The purpose of our proposed study is to examine the effectiveness and cost-effectiveness of a smoking- cessation intervention for patients at two urban hospitals. The population of hospitalized patients has a higher prevalence of current smoking than the general population (especially among psychiatric patients);hospitalization represents a time of enforced abstinence and a window of opportunity to get patients motivated and engaged in improving their health. These two hospitals serve primarily low-income communities, where there are particularly high rates of smoking and many barriers to receiving high-quality health cai'e and achieving good health care outcomes. During hospitalization, all enrolled smokers will receive usual care plus brief telephone counseling via an in- hospital connection to the state telephone Quitline. At the time of discharge, patients will be randomized to one of two arms: multisession telephone counseling by their hospital's smoking cessation staff, or faxed referral to the New York State Smokers'Quitline. All patients will receive appropriate nicotine replacement therapy. We hypothesize that the enhanced post-discharge intervention (i.e. telephone counseling by local counselors) will result in greater 12-month smoking abstinence rates than the faxed referral to the state Quitline. Our primary outcome will be smoking abstinence rate (biochemically verified) at 12 months post-discharge. We plan to compare the effectiveness and the cost-effectiveness of these two interventions. Secondary aims will involve explorations of differences in effectiveness in specific patient subgroups, and examination of smoking abstinence outcomes at 3-months and 6-months post-discharge.
Tobacco use is a critical public-health issue;despite a decrease in use over the past decades, the rate of this decrease seems to have slowed. It is a particularly important health issue for groups of lower socioeconomic status and patients with mental illness. Our study aims to determine a low-intensity, easily generalizable smoking-cessation intervention targeting hospitalized populations from these communities.
|Sherman, Scott E; Link, Alissa R; Rogers, Erin S et al. (2016) Smoking-Cessation Interventions for Urban Hospital Patients: A Randomized Comparative Effectiveness Trial. Am J Prev Med 51:566-77|
|Duffy, Sonia A; Cummins, Sharon E; Fellows, Jeffrey L et al. (2015) Fidelity monitoring across the seven studies in the Consortium of Hospitals Advancing Research on Tobacco (CHART). Tob Induc Dis 13:29|
|Rigotti, Nancy A; Harrington, Kathleen F; Richter, Kimber et al. (2015) Increasing prevalence of electronic cigarette use among smokers hospitalized in 5 US cities, 2010-2013. Nicotine Tob Res 17:236-44|
|Fellows, Jeffrey L; Mularski, Richard; Waiwaiole, Lisa et al. (2012) Health and economic effects from linking bedside and outpatient tobacco cessation services for hospitalized smokers in two large hospitals: study protocol for a randomized controlled trial. Trials 13:129|
|Cummins, Sharon; Zhu, Shu-Hong; Gamst, Anthony et al. (2012) Nicotine patches and quitline counseling to help hospitalized smokers stay quit: study protocol for a randomized controlled trial. Trials 13:128|
|Riley, William T; Stevens, Victor J; Zhu, Shu-Hong et al. (2012) Overview of the Consortium of Hospitals Advancing Research on Tobacco (CHART). Trials 13:122|
|Harrington, Kathleen F; McDougal, Julie A; Pisu, Maria et al. (2012) Web-based smoking cessation intervention that transitions from inpatient to outpatient: study protocol for a randomized controlled trial. Trials 13:123|