Acta clinica Croatica, Vol. 61. No. 2, 2022.
Original scientific paper
https://doi.org/10.20471/acc.2022.61.02.14
Feasibility of the Multimodal Smoking Cessation Intervention during Hospitalization with Six-Month Follow-Up Post-Discharge: a Pilot Study
Marta Čivljak
; Catholic University of Croatia, Zagreb, Croatia
Rok Čivljak
; University of Zagreb School of Medicine, Zagreb, Croatia; Dr. Fran Mihaljević University Hospital for Infectious Diseases, Zagreb, Croatia
Ilija Kuzman
; University of Zagreb School of Medicine, Zagreb, Croatia; Dr. Fran Mihaljević University Hospital for Infectious Diseases, Zagreb, Croatia
Ana Grgić
; Dr. Fran Mihaljević University Hospital for Infectious Diseases, Zagreb, Croatia
Dijana Šember
; Dr. Fran Mihaljević University Hospital for Infectious Diseases, Zagreb, Croatia
Sanja Belak Kovačević
; Dr. Fran Mihaljević University Hospital for Infectious Diseases, Zagreb, Croatia
Livia Puljak
; Catholic University of Croatia, Zagreb, Croatia
Abstract
The main aim of this pilot project was to introduce multimodal smoking cessation
intervention in the hospital setting and to analyze users’ satisfaction and efficacy of the intervention
within six months post-discharge. Multimodal intervention for smoking cessation was used and it
consisted of the “5 A’s” model (Ask, Advice, Assess, Assist, Arrange) for behavior change, printed
self-help materials for smoking cessation, and telephone counseling (one, three and six months after
discharge from the hospital). The main outcome of the study was smoking status at six months. A total
of 103 participants were included in this pilot project. At six-month follow-up, 49% of participants
self-reported continuous non-smoking. Among the remaining participants, 20 reported smoking reduction,
19 were still smoking, and 16 participants were unable to make contact with. In the logistic
regression, among all analyzed variables, only two of them were positively associated with smoking
cessation after six months: participants’ response that they would like to quit smoking within the
next six months (B=4.688; p=0.018) and answering that they did not smoke when they were ill and
bed-ridden due to illness (B=3.253; p=0.020). Satisfaction with the intervention was very high; 70%
of participants rated the intervention as ‘excellent’. Therefore, multimodal smoking cessation intervention
can be successfully introduced at hospital setting yielding high smoking abstinence rates at six
months post-discharge and high level of user satisfaction. Healthcare workers who work in hospitals
should be educated so they can provide such intervention on a regular basis.
Keywords
Tobacco use; Smokers; Smoking cessation; Hospital
Hrčak ID:
284746
URI
Publication date:
1.8.2022.
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