Predictors of adherence to smoking intervention participation following hospital discharge

2.50
Hdl Handle:
http://hdl.handle.net/10755/163300
Category:
Abstract
Type:
Presentation
Title:
Predictors of adherence to smoking intervention participation following hospital discharge
Author(s):
Caruthers, Donna D.; Martins, Diane; Sereika, Susan M.; Erlen, Judith A.; Dunbar-Jacob, Jacqueline
Author Details:
Donna D. Caruthers, PhD, RN, University of Pittsburgh School of Nursing, Pittsburgh, Pennsylvania, USA, email: caru@pitt.edu; Diane Martins, PhD, RN, U. of Massachusetts College of Nursing; Susan M. Sereika, PhD; Judith A. Erlen, PhD, RN, FAAN; Jacqueline Dunbar-Jacob, PhD, RN, FAAN
Abstract:
Purpose: This study examined predictors of treatment adherence to a nurse-delivered smoking relapse prevention program initiated in the hospital and continued after discharge. There is limited literature regarding predictor variables of treatment adherence to smoking interventions. Theoretical Framework: This exploratory analysis and parent study (1F31NR07343) used self efficacy theory. Methods (Design, Sample, Setting, Measures, Analysis): Participants (n=40), randomly assigned to the treatment arm, received a face-to-face session during hospitalization and 8 telephone delivered intervention sessions across 11 weeks after discharge. On average, participants in the intervention arm were 53 yrs (SD=11), 60% (n=24) female, 80% (n=32) white, 13 yrs (SD=2) of education, 68% (n=27) admitted with a tobacco related diagnosis, smoked 22 (SD=16) cigarettes/day, nicotine dependent (M=6, SD=2), overall mean self-efficacy for abstinence of 61 (SD=24), and mean subscale scores for resisting puffs related to lapses of 55 (SD=31) and resisting smoking related to hospitalization of 86 (SD=26). Mean adherence to intervention participation was 41% (SD=27). Multivariate regression analyses were used to examine predictor variables. Results: Daily cigarette consumption and subscale scores for confidence to resisting puffs related to lapses and hospitalization were identified as predictor variables in preliminary analysis (R=.542, F=4.98, df=39, p=.005). Further examination identified one item from each self-efficacy subscale score related to treatment adherence. The final predictive model included daily cigarette consumption, confidence in resisting a cigarette puff the day following a smoking lapse and confidence in resisting urges to smoke while hospitalized (R=.575, F=5.913, df=39, p=.002). Conclusions and Implications: Participants were at greatest risk for poor treatment adherence if they smoked a high number of cigarettes per day, had over confidence in resisting smoking following a lapse, and low confidence in resisting the urge to smoke during hospitalization. Assessment for these variables has potential to assist individualizing cessation and relapse prevention strategies for hospitalized smokers.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2007
Conference Name:
19th Annual Scientific Sessions
Conference Host:
Eastern Nursing Research Society
Conference Location:
Providence, Rhode Island, USA
Description:
Conference theme: Building Communities of Scholarship and Research, held April 12-14, 2007 at The Westin Providence.
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titlePredictors of adherence to smoking intervention participation following hospital dischargeen_GB
dc.contributor.authorCaruthers, Donna D.en_US
dc.contributor.authorMartins, Dianeen_US
dc.contributor.authorSereika, Susan M.en_US
dc.contributor.authorErlen, Judith A.en_US
dc.contributor.authorDunbar-Jacob, Jacquelineen_US
dc.author.detailsDonna D. Caruthers, PhD, RN, University of Pittsburgh School of Nursing, Pittsburgh, Pennsylvania, USA, email: caru@pitt.edu; Diane Martins, PhD, RN, U. of Massachusetts College of Nursing; Susan M. Sereika, PhD; Judith A. Erlen, PhD, RN, FAAN; Jacqueline Dunbar-Jacob, PhD, RN, FAANen_US
dc.identifier.urihttp://hdl.handle.net/10755/163300-
dc.description.abstractPurpose: This study examined predictors of treatment adherence to a nurse-delivered smoking relapse prevention program initiated in the hospital and continued after discharge. There is limited literature regarding predictor variables of treatment adherence to smoking interventions. Theoretical Framework: This exploratory analysis and parent study (1F31NR07343) used self efficacy theory. Methods (Design, Sample, Setting, Measures, Analysis): Participants (n=40), randomly assigned to the treatment arm, received a face-to-face session during hospitalization and 8 telephone delivered intervention sessions across 11 weeks after discharge. On average, participants in the intervention arm were 53 yrs (SD=11), 60% (n=24) female, 80% (n=32) white, 13 yrs (SD=2) of education, 68% (n=27) admitted with a tobacco related diagnosis, smoked 22 (SD=16) cigarettes/day, nicotine dependent (M=6, SD=2), overall mean self-efficacy for abstinence of 61 (SD=24), and mean subscale scores for resisting puffs related to lapses of 55 (SD=31) and resisting smoking related to hospitalization of 86 (SD=26). Mean adherence to intervention participation was 41% (SD=27). Multivariate regression analyses were used to examine predictor variables. Results: Daily cigarette consumption and subscale scores for confidence to resisting puffs related to lapses and hospitalization were identified as predictor variables in preliminary analysis (R=.542, F=4.98, df=39, p=.005). Further examination identified one item from each self-efficacy subscale score related to treatment adherence. The final predictive model included daily cigarette consumption, confidence in resisting a cigarette puff the day following a smoking lapse and confidence in resisting urges to smoke while hospitalized (R=.575, F=5.913, df=39, p=.002). Conclusions and Implications: Participants were at greatest risk for poor treatment adherence if they smoked a high number of cigarettes per day, had over confidence in resisting smoking following a lapse, and low confidence in resisting the urge to smoke during hospitalization. Assessment for these variables has potential to assist individualizing cessation and relapse prevention strategies for hospitalized smokers.en_GB
dc.date.available2011-10-27T11:05:00Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T11:05:00Z-
dc.conference.date2007en_US
dc.conference.name19th Annual Scientific Sessionsen_US
dc.conference.hostEastern Nursing Research Societyen_US
dc.conference.locationProvidence, Rhode Island, USAen_US
dc.descriptionConference theme: Building Communities of Scholarship and Research, held April 12-14, 2007 at The Westin Providence.en_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
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