Wednesday, March 26, 2008

More good news on smoking cessation

Hypnotherapy as an aid to smoking cessation of hospitalized patients: preliminary results

AUTHOR(S): Hasan FM, Pischke, K, Saiyed S, Macys D and McCleary

NDATE: Oct 2007

DESIGN: Self-selected trial

SUBJECTS: 67 patients admitted with a cardiopulmonary diagnosis

OBJECTIVE: To evaluate the efficacy of hypnosis in smoking cessation in hospitalised patients.

INTERVENTIONS: Subjects contemplating quitting were recruited into 4 groups: Control subjects who preferred to quit "cold turkey" (C), hypnotherapy alone (H), Nicotine replacement therapy (NRT) and both hypnotherapy and NRT (NRTH). Subjects were allowed to self select their group. All subjects received self-help brochures. Control subjects received brief counselling, but other groups received intensive counselling, free supply of NRT and/or a free hypnotherapy session within 7 days of discharge. These groups also had follow up telephone calls at 1, 2, 4, 8, 12 and 26 weeks after discharge. Point prevalence rates for smoking were compared among the four groups at 26 weeks.

RESULTS: At 26 weeks after discharge, 4/12 of control subjects (25.0%), 7/14 in H (50.0%), 3/19 in NRT (15.78%) and 9/18 in NRTH (50%.0) groups were non-smokers. Patients admitted with a cardiac diagnosis were more like to quit at 26 weeks (45.5%) than patients admitted with a pulmonary diagnosis (15.63%).

CONCLUSIONS: Hypnotherapy after hospital discharge can be an effective mode of smoking cessation, comparing favourably with NRT alone.

SOURCE: Chest 2007 132: 52

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