We have rolled out ward-based training in smoking cessation intervention in randomly selected hospital wards of three LHDs. An intervention training bundle has been developed comprising nicotine replacement therapy, text messaging, and brief counselling.  The project will:

  1. Measure the effect of the intervention on health care professional behaviour.
  2. Describe the experience of high-risk patients with the intervention

Since inception, the intervention and training has been rolled out to 12 wards.

Collaborating Organisations

South Western Sydney Local Health District
South East Sydney Local Health District
Mid North Coast Local Health District

Key Funders

Translation Research Grant Scheme TRGS

Project Type

Current project

Chief Investigators

Dr Marianne Gale, (SESLHD) Dr Patrick Bolton (SESLHD), Dr Catherine Spooner (CPHCE), Scientia A/Prof Natalie Taylor (SPH), A/Prof Freddy Sitas (CPHCE), Dr Ryan Courtney (NDARC), Cat van Kemenade (CPHCE), Kathryn Thorburn (CPHCE), Dr Hamish Fibbins (SESLHD), Nicola Kerr,  (MNCLHD), A/Prof Jackie Curtis (SESLHD), Professor Phil Ward (SWSLHD), Professor Apo Demirkol (SESLHD), Dr Anh Dam Tran (SESLHD), Professor Anthony Shakeshaft (UQ).

Project Coordinator

Cat van Kemenade CPHCE

Project Rationale

NSW Health smoking cessation policy is evidence-based, yet poorly implemented. Introducing and maintaining evidence-based change within complex health systems remains an ongoing challenge.

One strategy to address this challenge is to identify ward-based healthcare workers to lead the implementation effort internally. An added benefit of this approach is that building the capacity of healthcare workers in behavioural and implementation science methods may facilitate the use of evidence-based implementation approaches, leading to sustainable and effective translation.

Project Aim/s

1. Does a ward-based smoking cessation intervention:

a. Increase health care professional adoption of evidence-based smoking cessation care in patients admitted to general, post-natal or mental health hospital wards?

b. Associated with increased health care professional asking and reporting of patient smoking status?

c. Associated with increased health care professional offering of smoking cessation care options (e.g.: Nicotine replacement therapy, Text messaging, brief counselling) in eligible patients?

2. What is the experience of high-risk populations with the implementation of the S3L bundle, and how can this be improved?

Project Design and Method

Mixed Methods: Qualitative analysis of staff behaviour and patients who identified as smokers in intervention wards


Freddy Sitas
02 90658007
F.Sitas @unsw.edu.au

Project lead centre


Project stream

Prevention and Management of Long Term Conditions