ABC in ED results of the "ASSET" study: outcomes of "Brief Interventions" to stop smoking given in the emergency department of a central city hospital (2016)

Background Studies indicate that at any one time, about 70% of smokers want to quit smoking. Asking about smoking behaviour (A), giving brief advice to stop (B), and making an offer of support to do so (C), by all healthcare practitioners, this ABC approach is integral to New Zealand reaching its Sm...

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Main Authors: Karen J Stevens, Raewyn J Hopkins, Robert P Young
Format: Article
Language:English
Published: European Publishing 2018-03-01
Series:Tobacco Induced Diseases
Subjects:
Online Access:http://www.journalssystem.com/tid/ABC-in-ED-results-of-the-8220-ASSET-8221-study-outcomes-of-8220-Brief-Interventions,83788,0,2.html
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author Karen J Stevens
Raewyn J Hopkins
Robert P Young
author_facet Karen J Stevens
Raewyn J Hopkins
Robert P Young
author_sort Karen J Stevens
collection DOAJ
description Background Studies indicate that at any one time, about 70% of smokers want to quit smoking. Asking about smoking behaviour (A), giving brief advice to stop (B), and making an offer of support to do so (C), by all healthcare practitioners, this ABC approach is integral to New Zealand reaching its Smokefree 2025 aspirational goal. Methods Retrospectively the names and basic demographic details of all current smokers discharged from ED in each of 6 months were supplied for the project and the data was scrutinized to ensure that documented evidence existed to show that brief advice had been given by professional departmental staff. Criteria for study inclusion were: discharged home from the Emergency Department given brief advice to stop smoking data were clearly documented in the hospital record candidate aged over 18 years A telephone based questionnaire was developed and used for this study. Results Over the 6 month period, 500 patients met our eligibility, the current analysis is based on 195 completed participant responses of which: 30% attempted to stop smoking (20% of subjects had 1 quit attempt) 21% attempted to quit "cold turkey" 20% used some form of smoking cessation "medication"(8% used NRT) -these are not mutually exclusive 3% were still quit at the time of phone interview 50% smoked less than usual (with 15% reducing their daily intake by 10 cigarettes or more per day and 14% reducing by 5-9 cigarettes per day). Conclusions The majority of participants agreed that being asked about their smoking behaviour was acceptable in an ED setting. There were no features that predicted who might have the greatest benefit from receiving brief advice. Therefore the ABC approach should be incorporated into all ED assessments. Funding: Funding provided by the NZ MoH, Tobacco Control Department. [Figure 1.jpg]
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spelling doaj.art-f7425f8502eb44629a0cc55c4a3c65b82022-12-21T23:13:09ZengEuropean PublishingTobacco Induced Diseases1617-96252018-03-0116110.18332/tid/8378883788ABC in ED results of the "ASSET" study: outcomes of "Brief Interventions" to stop smoking given in the emergency department of a central city hospital (2016)Karen J Stevens0Raewyn J Hopkins1Robert P Young2Auckland District Health Board, Smokefree Services, New ZealandUniversity of Auckland, New ZealandUniversity of Auckland, New ZealandBackground Studies indicate that at any one time, about 70% of smokers want to quit smoking. Asking about smoking behaviour (A), giving brief advice to stop (B), and making an offer of support to do so (C), by all healthcare practitioners, this ABC approach is integral to New Zealand reaching its Smokefree 2025 aspirational goal. Methods Retrospectively the names and basic demographic details of all current smokers discharged from ED in each of 6 months were supplied for the project and the data was scrutinized to ensure that documented evidence existed to show that brief advice had been given by professional departmental staff. Criteria for study inclusion were: discharged home from the Emergency Department given brief advice to stop smoking data were clearly documented in the hospital record candidate aged over 18 years A telephone based questionnaire was developed and used for this study. Results Over the 6 month period, 500 patients met our eligibility, the current analysis is based on 195 completed participant responses of which: 30% attempted to stop smoking (20% of subjects had 1 quit attempt) 21% attempted to quit "cold turkey" 20% used some form of smoking cessation "medication"(8% used NRT) -these are not mutually exclusive 3% were still quit at the time of phone interview 50% smoked less than usual (with 15% reducing their daily intake by 10 cigarettes or more per day and 14% reducing by 5-9 cigarettes per day). Conclusions The majority of participants agreed that being asked about their smoking behaviour was acceptable in an ED setting. There were no features that predicted who might have the greatest benefit from receiving brief advice. Therefore the ABC approach should be incorporated into all ED assessments. Funding: Funding provided by the NZ MoH, Tobacco Control Department. [Figure 1.jpg]http://www.journalssystem.com/tid/ABC-in-ED-results-of-the-8220-ASSET-8221-study-outcomes-of-8220-Brief-Interventions,83788,0,2.htmlWCTOH
spellingShingle Karen J Stevens
Raewyn J Hopkins
Robert P Young
ABC in ED results of the "ASSET" study: outcomes of "Brief Interventions" to stop smoking given in the emergency department of a central city hospital (2016)
Tobacco Induced Diseases
WCTOH
title ABC in ED results of the "ASSET" study: outcomes of "Brief Interventions" to stop smoking given in the emergency department of a central city hospital (2016)
title_full ABC in ED results of the "ASSET" study: outcomes of "Brief Interventions" to stop smoking given in the emergency department of a central city hospital (2016)
title_fullStr ABC in ED results of the "ASSET" study: outcomes of "Brief Interventions" to stop smoking given in the emergency department of a central city hospital (2016)
title_full_unstemmed ABC in ED results of the "ASSET" study: outcomes of "Brief Interventions" to stop smoking given in the emergency department of a central city hospital (2016)
title_short ABC in ED results of the "ASSET" study: outcomes of "Brief Interventions" to stop smoking given in the emergency department of a central city hospital (2016)
title_sort abc in ed results of the asset study outcomes of brief interventions to stop smoking given in the emergency department of a central city hospital 2016
topic WCTOH
url http://www.journalssystem.com/tid/ABC-in-ED-results-of-the-8220-ASSET-8221-study-outcomes-of-8220-Brief-Interventions,83788,0,2.html
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