Web-based Smoking Cessation Intervention: transition from inpatient to outpatient

描述（由申请人提供）： 该项目名为“基于网络的戒烟干预：从住院病人到门诊病人的过渡”，旨在解决住院病人的吸烟问题，因为住院病人的吸烟率高于一般人口。住院治疗提供了一个独特的干预机会，因为它需要暂时禁欲，而患者则专注于健康问题。假设：为当前吸烟者量身定制的基于网络和电子消息的戒烟计划，在出院后，患者将在家中继续尝试戒烟（Transition 2 Quit）将有效。此外，我们假设这种方法将具有成本效益。具体目标：1。测试网络戒烟干预的有效性。2.以确定这种方法的成本效益。研究设计-方法：将采用随机化两组随访设计来检验为住院后设计的基于证据和理论的戒烟计划的有效性。随机分配到该组的患者将由医院工作人员联系，培训为烟草治疗过渡专家，参与TransitionZQuit，这是一个基于网络的交互式计划，提供个性化和定制的信息，e组支持和短信促进戒烟。所有住院患者将通过DVD格式接收标准化戒烟信息，医生可以通过医院的电子订购系统订购（沿着NRT和研究转诊）。我们的主要结果是12个月随访时生物学证实的戒烟;我们还将评估3个月和6个月时自我报告的戒烟率以及预测戒烟成功的假设变量。我们将测量医疗保健利用率和生活质量，以便从医院、医疗保健支付者、患者和社会的角度测试该计划的成本效益。结果的意义：在研究完成时，我们将知道将戒烟纳入常规医院护理，最大限度地减少医院工作人员的负担，以及基于网络的交互式定制干预计划是否是降低住院患者吸烟率的有效方法，以及是否具有成本效益。该方案将是一种“现成的方法，可以很容易地传播。相关性（见说明）：本研究旨在解决2010年《健康人》目标27-1，即减少成年人的烟草使用。此外，它还旨在向弱势群体推广减少烟草使用的知识，以增强他们的健康，使他们能够活得更长，更充实。这将减少吸烟对卫生保健系统和整个社会的负担。 (End摘要）

DESCRIPTION (provided by applicant): This project, "Web-based Smoking Cessation Intervention: transition from inpatient to outpatient," addresses smoking among hospitalized patients, whose rates are higher than among the general population. Hospitalization offers a unique opportunity to intervene, as it requires temporary abstinence and patients are focused on health concerns. Hypotheses: A tailored web-based and e-message smoking cessation program for current smokers that upon hospital discharge, transitions the patient to continue a quit attempt when home (Transition2Quit) will be effective. Further, we hypothesize that this approach will be cost-effective. Specific Aims: 1. To test the effectiveness of a web-based smoking cessation intervention. 2. To determine the cost- effectiveness of this approach. Research Design - Methods: A randomized two-arm follow-up design will be used to test the effectiveness of an evidence- and theoretically-based smoking cessation program designed for post- hospitalization. Patients randomized to this arm will be contacted by hospital staff, trained as tobacco treatment transition specialists, to engage in TransitionZQuit, an interactive web-based program that offers personalized and tailored messages, e-group support, and text messages promoting tobacco abstinence. All hospitalized patients will receive standardized smoking cessation messages via DVD format that physicians can order (along with NRT and study referral) via the hospital's electronic order system. Our primary outcome is biologically confirmed tobacco abstinence at 12 months follow-up; we will also assess self-reported quit rates at 3 and 6 months and variables hypothesized to predict quit success. We will measure health care utilization and quality of life to allow testing the cost-effectiveness of this program conducted from the perspective of a hospital, health care payers, patients and society. Significance of results: At study completion we will know whether imbedding smoking cessation into usual hospital care, with minimal hospital-staff burden, and an interactive web-based tailored intervention program is an effective way to reduce smoking rates among hospitalized patients, and if it is cost-effective. This program will be an "off the shelf approach that could be disseminated easily. RELEVANCE (See instructions): This study aims to address the Health People 2010 objective 27-1 to reduce tobacco use by adults. Further it aims to extend knowledge about reducing tobacco use among a vulnerable group of people to enhance their health so that they can live longer and more fulfilling lives. This would result in a reduction of the burden of smoking on the health care system as well as society as a whole. (End of Abstract)