RT Journal Article
SR Electronic
T1 Development of an online smoking cessation program for use in hospital and following discharge: smoke-free recovery
JF BMJ Innovations
JO BMJ Innov
FD All India Institute of Medical Sciences
SP 115
OP 122
DO 10.1136/bmjinnov-2016-000126
VO 3
IS 2
A1 Sam McCrabb
A1 Zsolt Balogh
A1 Amanda L Baker
A1 Ian A Harris
A1 John Attia
A1 Natalie Lott
A1 Justine Naylor
A1 Christopher Doran
A1 Johnson George
A1 Luke Wolfenden
A1 Mark Wallis
A1 David Paul
A1 Frans Henskens
A1 Eliza Skelton
A1 Billie Bonevski
YR 2017
UL http://innovations.bmj.com/content/3/2/115.abstract
AB Background Tobacco smoking can have negative health outcomes on recovery from surgery. Although it is recommended best practice to provide patients with advice to quit and follow-up support, provision of post-discharge support is rare. Developing an online smoking cessation program may help address this gap.Objectives This paper describes the development and pretesting of an online smoking cessation program (smoke-free recovery, SFR) tailored to the orthopaedic trauma population for use while in hospital and post-discharge.Methods Drawing on the DoTTI framework for developing an online program, the following steps were followed for program development: (1) design and development; (2) testing early iteration; (3) testing for effectiveness and (4) integration and implementation. This article describes the first two stages of SFR program development.Results SFR is a 10-module online smoking cessation program tailored for patients with orthopaedic trauma. Of the participants who completed testing early iterations, none reported any difficulties orientating themselves to the program or understanding program content. The main themes were that it was ‘helpful’, provision of ‘help to quit’ was low and SFR increased thoughts of ‘staying quit post-discharge’.Conclusions This study found that a theory and evidence-based approach as the basis for an online smoking cessation program for patients with orthopaedic trauma was acceptable to users. A randomised controlled trial will be conducted to examine whether the online smoking cessation program is effective in increasing smoking cessation and how it can be integrated and implemented into hospital practice (stages three and four of the DoTTI framework).