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）：入院后支持是住院吸烟者有效治疗的关键组成部分，但很少有医院提供。将住院的吸烟者与自由，主动的烟草戒烟线联系起来是提供支撑性接触时的理想方式，因为戒烟线对戒烟有效且具有成本效益。许多医院开始在出院时传真引用吸烟者来戒烟。传真推荐很方便，并且是当前医学通信渠道文化的一部分。但是，不到一半的传真引用吸烟者已成功接触并招募了Quitline服务。温暖的交接是一种新型的护理过渡方法，在这种方法中，医疗保健提供者直接将滥用药物滥用和精神健康问题的患者联系起来，使用面对面或电话传输。温暖的交接可为这些高度脆弱的群体提供非常高的治疗率。该应用程序的目的是确定相对有效性，与医院的相对效率，与医院的相关性，以征服互联网，以征服该型号，以征服该研究。采用两臂的随机设计项目包括与堪萨斯州及其Quitline供应商的合同。自由和清晰，以获取有关参与者的戒烟和依从性的数据。成本将得到彻底评估，以支持成本效益分析。如果成功的话，该项目提供了一种潜在的低成本解决方案，可以使数百万住院的吸烟者与有效的门诊治疗烟民联系起来，否则在过渡到门诊护理中可能会丢失。（抽象的结尾）