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

这项名为“基于网络的戒烟干预：从住院患者过渡到门诊患者”的项目 住院患者吸烟率高于一般人群。 住院提供了一个独特的干预机会，因为它需要暂时禁欲，而患者 重点关注健康问题。假设：一个量身定做的基于网络和电子邮件的戒烟计划 目前的吸烟者在出院后，让患者在回家时继续戒烟尝试 (过渡2Quit)将生效。此外，我们假设这种方法将是具有成本效益的。特定的 目的：1.检验网络戒烟干预的有效性。2.为厘定成本- 这种方法的有效性。研究设计-方法：随机双臂随访设计 为了测试一项以证据和理论为基础的戒烟计划的有效性，该计划旨在 住院治疗。接受过烟草治疗培训的医院工作人员将与被随机分配到这一组的患者进行接触。 过渡专家，参与过渡ZQuit，这是一个基于网络的交互式计划，提供个性化的 以及量身定制的信息、电子群组支持和促进戒烟的短信。全部住院治疗 患者将通过DVD格式收到标准化的戒烟信息，医生可以订购(随附 NRT和研究转介)通过医院的电子订单系统。我们的主要结果是生物学上的 在12个月的随访中确认戒烟；我们还将评估自我报告的戒烟率分别为3和6 预测戒烟成功的月份和变量。我们将衡量医疗服务的利用和质量 允许从医院、健康的角度测试这一方案的成本效益 护理支付者、患者和社会。结果的意义：在研究完成时，我们将知道是否植入 将戒烟纳入常规医院护理，最大限度地减轻医院工作人员的负担，以及基于网络的互动 量身定制的干预计划是降低住院患者吸烟率的有效方法，如果它 性价比高。这一计划将是一种“现成的方法，可以很容易地传播。 相关性(请参阅说明)： 这项研究的目的是针对2010年健康人目标27-1，减少成年人的烟草使用。进一步 它的目的是在弱势群体中推广减少烟草使用的知识，以增强 他们的健康，这样他们才能活得更长、更有成就感。这将导致减轻负担。 吸烟对医疗保健系统以及整个社会的影响。

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.