Effectiveness of Smoking-cessation Interventions for Urban Hospital Patients.
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 1,618
- 试验地点
- 2
- 主要终点
- Effectiveness of counseling intervention vs. control intervention on smoking cessation rates of participants enrolled in study
研究概览
简要总结
The investigators plan to compare the effectiveness and cost effectiveness of an inpatient smoking cessation intervention for all smokers hospitalized at two urban public hospitals.
详细描述
Our sites are: Bellevue Hospital Center (a New York City public hospital) and the Manhattan campus of the VA New York Harbor Healthcare System. During hospitalization, all smokers will receive usual care. At the time of discharge, patients will be randomized to one of two arms: multisession telephone counseling by their hospital's smoking cessation staff, or faxed referral to the state Quitline (which will then perform phone outreach as per Quitline protocol). All patients enrolled in the study will receive nicotine replacement therapy.
The primary aims are:
Aim 1: To compare the effectiveness of the intervention (proactive multisession telephone counseling by in-hospital staff) versus control ('fax-to-quit' Quitline referral).
Aim 2: To evaluate and compare the cost-effectiveness of these interventions from a societal perspective and from a payer perspective.
The secondary aims are:
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Health Services Research
- 盲法
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •age ≥ 18 years
- •smoked tobacco during the prior 30 days
- •have an active phone number
- •provide consent in English, Spanish or Mandarin
排除标准
- •Patients will be excluded if they use only smokeless tobacco or products such as betel (since there is not yet efficacy data for treating use of these tobacco products in the inpatient setting)
- •are pregnant or breastfeeding
- •are discharged to an institution (e.g. jail/prison, nursing home, long-term psychiatric facility).
研究组 & 干预措施
Hospital phone counseling
multisession telephone counseling by hospital/study's smoking cessation staff
干预措施: Telephone Counseling (Behavioral)
Fax-to-quit
Faxed referral to the state Quitline, which will then perform phone outreach as per Quitline protocol
干预措施: Fax-to-quit (Behavioral)
结局指标
主要结局
Effectiveness of counseling intervention vs. control intervention on smoking cessation rates of participants enrolled in study
时间窗: 4 yrs
To compare the effectiveness of a phone counseling intervention (proactive multisession telephone counseling by in-hospital staff) versus control intervention ('fax-to-quit' Quitline referral)
次要结局
- Comparison of biochemically-verified smoking cessation(4 years)
- Cost Effectiveness comparison of two smoking cessation interventions.(4 yrs)
- Comparison of cessation outcomes by sociodemographic subgroups(4yrs)
- Comparison of cessation outcomes between participants who are HIV-seropositive vs. those who are not(2 years)
- Comparison of cessation rates at 6 and 12 months post-discharge(4yrs)