David O Warner1, Margaret B Nolan2, Sandeep Kadimpati2, Michael V Burke2, Andrew C Hanson2, Darrell R Schroeder2. 1. Department of Anesthesiology, Mayo Clinic, Rochester, Minnesota; Nicotine Dependence Center, Mayo Clinic, Rochester, Minnesota. Electronic address: warner.david@mayo.edu. 2. Department of Anesthesiology, Mayo Clinic, Rochester, Minnesota; Nicotine Dependence Center, Mayo Clinic, Rochester, Minnesota.
Abstract
INTRODUCTION: Hospitalization provides an opportunity for smokers to quit, but tobacco interventions can require specialized services that are not available to many hospitals. This study tests the hypothesis that a brief intervention to facilitate the use of telephone quitline services for both initial and follow-up counseling is effective in helping patients achieve sustained abstinence. DESIGN: This was a population-based RCT. SETTING:Participants were Olmsted County, MN residents who reported current smoking and were admitted to Mayo Clinic hospitals in Rochester, MN between May 2012 and August 2014. INTERVENTION: A control group received brief (~5-minute) cessation advice; an intervention group received a brief (~5-minute) quitline facilitation intervention, with either warm handoff or faxed referral to a national quitline provider. All were offered a 2-week supply of nicotine patches at discharge. MAIN OUTCOME MEASURES: Outcomes included self-reported 7-day point prevalence abstinence at 6 months after hospitalization and quitline utilization. Data analysis was performed from September 2014 to March 2015. RESULTS: Of the 1,409 eligible patients who were approached, 600 (47%) were randomized. The quitline intake call was completed by 195 subjects (65% of the intervention group). Of these, 128 (66%) completed the first coaching call. Self-reported abstinence rates at 6 months after discharge were identical in both groups (24%). CONCLUSIONS: The quitline facilitation intervention did not improve self-reported abstinence rates compared with a standard brief stop-smoking intervention. These results do not support the effectiveness of quitlines in providing tobacco use interventions to a general population of hospitalized smokers.
RCT Entities:
INTRODUCTION: Hospitalization provides an opportunity for smokers to quit, but tobacco interventions can require specialized services that are not available to many hospitals. This study tests the hypothesis that a brief intervention to facilitate the use of telephone quitline services for both initial and follow-up counseling is effective in helping patients achieve sustained abstinence. DESIGN: This was a population-based RCT. SETTING:Participants were Olmsted County, MN residents who reported current smoking and were admitted to Mayo Clinic hospitals in Rochester, MN between May 2012 and August 2014. INTERVENTION: A control group received brief (~5-minute) cessation advice; an intervention group received a brief (~5-minute) quitline facilitation intervention, with either warm handoff or faxed referral to a national quitline provider. All were offered a 2-week supply of nicotine patches at discharge. MAIN OUTCOME MEASURES: Outcomes included self-reported 7-day point prevalence abstinence at 6 months after hospitalization and quitline utilization. Data analysis was performed from September 2014 to March 2015. RESULTS: Of the 1,409 eligible patients who were approached, 600 (47%) were randomized. The quitline intake call was completed by 195 subjects (65% of the intervention group). Of these, 128 (66%) completed the first coaching call. Self-reported abstinence rates at 6 months after discharge were identical in both groups (24%). CONCLUSIONS: The quitline facilitation intervention did not improve self-reported abstinence rates compared with a standard brief stop-smoking intervention. These results do not support the effectiveness of quitlines in providing tobacco use interventions to a general population of hospitalized smokers.
Authors: Denise S Taylor; Dominique Medaglio; Claudine T Jurkovitz; Freda Patterson; Zugui Zhang; Adebayo Gbadebo; Elisabeth Bradley; Rose Wessells; Edward Goldenberg Journal: Nicotine Tob Res Date: 2020-03-16 Impact factor: 4.244
Authors: Mark W Vander Weg; John E Holman; Hafizur Rahman; Mary Vaughan Sarrazin; Stephen L Hillis; Steven S Fu; Kathleen M Grant; Allan V Prochazka; Susan L Adams; Catherine T Battaglia; Lynne M Buchanan; David Tinkelman; David A Katz Journal: J Subst Abuse Treat Date: 2017-04-04