Hospitalized Smokers
| Status: | Active, not recruiting |
|---|---|
| Conditions: | Hospital |
| Therapuetic Areas: | Other |
| Healthy: | No |
| Age Range: | 18 - Any |
| Updated: | 4/21/2016 |
| Start Date: | February 2011 |
| End Date: | January 2016 |
Increasing Post-Discharged Follow-Up Among Hospitalized Smokers
Post-discharge support is a key component of effective treatment for hospitalized smokers,
but very few hospitals provide it. Linking hospitalized smokers with free, proactive tobacco
quitlines is an ideal way to provide supportive contact at discharge, because quitlines are
effective and cost effective for smoking cessation. Many hospitals are beginning to
fax-refer smokers to quitlines at discharge. Fax referral is convenient and is part of the
current culture of medical communication channels. However, less than half of fax-referred
smokers are successfully contacted and enrolled in quitline services. "Warm hand-off" is a
novel approach to care transitions in which health care providers directly link patients
that have substance abuse and mental health problems with specialists, using face-to-face or
phone transfer. Warm hand-off achieves very high rates of treatment enrollment for these
highly vulnerable groups.
but very few hospitals provide it. Linking hospitalized smokers with free, proactive tobacco
quitlines is an ideal way to provide supportive contact at discharge, because quitlines are
effective and cost effective for smoking cessation. Many hospitals are beginning to
fax-refer smokers to quitlines at discharge. Fax referral is convenient and is part of the
current culture of medical communication channels. However, less than half of fax-referred
smokers are successfully contacted and enrolled in quitline services. "Warm hand-off" is a
novel approach to care transitions in which health care providers directly link patients
that have substance abuse and mental health problems with specialists, using face-to-face or
phone transfer. Warm hand-off achieves very high rates of treatment enrollment for these
highly vulnerable groups.
The objective if this application is to determine the relative effectiveness, and
cost-effectiveness, of warm hand-off versus fax referral for linking hospitalized smokers
with tobacco quitlines. This study employs a two-arm, individually randomized design. It is
set in two large Kansas hospitals that have dedicated tobacco treatment interventionists on
staff.
cost-effectiveness, of warm hand-off versus fax referral for linking hospitalized smokers
with tobacco quitlines. This study employs a two-arm, individually randomized design. It is
set in two large Kansas hospitals that have dedicated tobacco treatment interventionists on
staff.
Inclusion Criteria:
- Inclusion criteria include being residents of Kansas,
- aged 18 years and older,
- have smoked at least 1 cigarette in the 30 days prior to admission,
- speak Spanish or English,
- and wish to remain abstinent after they are discharged
- Patients who are discharged to another facility (for long term care or
rehabilitation) will be included in the trial.
Exclusion Criteria:
- Exclusion criteria include lacking access to a telephone post-discharge,
- acute life-threatening medical conditions (for example, cardiac arrest, acute
respiratory failure, septic shock),
- communication barriers (intubation, unable to speak or hear),
- altered mental status,
- severe unstable psychiatric disorder (acute psychosis),
- terminal illness with less than a 12 month life expectancy
- non-Kansans because residents of other states may receive quitline services from a
different vendor which would confound intervention effects and make it difficult to
obtain quitline adherence data
We found this trial at
1
site
University of Kansas Medical Center The University of Kansas Medical Center serves Kansas through excellence...
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