Predictors of engagement in post-discharge quitline counseling among hospitalized smokers.
Predictors of engagement in post-discharge quitline counseling among hospitalized smokers.
复制标题
住院吸烟者参与出院后戒烟热线咨询的预测因素。
DOI：
10.1007/s10865-018-9951-6
复制
发表时间：
2019
影响因子：
3.1
通讯作者：
Richter,KimberP
中科院分区：
文献类型：
--
作者：
Scheuermann,TaneishaS;Preacher,KristopherJ;Carlini,BeatrizH;Bush,Terry;Magnusson,Brooke;Nazir,Niaman;Richter,KimberP
戒烟热线提供基于证据的烟草治疗，多次致电可提高戒烟率。本研究旨在确定住院期间转诊后更积极戒烟的吸烟者亚组。数据来自一项随机临床试验，评估传真转诊（转诊传真到主动戒烟热线）与热移交（患者在床边连接到戒烟热线）的有效性（n = 1054）。分类和回归树分析评估了个体和治疗/卫生系统相关变量及其相互作用。在所有参与者中，温暖的交接，烟草治疗护理过渡的较高评分，以及年龄较大预测了更多的戒烟热线电话。在戒烟线上登记的患者中，较高的护理转换评分，年龄较大，出院后使用戒烟药物预测完成更多的电话。影响敬业度的四个因素中有三个是医院内治疗的特点（烟草治疗、护理过渡和转诊方法的质量）和治疗（戒烟药物的使用），这表明了增加出院后戒烟敬业度的潜在目标。
Quitlines provide evidence-based tobacco treatment and multiple calls yield higher quit rates. This study aimed to identify subgroups of smokers with greater quitline engagement following referral during hospitalization. Data were from a randomized clinical trial assessing the effectiveness of fax referral (referral faxed to proactive quitline) versus warm handoff (patient connected to quitline at bedside) (n = 1054). Classification and regression trees analyses evaluated individual and treatment/health system-related variables and their interactions. Among all participants, warm handoff, higher ratings of the tobacco treatment care transition, and being older predicted completing more quitline calls. Among patients enrolled in the quitline, higher transition of care ratings, being older, and use of cessation medication post-discharge predicted completing more calls. Three of the four factors influencing engagement were characteristics of treatment within the hospital (quality of tobacco treatment care transition and referral method) and therapy (use of cessation medications), suggesting potential targets to increase quitline engagement post-discharge.