The Ottawa Model for Smoking Cessation

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  • Adult (ages 25-64) icon
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Overview

Objective: The Ottawa Model for Smoking Cessation (the “Ottawa Model”) is an application of the “5 A’s” approach to cessation, customized to the hospital setting.

Population/Setting: This study evaluated the impact of implementing the Ottawa Model in 9 hospitals in eastern Ontario. A consecutive series of smoker patients admitted over a month-long period to hospital units planning to implement the Ottawa Model.

Methods: The RE-AIM (Reach, Efficacy, Adoption, Implementation, and Maintenance) framework was used to evaluate the intervention. Trained outreach facilitators assisted 9 hospitals to implement the Ottawa Model; program delivery was then monitored over a 1-year period using administrative data and data from a follow-up database. A before-and-after study was conducted to gauge the effect of the Ottawa Model program on cessation rates 6 months after hospitalization. Self-reports of smoking cessation were biochemically confirmed in a random sample of patients, and all cessation rates were corrected for potential misreporting.

Key Results: Sixty-nine percent of the expected number of smokers received the Ottawa Model intervention. Controlling for hospital, the confirmed 6-month continuous abstinence rate was higher after, than before, introduction of the Ottawa Model. The intervention was more likely to accomplish counselling for smokers than delivery of medications or post-discharge follow-up.

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