| Freund M, Campbell E, Paul C, Sakrouge R, Lecathelinais, Knight J, Wiggers J, Walsh RA, Jones T, Girgis A, Nagle A. Increasing hospital-wide delivery of smoking cessation care for nicotine-dependent in-patients: a multi-strategic intervention trial Addiction 2009; 104(5): 839-849. |
Smoking care provision to in-patients is important in assisting smoking cessation and for management of nicotine withdrawal. A controlled trial, involving two intervention and two control hospitals in NSW, Australia, investigated whether a multi-strategic intervention increased hospital-wide smoking care provision. Patient surveys , medical notes audits and health professional surveys used to collect outcome data. Greater increases in intervention hospitals compared to control hospitals were found for patient-reported offer of nicotine replacement therapy (NRT) (intervention 34% versus control 12%), provision of NRT (16% versus 4%) and provision of written resources (11% versus 2%), and for the recording in medical notes of smoking management discussion (13% versus 3%), offer of NRT (24% versus 3%) and provision of NRT (21% versus 5%). Intervention group clinicians reported greater increases in the mean estimate of patients who: had their smoking management discussed (30% versus 17%); were offered or provided with NRT (30% versus 18%); were asked their intention to smoke post-discharge (22% versus 10%); and were provided with discharge NRT (21% versus 4%). The outcomes of this research suggest implementation of a multi-strategic intervention is effective in increasing hospital smoking care delivery, particularly the provision of NRT. Further research is required to identify methods to enhance the delivery of this and other forms of smoking care.
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http://www3.interscience.wiley.com/journal/122309351/issue
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| Wolfenden L, Wiggers J, Campbell L, Knight J, Kerridge R, Moore K, Spigelman A, Harrison M. Feasibility, acceptability, and cost of referring surgical patients for postdischarge cessation support from a quitline Nicotine and Tobacco Research 2008; 10(6): 1105-1108. |
The aim of the study was to assess the feasibility, acceptability, and cost of referral of smoking patients to a proactive quitline service for cessation support following discharge. Participants were recruited from the preoperative clinic. The study found that 64% of participants accepted an offer of referral to the quitline by preoperative clinic staff, 74% of which were contacted by the quitline after discharge. Smokers and preoperative clinic staff reported that the Quitline service and the referral process was appropriate and acceptable. Referral to the quitline service cost less than US$2 per patient. Referral of patients to a quitline represents a feasible means of ensuring surgical patients are provided with smoking cessation care following hospital discharge.
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| Knight J, Slatter C, Green S, Porter A, Valentine M, Wolfenden L. Smoke-free hospitals: an opportunity for public health Journal of Public Health 2008; 30(4): 516. |
Although reported levels of enforcement activity were low and compliance with the policy less than perfect, it seems that these levels were adequate to motivate and sustain increases in withdrawal management and smoking cessation care. However, the challenge remains to achieve and maintain visible reductions in tobacco use on health service grounds and across all sites to prompt the continued provision of withdrawal management and smoking cessation care to help manage the imposed period of abstinence.
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http://jpubhealth.oxfordjournals.org/cgi/content/citation/30/4/516
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| Wolfenden L, Wiggers J, Campbell E, Knight J Pilot of a preoperative smoking cessation intervention incorporating post-discharge support from a Quitline Health Promotion Journal of Australia 2008; 19(2): 78-80. |
The preoperative period has been identified as an opportune time to provide smoking cessation care to patients. Surgical patients are highly motivated to quit and are also receptive to smoking cessation intervention. However, evidence of effective intervention strategies to capatalise on this opportunity and encourage permanent smoking cessation is limited. A recent review of the past 20 years of all English language publications identified just one randomised controlled trial examining the efficacy of the intervention on long-term cessation (6-12 months post-discharge). The multi-component intervention significantly increased cessation at the six, but not the 12- month follow-up. Given the limited available evidence, the aim of this pilot study was to assess the potential efficacy of an intensive, multi-component, smoking cessation intervention.
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http://www.healthpromotion.org.au/journal/August_articles/article13.php
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| Freund M, Campbell E, Paul C, McElduff P, Walsh RA, Sakrouge R, Wiggers J, Knight J Smoking care provision in hospitals: A review of prevalence Nicotine and Tobacco Research Journal 2008; 10(5): 757-774. |
Despite hospitals being an important settings for the provision of smoking, limited evidence has described the prevalence such care delivered routinely in hospitals. We reviewed studies conducted in hospitals that were published between 1994 and 2005 and reported levels of smoking care delivery. This review describes the proportion of patients receiving, and the proportion of clinical staff providing, various smoking cessation care practices. Both descriptive and meta-analytic approaches were used. Meta-analytic outcomes demonstrated smoking status was assessed in 60% of patients, 42% were advised or counseled to quit, 14% were provided with or advised to use nicotine replacement therapy (NRT), and 12% received referrals or follow-up. Approximately 81% of clinical staff reported they assessed smoking status, 70% advised or counseled patients to quit, 13% provided NRT or advised its use, and 39% provided referrals or follow-up. Statistical heterogeneity was indicated for all smoking care practices. It was concluded the level of smoking cessation care currently provided in hospitals is less than optimal. Research should endeavour to identify effective methods for increasing smoking care provision in hospitals. Hospitals should enhance and continue to monitor their delivery of smoking care.
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http://www.informaworld.com/smpp/content~content=a793512112~db=all~jumptype=rss
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| Freund M, Campbell E, Paul C, Wiggers J, Knight J, Mitchell E Provision of smoking care in NSW hospitals: opportunities for further enhancement NSW Public Health Bulletin 2008; 19(3-4): 50-55. |
The provision of smoking care is an important part of overall care for hospitalised patients, however, levels of smoking care delivery in hospitals are reported to be inadequate. Increasing smoking care across multiple units and hospitals within NSW Health will be challenging. This paper examines smoking care delivery levels in NSW hospitals, and potential strategies to increase such care. It also reviews NSW Health initiatives designed to enhance the delivery of smoking care and suggests further strategies that may facilitate this.
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http://www.publish.csiro.au/?act=view_file&file_id=NB07102.pdf
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| WolfendenL. Smoke-free licensed premises: what will be the broader public health benefits? Australian and New Zealand Journal of Public Health 2008; 32(1): 88. |
While supporting the pre-legislation assertions of the industry, the findings may be indicative of broader social and public health benefits of the ban. A rigorous evaluation of the effect of the legislation on other social and health-related behaviours may also strengthen the case for other governements to adopt such a strong public policy.
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http://www.blackwell-synergy.com/toc/azph/32/1
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| Wolfenden L, Dalton A, Bowman J, Knight J, Burrows S, Wiggers J Computerized assessment of surgical patients for tobacco use: accuracy and acceptability Journal of Public Health 2007; 29(2): 183-185. |
Despite increased risks of postoperative complications among patients who use tobacco, a number of barriers hinder the systematic identification of the surgical patients who smoke. The study investigated the accuracy and the acceptability of a patient-co
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http://jpubhealth.oxfordjournals.org/cgi/reprint/fdm015v1.pdf
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| Johnstone E, Knight J, Gillham K, Campbell E, Nicholas C, Wiggers J System-wide adoption of health promotion practices by schools: evaluation of a telephone and mail-based dissemination strategy in Australia Health promotion International Oxford Journals 2006; 21(3). |
Schools can potentially benefit from system-wide approaches to the dissemination of health promotion practices. This intervention study undertaken in the Hunter Region of NSW, Australia used a pre-post design to assess whether the phone and mail interven
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http://heapro.oxfordjournals.org/cgi/reprint/dal020v1
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| Campbell E, Walsh RA, Sanson-Fisher R, Burrows S, Stojanovski E A group randomised trial of two methods for disseminating a smoking cessation programme to public antenatal clinics: Effects on patient outcomes Tobacco Control 2006; 15(2): 97-102. |
The intervention was directed at the clinic with the intention of changing patient outcomes. Public antenatal clinics were allocated at random to either the SD or ID condition. Outcome data was collected using two independent cross sectional surveys of wo
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http://tc.bmjjournals.com/cgi/reprint/15/2/97
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| Baratiny G, Campbell E, Sanson-Fisher R, Cockburn J. Hospital patients receptive to quit smoking advice Health Promotion Journal of Australia 2003; 14(1): 69-69. |
Public hospitals are well positioned to play an active role in encouraging patients to quit smoking. Bans on smoking in hospital precincts make attending a public hospital an opportune trigger to motivate smokers to quit. As smokers are not allowed to smo
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www.healthpromotion.org.au/journal
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| Freund M, Campbell E, Paul C, Sakrouge R, Wiggers J. Smoking care provision in smoke-free hospitals in Australia. Preventive Medicine 2005; 41(1): 151-158. |
Background: The study aimed to (1) measure the current routine smoking care that public hospitals in New South Wales (NSW), Australia, provide to inpatient smokers; (2) determine current strategies supporting such care; and (3) examine the association be
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http://www.sciencedirect.com/science?_ob=JournalURL&_cdi=6990&_auth=y&_acct=C000047922&_version=1&_urlVersion=0&_userid=915767&md5=5f7c3a216070e159ec657fd0a4351b18
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| Wolfenden L, Wiggers J, Knight J, Campbell E, Spigelman A, Kerridge R, Moore K. Increasing smoking cessation care in a preoperative clinic: a randomized controlled trial. Preventive Medicine 2005; 41(1): 284-290. |
Background: Evidence suggests that preoperative clinics fail to systematically provide smoking cessation care to patients having planned surgery. Methods: The aim of the study was to assess the efficacy, acceptability, and cost of a multifaceted inte
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http://www.sciencedirect.com/science?_ob=JournalURL&_cdi=6990&_auth=y&_acct=C000047922&_version=1&_urlVersion=0&_userid=915767&md5=5f7c3a216070e159ec657fd0a4351b18
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| Freund M, Campbell E, Paul C, Sakrouge R, Wiggers J. Smoking care provision in smoke-free hospitals in Australia. Preventive Medicine 2005; 41(1): 151-158. |
Background: The study aimed to (1) measure the current routine smoking care that public hospitals in New South Wales (NSW), Australia, provide to inpatient smokers; (2) determine current strategies supporting such care; and (3) examine the association be
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http://www.sciencedirect.com/science?_ob=JournalURL&_cdi=6990&_auth=y&_acct=C000047922&_version=1&_urlVersion=0&_userid=915767&md5=5f7c3a216070e159ec657fd0a4351b18
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| Daly J, Licata M, Gillham K, Wiggers J. Increasing the health promotion practices of workplaces in Australia using a proactive telephone based intervention. American Journal of Health Promotion 2005; 19(3): 163-166. |
The efficacy of a proactive telephone-based intervention aimed at increasing workplace adoption of health promotion initiatives in Australia was examined. Of the 320 eligible worksites in the region, 227 (71%) provided data at baseline and again 4 years
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http://www.healthpromotionjournal.com/
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| Wolfenden L, Wiggers J, Knight J, Campbell E, Rissel C, Kerridge R, Spigelman AD, Moore KA. A programme for reducing smoking in pre-operative surgical patients: randomised controlled trial. Anaesthesia 2005; 60(2): 172-9. |
The primary aim of the study was to assess the efficacy of a comprehensive smoking cessation intervention in increasing the smoking abstinence rates of surgical patients. Two hundred and ten smoking patients attending a preoperative clinic were randomly
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http://www.blackwell-synergy.com/links/doi/10.1111/j.1365-2044.2004.04070.x
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| Wolfenden L, Freund M, Campbell E, Wiggers J, Paul C, Mitchell E. Managing nicotine dependence in hospital patients: Meeting the ongoing challenges in NSW. NSW Public Health Bulletin 2004; 15(5-6): 98-101. |
This article describes the implications of the NSW Smoke-Free Workplace Policy on hospitals and discusses the development and utility of the Guide in the context of the ongoing challenge of improving care for patients who are dependent on nicotine.
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http://www.health.nsw.gov.au/public-health/phb/phb.html
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| Radvan D, Wiggers J, Hazell T. HEALTH C.H.I.P.s: Opportunistic community use of computerized health information programs. Health Education Research 2004; 19: 581-590. |
This paper describes two studies which investigate the potential of using touchscreen computer kiosks for health education in a range of community settings.
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http://her.oupjournals.org/
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| Paul C, Wiggers J, Daly J, Green S, Walsh R, Knight J, Girgis A. Direct telemarketing of smoking cessation interventions: Will smokers take the call? Addiction 2004; 99: 907-913. |
This paper explores the views of current adult smokers regarding the acceptability, likely uptake and barriers to update of smoking cessation services offered by direct telemarketing. The data suggests there is support for this method of marketing smoki
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http://www.addictionjournal.org/
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