A smoking-cessation intervention for hospital patients

Med Care. 1993 Jan;31(1):65-72. doi: 10.1097/00005650-199301000-00005.


Many patients attempt to stop smoking during hospitalization, but most relapse after discharge. This study developed and evaluated a brief smoking-cessation and relapse-prevention program for hospitalized smokers. All hospitalized smokers (n = 1,119) were identified by questionnaire at hospital admission and then received either usual care or usual care plus a hospital-based smoking-cessation intervention regardless of interest in stopping smoking. Intervention components included a 20-minute bedside counseling session, a 12-minute videotape, a variety of self-help materials, and a follow-up telephone call. Special attention was given to techniques for preventing relapse after hospital discharge. Defining ex-smokers as those who reported no tobacco use at both 3- and 12-month follow-up assessments, and counting those lost to follow-up as smokers, the intervention increased the proportion of patients who quit smoking by one half (9.2% vs 13.5%, P < 0.05). These results demonstrate the efficacy of a brief in-hospital intervention and suggest that relapse-prevention efforts are needed to convert temporary cessation during hospitalization into long-term abstinence.

Publication types

  • Clinical Trial
  • Randomized Controlled Trial
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Adult
  • Counseling / methods
  • Counseling / standards
  • Health Maintenance Organizations
  • Hospitalization*
  • Humans
  • Length of Stay / statistics & numerical data
  • Logistic Models
  • Middle Aged
  • Oregon
  • Patient Education as Topic / methods
  • Patient Education as Topic / standards*
  • Program Development
  • Recurrence
  • Self Care / standards
  • Smoking Cessation / methods*
  • Videotape Recording / standards
  • Washington