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Comparative effectiveness of post-discharge interventions for hospitalized smokers: study protocol for a randomized
Sandra J Japuntich1, Susan Regan, Joseph Viana
1Tobacco Research and Treatment Center, Massachusetts General Hospital, Boston, USA.
Trials
|August 3, 2012
Summary
Hospital smoking cessation interventions improve quit rates when extended post-discharge. This trial tests a multi-component program combining medication and counseling to sustain smoking cessation efforts after hospitalization.
Area of Science:
- Public Health
- Clinical Trials
- Tobacco Cessation
Background:
- Hospital admission presents a critical opportunity for smoking cessation interventions.
- In-hospital counseling is effective but requires sustained post-discharge support.
- A practical, cost-effective model is needed to bridge the gap in tobacco treatment continuity.
Purpose of the Study:
- To design and test a hospital-initiated, multi-component intervention for sustained smoking cessation.
- To compare the effectiveness of this intervention against standard post-discharge care.
Main Methods:
- A two-arm randomized controlled trial involving hospitalized smokers intending to quit.
- Intervention group received three months of free cessation medication and proactive telephone support.
- Standard care included medication recommendations and resource information.
Main Results:
- Primary outcomes include validated tobacco abstinence at six months post-discharge.
- Secondary outcomes assess short-term cessation, treatment utilization, and healthcare utilization.
- Cost-effectiveness and program costs per quitter are also evaluated.
Conclusions:
- This study evaluates a disseminable model for hospitalized smokers' tobacco treatment.
- If effective, this intervention could significantly reduce smoking rates and associated health burdens.