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Increasing Post-discharge Follow Up among Hospitalized Smokers

加强住院吸烟者的出院后随访

基本信息

批准号：
8508464
负责人：
KIMBER P RICHTER
金额：
$ 32.41万
依托单位：
UNIVERSITY OF KANSAS MEDICAL CENTER
依托单位国家：
美国
项目类别：
财政年份：
2010
资助国家：
美国
起止时间：
2010-09-20 至 2013-05-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8508464
关键词：
Abstinence Accreditation Address Adherence Alcohols Ambulatory Care Back Caring Communication Contracts Counseling Data Direct Costs Discipline Effectiveness Enrollment Ensure Facilities and Administrative Costs Feedback Future Guidelines Hand Health Health Personnel Healthcare Hospitals Incentives Inpatients Institutes Intervention Joints Kansas Length of Stay Link Measures Mediation Mediator of activation protein Medical Mental Health Mental Health Services Monitor Outcome Measure Outpatients Participant Patients Pharmaceutical Preparations Prevalence Principal Investigator Procedures Provider Randomized Relative (related person)Research Services Site Smoker Solutions Specialist Substance abuse problem Telefacsimile Telephone Testing Tobacco Ursidae Family Vendor Visit Vulnerable Populations Walking Withholding Treatment abstracting alcohol abuse therapy arm brief intervention cost cost effective cost effectiveness design effective therapy follow-up innovation novel strategies programs quitline smoking cessation treatment effect trend

项目摘要

DESCRIPTION (provided by applicant): Post-discharge support is a key component of effective treatment for hospitalized smokers, but very few hospitals provide it. Linking hospitalized smokers with free, proactive tobacco quitlines is an ideal way to provide supportive contact at discharge, because quitlines are effective and cost effective for smoking cessation. Many hospitals are beginning to fax-refer smokers to quitlines at discharge. Fax referral is convenient and is part of the current culture of medical communication channels. However, less than half of fax-referred smokers are successfully contacted and enrolled in quitline services. "Warm hand-off is a novel approach to care transitions in which health care providers directly link patients that have substance abuse and mental health problems with specialists, using face-to-face or phone transfer. Warm hand-off achieves very high rates of treatment enrollment for these highly vulnerable groups. The objective of this application is to determine the relative effectiveness, and cost-effectiveness, of warm hand- off versus fax referral for linking hospitalized smokers with tobacco quitlines. This study employs a two-arm, individually randomized design. It is set in two large Kansas hospitals that have dedicated tobacco treatment interventionists on staff. We hypothesize that warm hand-off will outperform fax referral by achieving higher rates of smoking cessation. Warm hand-off will boost abstinence by increasing quitline enrollment and adherence among smokers. Outcome measures will be assessed at 12-months post enrollment. The project includes contracts with the State of Kansas and its quitline vendor. Free & Clear, to obtain data on participants' quitline enrollment and adherence. Costs will be thoroughly assessed to support cost-effectiveness analyses. If successful, this project offers a potential low-cost solution for more efficiently linking millions of hospitalized smokers with effective outpatient treatment-smokers that might otherwise be lost in the transition to outpatient care. (End of Abstract)

描述（由申请人提供）：