The 130th Annual Meeting of APHA

4228.0: Tuesday, November 12, 2002 - 3:30 PM

Abstract #37719

Tobacco prevention and cessation with home health patients

Margaret J. Wimmer, RN, DNS and Ellen J. Hahn, DNS. College of Nursing, University of Kentucky, 561 CON/HSLC, Lexington, KY 40536-0232, 859-323-8565, mwimmer@pop.uky.edu

Tobacco use is responsible for over 450,000 deaths annually and accounts for more than 30% of U.S. cancer deaths. Kentucky has the highest rate of adult smoking in the nation. The purpose of this pilot study was to reduce smoking rates and secondhand smoke exposure among Kentucky adults receiving home health care. Specific aims are to: 1. test the effects of an in-home tobacco prevention and cessation intervention on smoking, quit patterns and home exposure to secondhand smoke, 2. determine if sociodemographic characteristics are associated with smoking, quit patterns, and home exposure to secondhand smoke and 3. examine the relationships of self-efficacy with quit patterns and home exposure to secondhand smoke. A one-group pretest-posttest quasi-experimental design was used. A sample of 10 subjects who reported smoking in their home within the past 30 days was recruited from a home health agency client population. Subjects participated in an in-home smoking prevention and cessation intervention based on the United States Public Health Service Report. The intervention was delivered by a home health nurse with follow-up intervention phone calls by a research assistant. Participants were interviewed in their homes and provided urine samples for cotinine measurement at baseline and one and six months post-intervention. Data were also collected using the Home Health Smoking Cessation Participant Survey, the Fagerstrom Tolerance Questionnaire, the Partner Interaction Questionnaire and selected demographic variables. The results of this pilot study will be discussed along with the process of overcoming challenges in smoking cessation research in home health care settings.

Learning Objectives: At the end of this presentation, the learner will be able to

Keywords: Smoking Cessation, Home Care

Presenting author's disclosure statement:
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.

Home Health and Public Health Converge

The 130th Annual Meeting of APHA