Pilot of a preoperative smoking cessation intervention incorporating post-discharge support from a Quitline
Luke Wolfenden, John Wiggers, Elizabeth Campbell and Jenny Knight

Abstract

Issue addressed: The study sought to assess the potential efficacy of a comprehensive smoking cessation intervention for surgical patients.

Methods: The study employed a modified historical controlled trial design. Participants were recruited from a preoperative clinic of an Australian hospital in 2003. Patients allocated to the experimental group received a comprehensive smoking cessation intervention incorporating preoperative computerised smoking cessation counselling, tailored self-help material, brief advice from preoperative clinical staff, NRT, telephone counselling, and proactive post-discharge telephone support from a Quitline.

Results: At the six month follow-up 12% of 66 usual care control group participants and 25% of 52 experimental group participants reported being abstinent (p=0.07).

Conclusions: Comprehensive smoking cessation interventions initiated preoperatively and incorporating post-discharge support from a Quitline may be efficacious in increasing smoking abstinence.

Key words: smoking cessation, preoperative, surgery, Quitline

So what?

The findings are encouraging and warrant a more rigorous randomised trial to confirm the potential efficacy of the comprehensive smoking cessation intervention.

Health Promotion Journal of Australia 2008; 19:158-60