ArticleBMJ open2016
Uptake and efficacy of a systematic intensive smoking cessation intervention using motivational interviewing for smokers hospitalised for an acute coronary syndrome: a multicentre before-after study with parallel group comparisons.
Article in BMJ open, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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Who cites it
15 citing papers in PubMed, 28 citations in OpenAlex.
- Trial
- Motivational smoking cessation counselling and community-based follow-up after hospitalisation for vascular disease: A randomised controlled trial.Addiction (Abingdon, England) · 2026Trial
- Combining Default Choices and an Encounter Decision Aid to Improve Tobacco Cessation in Primary Care Patients: A Pragmatic, Cluster-Randomized Trial.Journal of general internal medicine · 2025Trial
- Can Motivational Interviewing Make a Difference in Supporting Employees to Deal with Elevated Blood Pressure? A Feasibility Study at the Workplace.International journal of environmental research and public health · 2021Trial
- Tobacco and Nicotine Consumption and the Motivation to Stop Smoking in Smokers With and Without Coronary Heart Disease: A Comparative Analysis of Two Cross-Sectional Studies.Deutsches Arzteblatt international · 2026Observational
- Acceptance and preferences for different nicotine substitute products to reduce tobacco smoking in people living with HIV: Results from an internal pilot study of a randomized trial.Tobacco induced diseases · 2026Article
- The role of nurses in smoking cessation interventions for patients: a scoping review.BMC nursing · 2024Article
- Smoking cessation after myocardial infarction: Findings from a cross-sectional survey in Armenia.Tobacco prevention & cessation · 2023Article
- Combining default choices and an encounter decision aid to improve tobacco cessation in primary care patients: protocol for a cluster-randomized trial.BMC primary care · 2022Article
- Association between self-reported motivation to quit smoking with effectiveness of smoking cessation intervention among patients hospitalized for acute coronary syndromes in Switzerland.Preventive medicine reports · 2021Article
- Effect of depression on health behavior among myocardial infarction survivors in the United States.The mental health clinician · 2020Article
- Smoking cessation after hospitalization for myocardial infarction or cardiac surgery: Assessing patient interest, confidence, and physician prescribing practices.Clinical cardiology · 2019Article
- Motivational interviewing for smoking cessation.The Cochrane database of systematic reviews · 2019Review
- Patient Perception of How Smoking Status Influences Cardiac Rehabilitation Attendance After an Acute Cardiac Hospitalization.Journal of cardiopulmonary rehabilitation and prevention · 2019Article
- A framework for conducting economic evaluations alongside natural experiments.Social science & medicine (1982) · 2019Review
Corrections and comments
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Authors and funding
11 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo compare the efficacy of a proactive approach with a reactive approach to offer intensive smoking cessation intervention using motivational interviewing (MI).
designBefore-after comparison in 2 academic hospitals with parallel comparisons in 2 control hospitals.
settingAcademic hospitals in Switzerland.
participantsSmokers hospitalised for an acute coronary syndrome (ACS).
interventionIn the intervention hospitals during the intervention phase, a resident physician trained in MI systematically offered counselling to all smokers admitted for ACS, followed by 4 telephone counselling sessions over 2 months by a nurse trained in MI. In the observation phase, the in-hospital intervention was offered only to patients whose clinicians requested a smoking cessation intervention. In the control hospitals, no intensive smoking cessation intervention was offered. PRIMARY AND SECONDARY OUTCOMES: The primary outcome was 1 week smoking abstinence (point prevalence) at 12 months. Secondary outcomes were the number of smokers who received the in-hospital smoking cessation intervention and the duration of the intervention.
resultsIn the intervention centres during the intervention phase, 87% of smokers (N=193/225) received a smoking cessation intervention compared to 22% in the observational phase (p<0.001). Median duration of counselling was 50 min. During the intervention phase, 78% received a phone follow-up for a median total duration of 42 min in 4 sessions. Prescription of nicotine replacement therapy at discharge increased from 18% to 58% in the intervention phase (risk ratio (RR): 3.3 (95% CI 2.4 to 4.3; p≤0.001). Smoking cessation at 12-month increased from 43% to 51% comparing the observation and intervention phases (RR=1.20, 95% CI 0.98 to 1.46; p=0.08; 97% with outcome assessment). In the control hospitals, the RR for quitting was 1.02 (95% CI 0.84 to 1.25; p=0.8, 92% with outcome assessment).
conclusionsA proactive strategy offering intensive smoking cessation intervention based on MI to all smokers hospitalised for ACS significantly increases the uptake of smoking cessation counselling and might increase smoking abstinence at 12 months.
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