Uptake and efficacy of a systematic intensive smoking cessation intervention using motivational interviewing for smokers hospitalised for an acute coronary syndrome: a multicentre before-after study with parallel group comparisons.

Détails

Ressource 1Télécharger: BIB_37755939D56A.P001.pdf (970.63 [Ko])
Etat: Public
Version: de l'auteur
ID Serval
serval:BIB_37755939D56A
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
Uptake and efficacy of a systematic intensive smoking cessation intervention using motivational interviewing for smokers hospitalised for an acute coronary syndrome: a multicentre before-after study with parallel group comparisons.
Périodique
BMJ open
Auteur(s)
Auer R., Gencer B., Tango R., Nanchen D., Matter C.M., Lüscher T.F., Windecker S., Mach F., Cornuz J., Humair J.P., Rodondi N.
ISSN
2044-6055 (Electronic)
ISSN-L
2044-6055
Statut éditorial
Publié
Date de publication
20/09/2016
Peer-reviewed
Oui
Volume
6
Numéro
9
Pages
e011520
Langue
anglais
Notes
Publication types: Comparative Study ; Journal Article ; Multicenter Study
Publication Status: epublish
Résumé
To compare the efficacy of a proactive approach with a reactive approach to offer intensive smoking cessation intervention using motivational interviewing (MI).
Before-after comparison in 2 academic hospitals with parallel comparisons in 2 control hospitals.
Academic hospitals in Switzerland.
Smokers hospitalised for an acute coronary syndrome (ACS).
In the intervention hospitals during the intervention phase, a resident physician trained in MI systematically offered counselling to all smokers admitted for ACS, followed by 4 telephone counselling sessions over 2 months by a nurse trained in MI. In the observation phase, the in-hospital intervention was offered only to patients whose clinicians requested a smoking cessation intervention. In the control hospitals, no intensive smoking cessation intervention was offered.
The primary outcome was 1 week smoking abstinence (point prevalence) at 12 months. Secondary outcomes were the number of smokers who received the in-hospital smoking cessation intervention and the duration of the intervention.
In the intervention centres during the intervention phase, 87% of smokers (N=193/225) received a smoking cessation intervention compared to 22% in the observational phase (p<0.001). Median duration of counselling was 50 min. During the intervention phase, 78% received a phone follow-up for a median total duration of 42 min in 4 sessions. Prescription of nicotine replacement therapy at discharge increased from 18% to 58% in the intervention phase (risk ratio (RR): 3.3 (95% CI 2.4 to 4.3; p≤0.001). Smoking cessation at 12-month increased from 43% to 51% comparing the observation and intervention phases (RR=1.20, 95% CI 0.98 to 1.46; p=0.08; 97% with outcome assessment). In the control hospitals, the RR for quitting was 1.02 (95% CI 0.84 to 1.25; p=0.8, 92% with outcome assessment).
A proactive strategy offering intensive smoking cessation intervention based on MI to all smokers hospitalised for ACS significantly increases the uptake of smoking cessation counselling and might increase smoking abstinence at 12 months.

Mots-clé
Acute Coronary Syndrome/complications, Controlled Before-After Studies, Female, Hospitalization, Humans, Inpatients/statistics & numerical data, Male, Middle Aged, Motivational Interviewing/methods, Smokers/statistics & numerical data, Smoking Cessation/methods, Tobacco Use Disorder/complications, Tobacco Use Disorder/therapy, Treatment Outcome, PREVENTIVE MEDICINE, Smoking, acute coronary syndrome, hospitalization, motivational interviewing
Pubmed
Web of science
Open Access
Oui
Création de la notice
24/09/2016 10:31
Dernière modification de la notice
20/08/2019 13:25
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