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Using NRT and Quitline Services to Help Hospitalized Smokers Stay Quit

使用 NRT 和戒烟热线服务帮助住院吸烟者戒烟

基本信息

批准号：
8470087
负责人：
SHU-HONG ZHU
金额：
$ 55.83万
依托单位：
UNIVERSITY OF CALIFORNIA, SAN DIEGO
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：
2010-09-27 至 2015-05-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8470087
关键词：
Alcohol abuse Back Behavioral Cardiovascular system Caring Cost Effectiveness Analysis Counseling Diagnosis Effectiveness Effectiveness of Interventions Geographic state Health Healthcare Systems Hospital Administration Hospitalization Hospitals Instruction Intervention Joint Commission on Accreditation of Healthcare Organizations Lead Leadership Length Lung Medical Modeling Participant Patients Performance Physician Executives Pilot Projects Preventive Principal Investigator Professional counselor Quality-Adjusted Life Years Randomized Relapse Research Research Personnel Secure Services Smoker Smoking Telephone Testing Tobacco Tobacco Use Cessation Update Work cost effectiveness design dissemination research efficacy trial evidence base follow-up innovation intervention effect member nicotine patch nicotine replacement operation prevent programs quitline randomized trial smoking cessation tobacco abuse treatment as usual

项目摘要

When smokers are hospitalized they quit smoking, either voluntarily or involuntarily. Most of them, however, go back to smoking soon after discharge. Research has shown that extended follow-up counseling post-discharge can help prevent relapse. However, it is difficult for hospitals to conduct extended follow up for patients after discharge. The proposed study aims to establish a practical model in which hospitals will work with a state quitline in the following manner: Hospital staff will conduct bedside counseling and then refer patients to the quitline. Quitline counselors will proactively call patients post-discharge and provide counseling up to 2 months. With the proposed project we intend to establish a practical model that lends itself to broader dissemination, while testing the effectiveness ofthe interventions with the rigor of a randomized design. We plan to demonstrate in a randomized trial the effects of two interventions, dispensing nicotine patches at discharge and providing proactive telephone counseling soon after discharge, on the long term quit rates of hospitalized smokers in a 2 x 2 factorial design. All eligible patients receive brief counseling from hospital staff. This is usual care. Study participants are randomly assigned into one ofthe four conditions: usual care, nicotine patch post discharge, telephone counseling post discharge, or both patch and counseling post discharge. It is hypothesized that the patch and counseling each has an independent effect and their combined effect is greater than that for either single intervention. We also intend to compare the cost-effectiveness ofthe interventions: patch alone, counseling alone, and combined interventions, against the usual care condition. Further, the proposed study will allow us to examine if a patient's medical diagnosis is a moderating factor for intervention effects such that patients with certain diagnoses benefit more from the interventions than patients with other diagnoses. RELEVANCE (See instructions): , . - ,, ...,,. The hospital-quitline partnership model proposed to be tested in the study can help increase the number of hospitalized smokers to quit during their stay and remain quit post-discharge.

当吸烟者住院时，他们会自愿或非自愿地戒烟。然而，他们中的大多数人都去出院后不久又恢复吸烟。研究表明，出院后延长后续咨询可以帮助预防复发。然而，医院很难对患者进行长期随访。释放。拟议的研究旨在建立一个医院与国家合作的实用模式通过以下方式戒烟热线：医院工作人员将进行床旁咨询，然后将患者转介至戒烟热线戒烟热线。戒烟热线咨询员将在出院后主动给患者打电话，并提供长达 2 个月的咨询。通过拟议的项目，我们打算建立一个适合更广泛传播的实用模型，同时通过严格的随机设计测试干预措施的有效性。我们计划在一项随机试验中证明两种干预措施的效果：分配尼古丁贴片出院时并在出院后不久提供主动电话咨询，长期戒烟率采用 2 x 2 因子设计的住院吸烟者。所有符合条件的患者都会接受医院工作人员的简短咨询。这是平时的护理。研究参与者被随机分配到四种情况之一：常规护理、尼古丁出院后贴片、出院后电话咨询或出院后贴片和咨询同时进行。这是假设贴剂和咨询各自具有独立的效果，并且它们的组合效果更大比任一单一干预的结果。我们还打算比较干预措施的成本效益：单独使用补丁、单独进行咨询以及针对通常的护理状况，采取联合干预措施。此外，拟议的研究将使我们能够检验是否患者的医疗诊断是干预效果的调节因素，因此患有某些疾病的患者与其他诊断的患者相比，患有其他诊断的患者从干预措施中受益更多。相关性（参见说明）： , . - ,, ...,,。研究中提议测试的医院-戒烟热线合作模式可以帮助增加戒烟人数住院吸烟者在住院期间戒烟并在出院后继续戒烟。