Smoking Clinical Trial
Official title:
Helping In-patients to Quit Smoking by Understanding Their Risk Perception, Behavior, and Attitudes Related to Smoking
This study aims at understanding the needs and concerns of Chinese current smoking patients, including their risk perceptions, and the behavior, attitudes, and experiences related to smoking and smoking cessation. Specifically, how smokers overcome withdrawal symptoms and cigarette cravings, as a result of banning on smoking in hospitals, will be explored. In addition, whether smokers will stop, resume or continue smoking after hospitalization will be investigated.
As about 400,000 hospitalizations are attributable to smoking annually in Hong Kong, it is an
excellent "teachable moment" for healthcare professionals to help patients quit smoking. To
our knowledge, this is the first study to investigate the needs and concerns of Chinese
current smoking patients, including their risk perceptions, and the behavior, attitudes, and
experiences related to smoking and smoking cessation. The findings of this study have
important implications for research and clinical practice.
Understanding how hospitalized smokers perceive the risks of smoking, and their behaviour,
attitudes, experiences related to smoking, as well as their view on hospital smoking
cessation service are essential prerequisites for the design of an effective and appropriate
smoking cessation intervention that can help patients achieve a greater level of smoking
abstinence and a lower level of relapse. Moreover, the results of this study can guide the
development of protocols and interventions that will demystify the misconceptions about
smoking among hospitalized smokers, increase their perception of the risks of continued
smoking and benefits of quitting. Additionally, it is crucial to motivate more healthcare
professionals to assess health behaviors of hospitalized smokers and to implement
evidence-based interventions to help them quit smoking. Most importantly, healthcare
professionals should be offered relevant training so as to enhance their self-efficacy and
confidence in promoting smoking cessation to patients.
The study consists of 2 phases. During phase 1, a purposive sample of 30 current adult
smokers who admit to either medical or surgical units of one of the largest cute hospitals in
Hong Kong will be invited to have a 60-minute semi-structured interview. The risk
perceptions, and the behaviour, attitudes, and experiences related to smoking and smoking
cessation amongst Chinese current smoking patients will be explored. Concerning phase 2, a
convenience sample of 382 adult patients who are current smokers or ex-smokers in the three
out-patient clinics will be invited to response to the questionnaires. Based on the findings
of Phase 1 study, a survey study will be conducted to further explore the behaviour,
attitudes, and experiences related to smoking and smoking cessation amongst those patient who
smoked before their admission to hospitals.
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