifestyle factors such as smoking status•Patients with an SMI are 3–6 times more likely to die due to coronary artery disease. 70% of patients in inpatient psychiatric units are smokers, a strong independent risk factor for cardiovascular disease.•Smoking cessation is a potent modifiable risk factor that can prevent mortality and reduce morbidity.MethodA cross-sectional review of all 34 inpatients across four general adult acute psychiatric wards.Patient records were explored using the Aneuran Bevan Health Board admission proformas to identify evidence of smoking status and whether advice was offered.ResultSmoker but not given cessation advice n = 13 (38%)Not asked about smoking n = 11 (32%)Smoker and given cessation advice n = 4 (12%)Non-smoker n = 6 (18%)ConclusionPatients were asked about their smoking status the majority of the time (68%) but provision of advice or nicotine replacement therapy was only done in 14% of potential smokers (identified smokers and patients not asked about smoking status).A consideration to be taken into account is that on admission, a patient's physical health status may be unknown, with the additional difficulty of a patient's acute distress complicating the physical examination, smoking status and modification of patient's smoking status may not be the highest priory in that context.Data regarding asking about smoking were different amongst wards, potentially signifying differences between assessors willingness to ask about smoking status.There is a lack of smoking cessation literature available on the wards and patients are often unaware of what options are available to quit smoking.The audit simply determined whether or not assessors were documenting smoking status, it does not measure the quantity or quality of smoking cessation advice provided.Further quality improvement projects should be launched, with focus groups as the intial step at further investigating inpatient smoking rates, as well as attempting to reduce them in a more systemic way.

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