Beau Abar1, Chinwe Ogedegbe2, Preeti Dalawari3, Kalev Freeman4, Edwin D Boudreaux5, Frank Illuzzi6, Stephanie Carro-Kowalcyk7, Michael Molloy8, Keith Bradley7. 1. Department of Emergency Medicine, University of Rochester Medical Center, 265 Crittenden Blvd., Rochester, NY 14642, United States; Department of Psychiatry, University of Rochester Medical Center, 265 Crittenden Blvd., Rochester, NY 14642, United States; Department of Public Health Sciences, University of Rochester Medical Center, 265 Crittenden Blvd., Rochester, NY 14642, United States. Electronic address: beau_abar@urmc.rochester.edu. 2. Department of Emergency Medicine, Hackensack University Medical Center, 30 Prospect Ave., Hackensack, NJ 07601, United States. 3. Department of Emergency Medicine, Saint Louis University School of Medicine, 1402 South Grand Blvd., St. Louis, MO 63104, United States. 4. Department of Surgery, University of Vermont College of Medicine, 89 Beaumont Ave., Burlington, VT 05405, United States. 5. Department of Emergency Medicine, University of Massachusetts Medical School, 55 Lake Avenue North, Worcester, MA 01655, United States; Department of Psychiatry, University of Massachusetts Medical School, 55 Lake Avenue North, Worcester, MA 01655, United States; Department of Quantitative Health Sciences, University of Massachusetts Medical School, 55 Lake Avenue North, Worcester, MA 01655, United States. 6. Department of Emergency Medicine, St. Vincent's Medical Center, 2800 Main Street, Bridgeport, CT 06606, United States. 7. The National Alliance of Research Associates Programs, Bridgeport, CT, United States. 8. The National Alliance of Research Associates Programs, Bridgeport, CT, United States; University of Arizona College of Medicine - Tucson, 550 E. Van Buren Street, Tucson, AZ 85004, United States.
Abstract
OBJECTIVE: The objective of this study was to investigate the extent to which volunteer research associates (RAs) can be utilized to screen emergency department patients and their visitors for tobacco use and effectively refer tobacco users requesting help to state Tobacco Quitlines. METHODS: A sample of 19,149 individuals in 10 emergency departments around the country was enrolled into a prospective, interventional study on tobacco cessation by pre-health professional RAs. Participants who screened positive for tobacco use were provided a brief description of Tobacco Quitline programs and then offered a faxed referral to their respective state Quitline. RESULTS: A total of 10,303 (54%) participants reported tobacco use for more than one month during their lives, with 3861 (20%) currently using every day and an additional 1340 using on some days (7%). Most importantly, 2151 participants requested a faxed Tobacco Quitline referral (36% of individuals who used tobacco in the past month). DISCUSSION: Pre-health professional RAs were shown to be an effective and cost-efficient resource for providing a strongly recommended service in the emergency department. Patient care (and the care of their visitors) was supplemented, emergency department personnel were not provided with additional burden, and RAs were provided with valuable experience for their futures in the health professions.
OBJECTIVE: The objective of this study was to investigate the extent to which volunteer research associates (RAs) can be utilized to screen emergency department patients and their visitors for tobacco use and effectively refer tobacco users requesting help to state Tobacco Quitlines. METHODS: A sample of 19,149 individuals in 10 emergency departments around the country was enrolled into a prospective, interventional study on tobacco cessation by pre-health professional RAs. Participants who screened positive for tobacco use were provided a brief description of Tobacco Quitline programs and then offered a faxed referral to their respective state Quitline. RESULTS: A total of 10,303 (54%) participants reported tobacco use for more than one month during their lives, with 3861 (20%) currently using every day and an additional 1340 using on some days (7%). Most importantly, 2151 participants requested a faxed Tobacco Quitline referral (36% of individuals who used tobacco in the past month). DISCUSSION: Pre-health professional RAs were shown to be an effective and cost-efficient resource for providing a strongly recommended service in the emergency department. Patient care (and the care of their visitors) was supplemented, emergency department personnel were not provided with additional burden, and RAs were provided with valuable experience for their futures in the health professions.
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