Using NRT and Quitline Services to Help Hospitalized Smokers Stay Quit

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了 出院后不久又开始吸烟。研究表明，出院后延长后续咨询 可以帮助防止复发。然而，医院很难对患者进行延长的随访 出院。这项拟议的研究旨在建立一种实用的模式，在这种模式下，医院将与国家合作 Quitline的方式如下：医院工作人员将进行床边咨询，然后将患者转介到 Quitline公司。Quitline咨询师将在患者出院后主动致电患者，并提供长达2个月的咨询。 通过拟议的项目，我们打算建立一个实用的模式，使其适合更广泛的传播， 同时以随机设计的严格性测试干预措施的有效性。 我们计划在一项随机试验中演示两种干预措施的效果，即分发尼古丁贴片 在出院时并在出院后立即提供积极的电话咨询，根据长期戒烟率 住院吸烟者采用2×2析因设计。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中的一种：日常护理、尼古丁 贴片后出院，电话咨询后出院，或同时贴片和咨询后出院。它是 假设贴片和咨询各自具有独立的效果，并且它们的综合效果更大 比任何一次干预都要好。 我们还打算比较干预措施的成本效益：单独贴片、单独咨询和 综合干预，与通常的护理条件相对照。此外，拟议的研究将使我们能够研究 患者的医疗诊断是干预效果的调节因素，因此患者有一定的 与其他诊断的患者相比，诊断从干预中受益更多。 相关性(参见说明)：、。-、。 研究中建议测试的医院-戒毒线合作模式可以帮助增加 住院吸烟者在逗留期间戒烟，并在出院后继续戒烟。

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.