Previous projects
Improving smoking cessation interventions in Spain and Portugal
Southern European countries still have a high number of smokers; of these, the highest prevalence (men and women) was recorded in Spain (29%) and Portugal (25%). Smokers are frequent users of healthcare services, and their contact with the healthcare system could be an appropriate moment to quit smoking. In fact, between 60% and 70% of patients make an attempt to quit smoking while hospitalized. Thus, hospitalization provides a unique opportunity to identify and motivate smokers to quit, initiate cessation treatments, and facilitate appropriate support and follow-up. Despite these favorable conditions, cessation programs based on scientific evidence are hardly available in hospitals in southern European countries.
Southern European countries still have a high number of smokers; of these, the highest prevalence (men and women) was recorded in Spain (29%) and Portugal (25%). Smokers are frequent users of healthcare services, and their contact with the healthcare system could be an appropriate moment to quit smoking. In fact, between 60% and 70% of patients make an attempt to quit smoking while hospitalized. Thus, hospitalization provides a unique opportunity to identify and motivate smokers to quit, initiate cessation treatments, and facilitate appropriate support and follow-up. Despite these favorable conditions, cessation programs based on scientific evidence are hardly available in hospitals in southern European countries.
A comprehensive smoking cessation program will be designed that combines two proven, evidence-based products: (1) an online smoking cessation course, and (2) quit materials for professionals and smokers based on the Ottawa model. Translation and adaptation of the materials will be carried out by experts in each country. Adoption and implementation of the smoking cessation program will follow the AHRQ model for transferring evidence into practice.
A series of pre-post evaluations are planned: (1) Process: to assess the coverage, fidelity and satisfaction of the program (we will consider positive coverage when the inclusion of smokers is ≥50% of admitted smokers); (2) Outcome: to measure changes in health professionals’ knowledge, attitudes and behaviors after training (we will consider a positive change with an increase of ≥20% in these indicators); (3) Impact: to assess whether the intervention increases the number of smokers assisted and whether the rates of smokers who stop smoking increase compared to pre-intervention data (we will consider a positive change an increase in rates above ≥10% after 6 months of hospital discharge).
2019.
February 2017 – February 2019
Reference: 25678023. Budget: $199,000.00. The study is funded by Global Bridges: Healthcare Alliance for Tobacco Dependence Treatment, hosted at Mayo Clinic, and Pfizer Independent Grants for Learning and Change (IGLC).
Cristina Martínez (ICO-IDIBELL)
Esteve Fernández (ICO-IDIBELL)
Company
Olga Guillen
Laura Antón (ICO-IDIBELL)
Ariadna Feliu (ICO-IDIBELL)
Marta Enriquez (ICO-IDIBELL)
Sofia Ravara
Lydia Videira
Hilson Cunha Filho
Jose Precioso
Manuel Macedo Gonçalves
Constantine Vardavas
Sophia Papadakis
Feliu A, Ravara S, Papadakis S, Enríquez M, Antón L, Saura J, Company A, Romero O, Ripoll R, Ruz A, Precioso J, Pascoal I, Videira L, Correia C, Ferreira S, Fernández E, Martínez C. Factors associated with changes in the smoking pattern of patients admitted during hospitalization and one month after discharge: A cohort study. J Nurs Scholarsh. 2021 Nov 9. doi: 10.1111/jnu.12735. Epub ahead of print. PMID: 34755457. Link: https://pubmed.ncbi.nlm.nih.gov/34755457/