Smoking Cessation in Hospitalized Patients: Efficacy of an Intensive Intervention Program Using an App
试验速览
- 阶段
- 不适用
- 发起方
- 入组人数
- 116
- 试验地点
- 2
- 主要终点
- effectiveness of the App intervention
研究概览
简要总结
This study generates a new proposal for intensive intervention following the recommendations to quit smoking in hospitalized patients, providing intensive, accessible and individualized treatment, as well as long-term follow-up, thanks to new technologies. The main advantage that mhealth can bring to public health is cost-effectiveness, scalability and wide reach compared to traditional treatments. Rapid diffusion and remote outreach can impact traditional treatment programs, reduce waiting lists for tobacco visits, and increase quit rates, as well as reduce barriers to accessing smoking cessation programs, by location or time conflicts. Since the possibility of continuous face-to-face support is very limited, health interventions carried out through a smartphone can help avoid this situation. The study by Finkelstein and Me Cha (2016) justifies this line of intervention and solves the doubt about the feasibility of using the mobile phone to quit smoking in hospitalized patients, highlighting its usefulness for all patients regadless their age, gender, computer skills, income and educational level.
-Can an App apply an intensive intervention to stop smoking in the hospitalized patient?
详细描述
Tobacco use is the leading cause of preventable disease and death in our country. In the world it is still one of the most serious public health problems due to its morbidity and mortality. Smoking causes approximately one in ten deaths and it is expected that in 2030 that figure will increase to one in six, which will mean around 7-8 million deaths each year.
Furthermore, quitting smoking is the most effective factor in reducing these deaths. Patients with heart disease reduce sudden death and its mortality by 36% when they stop smoking. Likewise, the relative risk of stroke is reduced by 50% when quitting. For all these reasons, quitting smoking is the most cost-effective treatment compared to other interventions.
The National Health Survey indicates that the reductions in tobacco consumption due to "natural tendency" are very slow. As an example, if 24% of the population over 15 years of age smoked daily in 2012, five years later 22% smoked. To control this "epidemic", the World Health Organization requires several actions: Prevent young people from starting to smoke, protect non-smokers from air polluted by tobacco smoke and help smokers to quit. smoking habit.
The Clinical Practice Guidelines (CPG) indicate a variety of treatments that have been shown to be effective in quitting smoking. The CPG "National Institute for Health and Care Excellence (NICE) Public Health Guideline" -PH10- (2008), updated in 2013, names the following treatments in the out-of-hospital setting: offer brief advice (min. 10 minutes); group or individual behavioral therapies (such as Cognitive-Behavioral Therapy (CBT)), alone or combined with drugs (at least 4 weeks before the date participants are going to quit); pharmacotherapy (varenicline, bupropion, or nicotine replacement therapy), alone or in combination with psychological therapy; self-help material (written or in electronic format); advice hotline or TV or radio programs.
Smokers are forced to abruptly quit on the day they enter a hospital, given that Law 42/2010 prohibits tobacco consumption not only in the in-hospital physical space, but also in the external environment. And, although there are unreliable data, it has been estimated that between 15% and 27% of patients admitted to a hospital in Spain are smokers.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Factorial
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 70 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Patient candidates to participate must meet each and every one of the following inclusion criteria:
- •Patients over 18 years of both sexes, who sign the informed consent to participate in the study.
- •Patients who register wanting to quit smoking during admission
- •Active smoking patients at the time of hospital admission or ex-smokers with less than 6 months of evolution.
- •Autonomous patients with the capacity to understand the treatment.
- •Patients who have an Android and Iphone Smartphone, accustomed to their use sith superior operating system 5.0 or 4.0 respectively.
排除标准
- •Patients who meet any of the following exclusion criteria:
- •Serious medical illness that prevents the patient from participating in the tobacco cessation intervention study.
- •Ex-smoking patients of more than 6 months of evolution.
- •Active patients in substance abuse.
- •Patients with any current condition (medical, psychological or social) that limits the patient's participation in the study.
结局指标
主要结局
effectiveness of the App intervention
时间窗: 1 year
32 participants will have a objective measure of tobacco abstinence from the carbon monoxide level, abstinent if CO≤6 at 6 and 12 months of follow-up
次要结局
未报告次要终点