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Evaluation of the Providence Health System Inpatient Tobacco Cessation Intervention Program

2 August 2001


Objective: The purpose of this study is to evaluate patient satisfaction and its relation ship to the Providence Health System (PHS) Inpatient Cessation Intervention objectives.

Methods: Subjects were randomly selected from the patients who were admitted to the three Portland-metropolitan-area PHS hospitals. For the phone survey, two scripts were developed for subjects who participated in the intervention, and subjects who did not. All subjects were identified smokers, 18 years of age or older, had a length of stay> 24 hours, and had been discharged from the hospital 30-60 days. All smokers expect those admitted to the obstetrical or psychiatric wards were included. Questions were developed to retrieve information on; I) the friendliness of the admissions clerk, 2) the subjects interaction with the respiratory therapist, 3) management of withdrawal symptoms, 4) smoking status and amount of use since discharge, and 5) pack year history, number of times the subject has tried to quit and the methods used.

Results: Sixty subjects participated in the study, 33 in the intervention group and 27 in the nonintervention group. Forty-four (81.4%) of the respondents reported the friendliness of the admission clerk to be excellent or very good. The intervention group was generally satisfied and comfortable with the respiratory care practitioner (RCP) counseling session. Ninety-two percent of subjects in the non-intervention group were not approached by a RCP. The percentage of patients in the intervention group with moderate to severe withdrawal symptoms was significantly lower compared to the non-intervention group (18.2% vs. 40.7%). When patients receive nicotine replacement therapy, 100% reported it helped them manage their withdrawal symptoms. The cessation rate at 30-60 days was 9.1 %,6.3% contacted outpatient resources, and 42% had talked to their doctor about quitting. Percentage of the intervention group who are smoking less was significantly higher compared to the non-intervention group (43% vs. 22.7%). Eighty-five percent reported they are considering quitting in the next 6 months, and 88% have tried to quit tobacco prior to their admission. Conclusions: Providence Health System Inpatient Tobacco Cessation Intervention Program has many strengths but also has areas that need improvement. The program will need to make necessary changes in order to achieve all of its intervention objectives.


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