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Dissemination of a smoking cessation program for in patients

Institution: Stanford University
Investigator(s): C. Barr Taylor, M.D.
Award Cycle: 1999 (Cycle 8) Grant #: 8RT-0031 Award: $710,621
Subject Area: Tobacco-Use Prevention and Cessation
Award Type: Research Project Awards
Abstracts

Initial Award Abstract
This project focuses on the behavioral and, to some extent, policy issues of implementation and dissemination of existing approaches to tobacco control. The goal of this project is to disseminate a scientifically-tested smoking cessation program for hospitalized patients to a wide range of hospitals in Santa Clara County. We hope to demonstrate that the program will be equally successful when used in these hospitals as it was when implemented as part of rigorous studies. We also hope to shed light on ways to accomplish health promotion program implementation successfully by examining the factors that lead to program adoption and those that present barriers to program adoption (including hospital resources and commitment to the project, as well as staff attitudes toward smoking and smoking cessation). This has important implications for the health of Santa Clara County residents, as smoking cessation is a cost-effective means of enhancing health and preventing disease. In addition, the study will yield a packaged program that can be readily disseminated to hospitals throughout California or other states. Finally, the study will help researchers to plan dissemination efforts for a variety of health promotion programs more effectively. Another aim of the project is to identify groups of patients who do not respond to the program as well as others. This will enable researchers to fine-tune the intervention so that it is relevant and effective with a broader range of people. Hypotheses: There are four main hypotheses: 1) that hospitals will offer the Staying Free program to 50% of their hospitalized smokers during the implementation phase of the project, and will continue to offer it at roughly that rate during the maintenance phase of the project; 2) that the Staying Free program will result in quit rates among hospitalized smokers that approach the rates found in previous studies of the intervention ; 3) that sustainability of the intervention will be related to the perceived costs and benefits of the program and commitment to the program; and 4) that subpopulations of patients will fare more poorly on the intervention and may require modifications (specifically, younger, lower-SES, and ethnic minority patients).
Publications

Application of a nurse-managed inpatient smoking cessation program
Periodical: Nicotine and Tobacco Research Index Medicus:
Authors: Smith PM, Reilly KR, Miller NH, DeBusk RF, Taylor CB ART
Yr: 0 Vol: Nbr: Abs: Pg:

Cardiac rehabilitation and secondary prevention of coronary heart disease in the elderly (with particular emphasis on patients >75 years of age)
Periodical: Circulation Index Medicus:
Authors: Williams MA, Fleg JL, Ades PA, et al ART
Yr: 2002 Vol: 105 Nbr: 14 Abs: Pg: 1735-1743

Application of a nurse-managed inpatient smoking cessation program.
Periodical: Nicotine and Tobacco Research Index Medicus:
Authors: Smith PM, Reilly KR, Miller NH, DeBusk RF, and Taylor CB ART
Yr: 2002 Vol: 4 Nbr: Abs: Pg: 211-222

Secondary prevention of coronary heart disease in the elderly - with emphasis on patients or =75 years of age: an American Heart Association scientific statement from the Council on Clinical Cardiology Subcommittee on exercise, cardiac rehabilitation
Periodical: Circulation Index Medicus:
Authors: Williams MA, Fleg JL, Ades PA, Chaitman BR, Houston Miller N et al ART
Yr: 2002 Vol: 105 Nbr: 14 Abs: Pg: 1735-1743

Implementation of evidence-based tobacco use cessation guidelines in MCOS.
Periodical: Annals of Behavioral Medicine Index Medicus:
Authors: Taylor CB, Curry SJ ART
Yr: 2004 Vol: 27 Nbr: 1 Abs: Pg: 13-21