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The 13th World Conference on Tobacco OR Health

Building capacity for a tobacco-free world

July 12-15, 2006, Washington, DC, USA

Thursday, July 13, 2006 - 12:00 PM

Smoking Cessation Intervention and Nurse Initiation (SCINI) Trial

Elizabeth K. Caslin, RN, BSN, R Newhouse, Ph.D, RN, J Zissimos, MSN, MBA,RN, P Murray, RN, MSN, KM Thompson, RN, MSN, D Ashen, CRNP, Ph.D, F Stillman, EdD, MED, and R Yung, MD. Medicine, Johns Hopkins Hospital, 600 North Wolffe St, Baltimore, MD 21287

Objective: Agency for Healthcare Research and Quality(AHRQ) guidelines recommend that all hospitalized patients be provided with smoking cessation counseling. The objectives of this research is to: 1) determine the feasibility of a inpatient nurse delivered smoking cessation intervention. 2) pilot an inpatient smoking cessation program with interventions based on AHRQ guidelines to determine if a nurse delivered program improves cessation rates. 3) examine if there is difference in cessation rates among three groups:

Group 1: Standard Education Group 2: Standard Education plus intense inpatient intervention Group 3: Standard Education plus intense inpatient intervention with monthly follow up phone calls.

Methods: An experimental design was used. The sample was drawn from patients who smoke that were admitted to one of two units (Coronary Care or medical telemetry unit), and were interested in quitting. Subjects were randomized to one of the three groups. All subjects were offered a one month supply of nicotine replacement. Baseline and 6 month surveys were completed using (Talk about the surveys). Subjects in group three completed monthly surveys on their progress.

Results: We were able to conclude that a smoking cessation program is feasible for nurses in the inpatient setting. Problems we encountered included: lower enrollment in the non-ICU setting, difficulty contacting Group 3 for follow up phone interviews, and lack of adequate nursing staff to provide counseling. Further study is needed to determine whether intense education affected an improved cessation rate compared to standard education.