Effectiveness of smoking-cessation interventions for urban hospital patients: study protocol for a randomized controlled trial

Ellie Grossman, Donna Shelley, R. S. Braithwaite, Iryna Lobach, Ana Goffin, Erin Rogers, Scott Sherman

Research output: Contribution to journalArticle

Abstract

Background: Hospitalization may be a particularly important time to promote smoking cessation, especially in the immediate post-discharge period. However, there are few studies to date that shed light on the most effective or cost-effective methods to provide post-discharge cessation treatment, especially among low-income populations and those with a heavy burden of mental illness and substance use disorders.Methods/design: This randomized trial will compare the effectiveness and cost-effectiveness of two approaches to smoking cessation treatment among patients discharged from two urban public hospitals in New York City. During hospitalization, staff will be prompted to ask about smoking and to offer nicotine replacement therapy (NRT) on admission and at discharge. Subjects will be randomized on discharge to one of two arms: one arm will be proactive multi-session telephone counseling with motivational enhancement delivered by study staff, and the other will be a faxed or online referral to the New York State Quitline. The primary outcome is 30-day point-prevalence abstinence from smoking at 6-month follow-up post-discharge. We will also examine cost-effectiveness from a societal and a payer perspective, as well as explore subgroup analyses related to patient location of hospitalization, race/ethnicity, immigrant status, and inpatient diagnosis.Discussion: This study will explore issues of implementation feasibility in a post-hospitalization patient population, as well as add information about the effectiveness and cost-effectiveness of different strategies for designing smoking cessation programs for hospitalized patients.Trial registration: Clinicaltrials.gov ID# NCT01363245.

Original languageEnglish (US)
Article number126
JournalTrials
Volume13
DOIs
StatePublished - Aug 1 2012

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Urban Hospitals
Smoking Cessation
Hospitalization
Randomized Controlled Trials
Cost-Benefit Analysis
Withholding Treatment
Smoking
Cost of Illness
Public Hospitals
Poverty
Nicotine
Telephone
Substance-Related Disorders
Counseling
Inpatients
Referral and Consultation
Costs and Cost Analysis
Population
Therapeutics

Keywords

  • Hospital
  • Randomized trial
  • Smoking cessation
  • Telephone counseling
  • Underserved population

ASJC Scopus subject areas

  • Medicine (miscellaneous)
  • Pharmacology (medical)

Cite this

Effectiveness of smoking-cessation interventions for urban hospital patients : study protocol for a randomized controlled trial. / Grossman, Ellie; Shelley, Donna; Braithwaite, R. S.; Lobach, Iryna; Goffin, Ana; Rogers, Erin; Sherman, Scott.

In: Trials, Vol. 13, 126, 01.08.2012.

Research output: Contribution to journalArticle

Grossman, Ellie ; Shelley, Donna ; Braithwaite, R. S. ; Lobach, Iryna ; Goffin, Ana ; Rogers, Erin ; Sherman, Scott. / Effectiveness of smoking-cessation interventions for urban hospital patients : study protocol for a randomized controlled trial. In: Trials. 2012 ; Vol. 13.
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