Implementing smoking cessation interventions in a preoperative clinic

James R. Etteldorf, Sue Robertson, Asma Taha

Research output: Contribution to journalArticlepeer-review

2 Scopus citations


Cigarette smoking has negative health implications for surgical patients. Smoking cessation before surgery reduces complications; however, information on the risks of smoking and benefits of quitting on surgical outcomes are not regularly provided to patients. It is especially important for smokers to quit now because they are at increased risk of serious complications of coronavirus disease 2019 (COVID-19). The purpose of this project was to develop and implement a program for smoking cessation in a preanesthesia clinic associated with a southwestern medical center to increase motivation to quit smoking. The evidence-based program involved development of a provider toolkit, a referral process, provider education, and program evaluation. After provider education, the program commenced. Of the 134 current smokers encountered over a 16-week period, most were ready to quit within 30 days (n = 92, 68.66%). Of the smokers who were ready to quit, 50 (37.31%) accepted referral for smoking cessation counseling, treatment, or both. Only 13 (9.70%) of the 134 smokers were already receiving treatment. This program enabled providers to feel more comfortable discussing the implications of smoking, advising smokers to quit, providing education materials, and offering referral services at the appropriate stage of readiness for behavior change.

Original languageEnglish (US)
Pages (from-to)283-288
Number of pages6
JournalAANA journal
Issue number4
StatePublished - Aug 1 2020
Externally publishedYes


  • Smoking
  • Smoking cessation
  • Smoking cessation interventions
  • Transtheoretical model

ASJC Scopus subject areas

  • Medicine(all)


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