Key result
Integrated hospital-community intervention increases 3-month smoking cessation by ~55% vs brief intervention in smokers taking medication.
Why the study?
To assess the effect of a hospital-community integrated management model of tobacco dependence on smoking cessation among community residents compared with a brief smoking cessation intervention.
Does an integrated hospital-community smoking cessation intervention reduce average cigarettes smoked per day and improve smoking cessation rates in community smokers willing to quit?
RCT (n=651)
Double-blind
Allocated to either the pilot or control group depending on their community
Yes
Does an integrated hospital-community smoking cessation intervention reduce average cigarettes smoked per day and improve smoking cessation rates in community smokers willing to quit?
An integrated hospital-community intervention significantly promotes smoking cessation and reduces daily cigarette consumption among smokers taking cessation medication, though the effect wanes after the intervention stops.
May support integrated programs for medicated smokers; hypothesis-generating and requires randomized confirmation before practice change.
Objective To assess the effect of the hospital-community integrated management model of tobacco dependence on smoking cessation among community residents compared with a brief smoking cessation intervention. Methods Our study recruited 651 smokers who were willing to quit in 19 communities in Beijing and conducted a 6-month smoking cessation intervention. The control group receiving a brief smoking cessation intervention and the pilot group receiving an integrated smoking cessation intervention. Intention-to-treat analysis (ITT) and generalized estimating equations were used to assess the effects of the integrated intervention and smoking cessation medication on average number of cigarettes smoked per day (ACSD) and smoking cessation rate. Results Simple effects analysis showed that smokers taking medication had significantly lower ACSD than those not taking medication at follow-up, the control group reduced smoking by 3.270, 4.830, and 4.760 cigarettes in the first, third and sixth months, respectively, while the pilot group reduced by 6.230, 5.820, and 4.100 cigarettes. The integrated intervention significantly reduced ACSD among medication-taking smokers at 1st month (reduced by 3.420, P < 0.05) and 3rd month (reduced by 2.050, P < 0.05), but had no significant effect among non-medication taking smokers. The 3rd month smoking cessation rate among medication-taking smokers was 27.0%, which was significantly higher than the smokers with brief smoking cessation intervention. Conclusion The integrated hospital-community intervention can significantly promote smoking cessation among smokers taking medication, but the issue of payment for medication and additional labor compensation for medical staff should be addressed before its popularization.
No takes yet. Share an insight, caveat, or question.
Qiao et al. (2023) conducted an RCT in Tobacco dependence (n=651). Hospital-community integrated management model of tobacco dependence vs. Brief smoking cessation intervention was evaluated on Smoking cessation rate at 3 months (medication-taking subgroup) (p=0.019). The integrated hospital-community intervention significantly increased the 3-month smoking cessation rate to 27.0% compared to 17.4% with brief intervention among smokers taking medication.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: