Smoking Cessation Treatment of CardioPulmonary Hospitalized Patients
Overview
- Phase
- Not Applicable
- Intervention
- hypnotherapy
- Conditions
- Smoking Cessation
- Sponsor
- North Shore Medical Center
- Enrollment
- 164
- Locations
- 1
- Primary Endpoint
- Abstinence From Smoking
- Status
- Completed
- Last Updated
- 8 years ago
Overview
Brief Summary
Smoking-related cardiopulmonary diseases account for a large number of hospital admissions. We investigated the efficacy of hypnotherapy as an aid to a counseling-based smoking cessation program in improving quit rates of hospitalized smoking patients at 12 and 26 weeks after hospital discharge. We compared outcomes with hospitalized patients who received more conventional therapy, namely nicotine replacement therapy, or patients who decided to quit on their own. We also compared smoking cessation rates at 12 and 26 weeks after hospitalization among patients admitted with a cardiac or a pulmonary diagnosis.
Detailed Description
Hospitalized patients with a cardiopulmonary diagnosis who were contemplating quitting were recruited into 4 groups: Hypnotherapy, Nicotine replacement therapy (NRT), both hypnotherapy and NRT, and self-quit group. All patients received self-help brochures and in-hospital counseling. Intervention groups received more extensive counseling, free NRT supply for a month and/or a 90 minute hypnotherapy session within 2 weeks of discharge. They also had follow up telephone counseling at 1,2,4,8 and 12 weeks after discharge. 7 day prevalence of tobacco abstinence rates at 26 weeks after hospitalization were verified by self report and urinary Cotinine levels.
Investigators
Faysal M. Hasan, MD
Director, Tobacco Prevention Service
North Shore Medical Center
Eligibility Criteria
Inclusion Criteria
- •Hospitalized patients with a Cardiopulmonary admission.
Exclusion Criteria
- •Terminal illness, history of Serious Psychiatric illness or substance abuse, Pregnancy, Cognitive or language barriers.
Arms & Interventions
Hypnotherapy
Patients admitted with a cardiopulmonary illness received a 90 minute free hypnotherapy session within 2 weeks of discharge, and a standardized tape for smoking cessation and relaxation for continued use after the session. They also received self-help brochures, and counseling during hospitalization and by telephone at 1,2,4,8 and 12 weeks after discharge.
Intervention: hypnotherapy
Nicotine Replacement Therapy
Patients recieved a free one month supply of Nicotine replacement therapy to include patches and Gum, lozenges or sprays. Patients also received self-help brochures, and counseling during hospitalization and by telephone at 1,2,4,8 and 12 weeks after hospitalization.
Intervention: Nicotine
Hypnotherapy and Nicotine replacement
The group received similar hypnotherapy session and tape, similar brochure and counseling protocol, as well as free nicotine replacement supplies for a month after discharge.
Intervention: hypnotherapy
Hypnotherapy and Nicotine replacement
The group received similar hypnotherapy session and tape, similar brochure and counseling protocol, as well as free nicotine replacement supplies for a month after discharge.
Intervention: Nicotine
Outcomes
Primary Outcomes
Abstinence From Smoking
Time Frame: at 26 weeks after hospitalization
Assessed by 7-day prevalence of verified tobacco abstinence at 26 weeks after hospitalization for a cardiopulmoanry illness. Verification was confirmed biochemically by urine Cotinine testing or by telephone and discussion with a household proxy. Patients lost to follow up were considered to be persistent smokers.
Secondary Outcomes
- Smoking Abstinence Rate at 12 and 26 Weeks(12 weeks and 26 weeks after hospital discharge)
- Smoking Cessation(at 12 weeks after hospitalization)