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    Web-based smoking cessation intervention that transitions from inpatient to outpatient: study protocol for a randomized controlled trial

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    Authors
    Harrington, Kathleen F.
    McDougal, Julie A.
    Pisu, Maria
    Zhang, Bin
    Sadasivam, Rajani S.
    Houston, Thomas K.
    Bailey, William C.
    UMass Chan Affiliations
    Department of Quantitative Health Sciences
    Document Type
    Journal Article
    Publication Date
    2012-08-01
    Keywords
    Clinical Protocols
    Smoking Cessation
    Internet
    Hospitalization
    UMCCTS funding
    Health Communication
    Health Information Technology
    Health Services Administration
    Substance Abuse and Addiction
    
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    Abstract
    BACKGROUND: E-health tools are a new mechanism to expand patient care, allowing supplemental resources to usual care, including enhanced patient-provider communication. These applications to smoking cessation have not yet been tested in a hospitalized patient sample. This project aims to evaluate the effectiveness and cost-effectiveness of 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 (Decide2Quit). DESIGN: A randomized two-arm follow-up design will test the effectiveness of an evidence- and theoretically-based smoking cessation program designed for post-hospitalization. METHODS: 1488 patients aged 19 or older, who smoked cigarettes in the previous 30 days, are being recruited from 27 patient care areas of a large urban university hospital. Study eligible hospitalized patients receiving tobacco cessation usual care are offered study referral. Trained hospital staff assist the 744 patients who are being randomized to the intervention arm with registration and orientation to the intervention website. This e-mail and web-based program offers tailored messages as well as education, self-assessment and planning aids, and social support to promote tobacco use cessation. Condition-blind study staff assess participants for tobacco use history and behaviors, tobacco use costs-related information, co-morbidities and psychosocial factors at 0, 3, 6, and 12 months. The primary outcome is self-reported 30-day tobacco abstinence at 6 months follow-up. Secondary outcomes include 7-day point prevalence quit rates at 3, 6, and 12 months follow-up, 30-day point prevalence quit rates at 3 and 12 months, biologically confirmed tobacco abstinence at 6-months follow-up, and multiple point-prevalence quit rates based on self-reported tobacco abstinence rates at each follow-up time period. Health care utilization and quality of life are assessed at baseline, and 6 and 12 months follow-up to measure program cost-effectiveness from the hospital, health care payer, patient, and societal perspectives. DISCUSSION: Given the impact of tobacco use on medical resources, establishing feasible, cost-effective methods for reducing tobacco use is imperative. Given the minimal hospital staff burden and the automated transition to a post-hospitalization tailored intervention, this program could be an easily disseminated approach. Trial Registration: Current Intervention Trial NCT01277250.
    Source
    Trials. 2012 Aug 1;13(1):123. [Epub ahead of print] doi:10.1186/1745-6215-13-123. Link to article on publisher's site
    DOI
    10.1186/1745-6215-13-123
    Permanent Link to this Item
    http://hdl.handle.net/20.500.14038/46540
    PubMed ID
    22852802
    Related Resources
    Link to article in PubMed
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    Publisher PDF posted as allowed by the publisher's open access charter at http://www.biomedcentral.com//about/charter.

    ae974a485f413a2113503eed53cd6c53
    10.1186/1745-6215-13-123
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    UMass Center for Clinical and Translational Science Supported Publications

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