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Int. J. Environ. Res. Public Health 2017, 14(8), 847; doi:10.3390/ijerph14080847

Smoke-Free Recovery from Trauma Surgery: A Pilot Trial of an Online Smoking Cessation Program for Orthopaedic Trauma Patients

1
School of Medicine and Public Health, Faculty of Health and Medicine, University of Newcastle, Callaghan, NSW 2308, Australia
2
Hunter Medical Research Institute, University of Newcastle, New Lambton, NSW 2305, Australia
3
Department of General Medicine, John Hunter Hospital, New Lambton Heights, NSW 2305, Australia
4
Department of Traumatology, John Hunter Hospital, New Lambton, NSW 2305, Australia
5
Whitlam Orthopaedic Research Centre, Ingham Institute for Applied Medical Research, Liverpool Hospital, Liverpool, NSW 2170, Australia
6
South Western Sydney Clinical School, Faculty of Medicine, University of New South Wales, Liverpool, NSW 2170, Australia
7
School of Human, Health and Social Sciences, Central Queensland University, Brisbane, QSD 4000, Australia
8
Centre for Medicine Use and Safety, Monash University, Parkville, VIC 3052, Australia
9
Hunter New England Population Health, Wallsend, NSW 2287, Australia
*
Author to whom correspondence should be addressed.
Received: 13 June 2017 / Revised: 24 July 2017 / Accepted: 26 July 2017 / Published: 28 July 2017
(This article belongs to the Special Issue Development and Evaluation of New Tobacco Control Interventions)
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Abstract

Smoking increases the risk of complications associated with orthopaedic trauma surgery, however delivery of care is low. Online interventions may provide needed smoking cessation care and promote abstinence. This study aims to examine the engagement, acceptability, and retention of an online smoking cessation program (Smoke-Free Recovery; SFR) among a sample of orthopaedic trauma patients, as well as themes around the smoking cessation process. A pilot study of SFR with 31 orthopaedic trauma patients admitted to a public hospital in New South Wales, Australia took place. Semi-structured telephone interviews were conducted following hospital discharge. Thematic analysis and descriptive statistics were used. Engagement was high with 28 participants accessing SFR during admission. Twenty individuals completed follow-up phone calls. Program acceptability was rated favourably. After discharge, changes in smoking habits were noted, with program retention low. Themes on program use included: lack of time or need for additional support; computer illiteracy or technology issues; feeling unready or too stressed to quit; or feeling they had reached the boundary of what could be learnt from the program. This study highlights the difficulties faced by patients following hospital admission, the lack of follow-up support received, and the need for consumer testing prior to roll out. Continuing to develop interventions to promote hospital-initiated cessation attempts that continue post-discharge should be a priority. View Full-Text
Keywords: smoking cessation; telemedicine; wounds and injuries; orthopedics smoking cessation; telemedicine; wounds and injuries; orthopedics
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McCrabb, S.; Baker, A.L.; Attia, J.; Balogh, Z.J.; Lott, N.; Naylor, J.; Harris, I.A.; Doran, C.M.; George, J.; Wolfenden, L.; Skelton, E.; Bonevski, B. Smoke-Free Recovery from Trauma Surgery: A Pilot Trial of an Online Smoking Cessation Program for Orthopaedic Trauma Patients. Int. J. Environ. Res. Public Health 2017, 14, 847.

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