Helping In-patients to Quit Smoking by Understanding Their Risk Perception, Behavior, and Attitudes Related to Smoking

July 12, 2018 updated by: Dr. LI William Ho Cheung, The University of Hong Kong
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.

Study Overview

Status

Completed

Conditions

Detailed Description

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.

Study Type

Observational

Enrollment (Actual)

412

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

      • Hong Kong, China
        • The University of Hong Kong

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

18 years to 100 years (Adult, Older Adult)

Accepts Healthy Volunteers

No

Genders Eligible for Study

All

Sampling Method

Non-Probability Sample

Study Population

Phase 1 Qualitative study:

Chinese patients admitting to either medical or surgical units of one of the largest acute hospital in Hong Kong for physical discomfort.

Phase 2 Survey study:

Chinese patients attending one of the three general outpatient clinics at different regions in Hong Kong for medical follow-up.

Description

Inclusion Criteria:

  1. aged 18 years or above
  2. able to speak Cantonese Phase 1:(3) current smokers, either occasional or daily(4) hospitalized for at least 48 hours Phase 2:(3) current smokers who have resumed smoking or ex-smokers who have quitted smoking after hospitalization(4) admitted to hospitals, either medical or surgical units during the past 3 months.

Exclusion Criteria:

  1. unstable medical conditions, as advised by the doctor in charge
  2. poor cognitive state or active psychotic symptoms

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
The behavior, attitudes, and experiences related to smoking and smoking cessation among Chinese current smoking patients
Time Frame: 3 months
  1. smoking patients' risk perceptions, and the behavior, attitudes, and experiences related to smoking and smoking cessation
  2. how they overcome withdrawal symptoms and cigarette cravings, as well as their view on hospital smoking cessation service
3 months

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
The behavior, attitudes, and experiences related to smoking and smoking cessation among those patients who smoked before their admission to hospitals
Time Frame: 10 months
whether they (1) experience withdrawal symptoms or cigarette cravings and depressive symptoms during and after hospitalization (2)receive medical advice for quitting during hospitalization (3) have stopped, resumed or continued smoking after hospitalization (4) have intention to quit (5) have an increase in the risk perception toward smoking.
10 months

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Publications and helpful links

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start

July 1, 2016

Primary Completion (Actual)

August 29, 2017

Study Completion (Actual)

August 29, 2017

Study Registration Dates

First Submitted

August 4, 2016

First Submitted That Met QC Criteria

August 10, 2016

First Posted (Estimate)

August 15, 2016

Study Record Updates

Last Update Posted (Actual)

July 13, 2018

Last Update Submitted That Met QC Criteria

July 12, 2018

Last Verified

July 1, 2018

More Information

Terms related to this study

Other Study ID Numbers

  • In-patient

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

NO

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

Clinical Trials on Smoking

Search Similar Trials