Journal Article

Quitting experiences and preferences for a future quit attempt: a study among inpatient smokers

Taylor, Simone, Dooley, Michael J, Bonevski, Billie, Thomas, Dennis, Abramson, Michael J, Weeks, Gregory R, George, Johnson, Poole, Susan G

2015

Overview

Objective Understanding smokers’ quit experiences and their preferences for a future quit attempt may aid in the development of effective cessation treatments. The aims of this study were to measure tobacco use behaviour; previous quit attempts and outcomes; methods used to assist quitting; difficulties experienced during previous attempts; the motives and preferred methods to assist quitting in a future attempt; identify the factors associated with preferences for smoking cessation. Design Face-to-face interview using a structured questionnaire. Setting Inpatient wards of three Australian public hospitals. Participants Hospitalised smokers enrolled in a smoking cessation trial. Results Of 600 enrolled patients (42.8% participation rate), 64.3% (n=386) had attempted quitting in the previous 12 months. On a scale of 1 (low) to 10 (high), current motivation to quit smoking was high (median 9; IQR 6.5–10), but confidence was modest (median 5; IQR 3–8). Among 386 participants who reported past quit attempts, 69.9% (n=270) had used at least one cessation aid to assist quitting. Nicotine replacement therapy (NRT) was most commonly stated (222, 57.5%), although the majority had used NRT for <4 weeks. Hypnotherapy was the most common (68, 17.6%) non-pharmacological treatment. Over 80% (n=311) experienced withdrawal symptoms; craving and irritability were commonly reported. Most participants (351, 58.5%) believed medications, especially NRT (322, 53.7%), would assist them to quit in the future. History of previous smoking cessation medication use was the only independent predictor of interest in using medications for a future quit attempt. Conclusions The majority of smokers had attempted quitting in the previous 12 months; NRT was a popular cessation treatment, although it was not used as recommended by most. This suggests a need for assistance in the selection and optimal use of cessation aids for hospitalised smokers. Trial registration number Australian and New Zealand Clinical Trials Registry: ACTRN12612000368831.

• Publisher: BMJ Publishing Group LTD,BMJ Publishing Group
• Subject: Acupuncture / Adult / Aged / Australia / Comorbidity / Counseling / Data collection / Female / Hospitalization / Humans / Hypnotherapy / Inhalers / Inpatients / Intervention / Male / Middle Aged / Motivation / Nicotine / Nicotine - therapeutic use / Questionnaires / Smoking and Tobacco / Smoking cessation / Smoking Cessation - methods / Smoking Prevention / Sociodemographics / Substance Withdrawal Syndrome / Surveys and Questionnaires / Tobacco / Tobacco Use Cessation Devices / Tobacco Use Disorder - drug therapy / Tobacco Use Disorder - therapy / Treatment Outcome