A randomized, controlled pilot study of warm handoff versus fax referral for hospital-initiated smoking cessation among people living with HIV/AIDS.
A randomized, controlled pilot study of warm handoff versus fax referral for hospital-initiated smoking cessation among people living with HIV/AIDS.
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一项关于热交接与传真转诊对艾滋病毒/艾滋病患者医院发起戒烟的随机对照试点研究。
DOI：
10.1016/j.addbeh.2017.11.035
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发表时间：
2018
影响因子：
4.4
通讯作者：
Richter,KimberP
中科院分区：
文献类型：
--
作者：
Mussulman,LauraM;Faseru,Babalola;Fitzgerald,Sharon;Nazir,Niaman;Patel,Vivek;Richter,KimberP
艾滋病毒/艾滋病（PLWHA）感染者的吸烟率仍然高于一般人群。在过去十年中，艾滋病毒感染者的预期寿命有所增加，然而，吸烟的艾滋病毒感染者比不吸烟的同龄人死得更早。本初步研究的主要目的是检查在感染艾滋病毒/艾滋病的住院吸烟者中，热移交与传真转诊到戒烟热线戒烟的效果。方法选取2012-2013年在中西部某学术医疗中心住院的25例诊断为HIV/AIDS的吸烟者（19例男性，平均年龄47.7岁，48%是非裔美国人），进行鉴定、接触并随机分为两组治疗。在床边为患者进行温馨交接，工作人员拨打戒烟热线进行现场登记和咨询。随机分配到传真的参与者在出院当天传真到戒烟热线。戒烟热线为两种情况下的参与者提供持续的门诊咨询。主要结果是随机分组后6个月的烟草戒断。结果在温暖移交（100%）和传真转诊（71.4%）的PLWHA参与者中，戒烟热线咨询的参与率和参与率都很高。几乎所有患者在6个月时完成了结局数据收集的随访。在6个月时，经验证的戒断率在热移交组为45.5%，而在传真转诊组为14.3%（无统计学意义）。结论住院吸烟HIV/AIDS患者对戒烟服务的参与度较高。对于住院的PLWHA患者，热移交似乎是一种有希望的干预措施，需要进一步探索。临床试验注册NCT01305928。
IntroductionThe prevalence of smoking among people living with HIV/AIDS (PLWHA) remains higher than the general population. Life expectancy among PLWHA has increased over the past decade, however, PLWHA who smoke will die younger than their non-smoking peers. The primary aim of this pilot study was to examine the effects of warm handoff versus fax referral to the quitline for smoking cessation among hospitalized smokers living with HIV/AIDS.Methods25 smokers with a diagnosis of HIV/AIDS hospitalized at a Midwestern academic medical center in 2012–2013 (19 male; mean age = 47.7; 48% African-American) were identified, approached, and randomized to one of two treatment arms. At the bedside for patients in warm handoff, staff telephoned the quitline for on-the-spot enrollment and counseling. Participants randomized to fax were fax-referred to the quitline on the day of discharge. The quitline provided continued outpatient counseling to participants in both conditions. The main outcome was verified tobacco abstinence at 6-months post randomization.ResultsEnrollment and participation in quitline counseling was high among both warm handoff (100%) and fax-referred (71.4%) PLWHA participants. Nearly all completed follow up for outcome data collection at 6 months. Verified abstinent rates were 45.5% in warm handoff versus 14.3% in fax referral at 6 months (not significant).ConclusionsHospitalized smokers living with HIV/AIDS were highly engaged in quitline services. Warm handoff seems a promising intervention for hospitalized PLWHA that requires further exploration.Clinical Trials Registration NCT01305928.
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影响因子：
120.7
作者：
Frisch, M;Biggar, RJ;Goedert, JJ
通讯作者：
Goedert, JJ
影响因子：
11.8
作者：
Helleberg, Marie;Afzal, Shoaib;Obel, Niels
通讯作者：
Obel, Niels
影响因子：
8.4
作者：
Rigotti, Nancy A;Clair, Carole;Munafo, Marcus R;Stead, Lindsay F
通讯作者：
Stead, Lindsay F
影响因子：
5.5
作者：
Willett, Jeffrey G.;Hood, Nancy E.;Levinson, Arnold H.
通讯作者：
Levinson, Arnold H.
2000-2002 年接受护理的艾滋病毒感染者的医院和门诊医疗服务利用率
影响因子：
3
作者：
J. Fleishman;K. Gebo;E. Reilly;R. Conviser;W. Mathews;P. Korthuis;J. Hellinger;R. Rutstein;P. Keiser;H. Rubin;Richard D. Moore
通讯作者：
Richard D. Moore