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

这个项目，“基于网络的戒烟干预：从住院病人到门诊病人的过渡”， 住院病人吸烟率高于一般人口。 住院治疗提供了一个独特的干预机会，因为它需要暂时禁欲， 关注健康问题。假设：一个量身定制的基于网络和电子邮件的戒烟计划， 目前的吸烟者，出院后，患者在家中继续戒烟尝试 （transition 2 quit）将有效。此外，我们假设这种方法将具有成本效益。具体 目的：1.测试网络戒烟干预的有效性。2.为了确定成本- 这种做法的有效性。研究设计-方法：将采用随机双臂随访设计 为了测试一个基于证据和理论的戒烟计划的有效性， 住院随机分配至该组的患者将由接受过烟草治疗培训的医院工作人员联系 过渡专家，从事TransitionZQuit，一个互动的基于网络的程序，提供个性化的 以及量身定制的信息、电子小组支持和短信，以促进戒烟。所有住院 患者将通过DVD格式接收标准化的戒烟信息，医生可以订购（沿着 NRT和研究转诊）。我们的主要成果是生物学上的 在12个月随访时确认戒烟;我们还将评估3和6个月时自我报告的戒烟率 月和变量假设预测戒烟成功。我们将衡量医疗服务的利用率和质量 让生命的成本效益测试这一方案进行了从医院的角度来看，健康 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，最大限度地减少医院工作人员的负担， 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 具有成本效益。该方案将是一种“现成的方法，可以很容易地传播。 相关性（参见说明）： 本研究旨在实现《健康人2010》目标27-1，即减少成人烟草使用。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， 他们的健康，使他们能够活得更长，更充实的生活。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.