Authors (including presenting author) :
Lau WM (1), SIU CK (2), LAM HY(1), HUI SW (3), LEONG SL (4), LEE YHS (5),LIN YYK (6), MAK YW (7)
Affiliation :
(1) Tuen Mun Substance Abuse Clinic, Castle Peak Hospital, (2) Ward D301,Castle Peak Hospital, (3) Ward A104, Castle Peak Hospital, (4) Ward E002, Castle Peak Hospital, (5) Ward E401, Castle Peak Hospital, (6) Ward E301, Castle Peak Hospital, (7) HK Polytechnic University
Keyword 1: :
quit smoking
Keyword 3: :
psychiatric in-patients
Introduction :
Smoking is a significant public health concern worldwide. It leads to 6 out of the world’s 8 leading causes of death including cancers, cardiovascular diseases and respiratory diseases (HK Council on Smoking and Health, 2024). The prevalence of smoking of people with a mental illness is higher than in the general population (Jacqueline et al 2011; Minichino et al 2014; Philip et al 2014). Knowing that nurses are at the ideal position to motivate patients to quit smoking, but busy day-to-day clinical duty may distract their attention to promote patient smoking cessation as 1st priority. Our Evidence-based Practice workshop explored cost-effective and user-friendly intervention in patient smoking cessation: AWARD model. A pilot project of using AWARD model in a substance abuse ward with 8 weeks’ implementation was completed. The result showed statistically significant improvement in patients’ motivation level to quit smoking and staff’s high satisfaction level in using AWARD model.
Objectives :
•To enhance motivation level of patients to quit smoking •To explore relationship between Nicotine dependence level and effectiveness of AWARD model
•To explore satisfaction level of ward nurses in applying AWARD model
Methodology :
-Design of training materials and training workshop to teach nursing staff how to use AWARD model
-To identify patients’ nicotine dependence level by Fagerstrom test for nicotine dependence
-Outcome measurement by patients’ self-report scores of importance ruler to quit smoking pre post AWARD intervention by using “Readiness to quit smoking questionnaire”.
-Staff satisfaction level by staff’s completion of staff satisfaction survey; 4 Likert-scale 6-point questions about their confidence, skill and knowledge, helpfulness and user-friendliness of AWARD model were designed in which 1 represents “totally disagree” and 6 represents “totally agree”. The higher the scores represent higher satisfaction level.
Result & Outcome :
●Patients Response rates: 23/31 (74.2%)
●Response rates of staff satisfaction survey: 16/16 (100%) ●AWARD model significantly improves participants' readiness toward smoking cessation comparing pre (Median = 30) and post (Median = 50) importance ruler (z = 3.008, p = .003).
● The median increase of 20 points represents a medium effect size (r = 0.63). ●Kruskal-Wallis Test reveals that there is no significant difference in importance ruler across three levels of nicotine dependence level (low, moderate, high) (p = 0.095) after AWARD program. ●Staff satisfaction survey revealed high satisfaction level; mean score of each question was ranged from 5 to 5.125. Staff found AWARD model was user-friendly and supported to widely use in in-patient setting. ●To conclude, AWARD program is suitable to patients with low, moderate and high level of nicotine dependence. It is an evidence-based, user-friendly, cost-effective and time-efficient approach for nurses to motivate patients in smoking cessation.
