Ignite Creation Date:
2024-05-05 @ 4:41 PM
Last Modification Date:
2024-10-26 @ 9:23 AM
Study NCT ID:
NCT00297466
Status:
COMPLETED
Last Update Posted:
2017-01-11
First Post:
2006-02-24
Brief Title:
Strategies to Help Adult ED Patients Quit Smoking
Sponsor:
National Institute on Drug Abuse NIDA
Organization:
National Institute on Drug Abuse NIDA
Study Overview
Official Title:
Strategies to Help Adult ED Patients Quit Smoking
Status:
COMPLETED
Status Verified Date:
2006-02
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
The purpose of this study is to determine whether a brief focused intervention in the hospital emergency department is effective in helping adults quit smoking
Detailed Description:
In urban communities the prevalence of tobacco use among adults visiting a hospital emergency department ED nears 40 well in excess of the 25 smoking prevalence rate of the general population Many of these patients lack easy access to primary care suggesting the ED may be an attractive locus to initiate tobacco cessation efforts With over 100 million annual visits to US EDs it may be possible to engage millions of smokers in tobacco cessation efforts The major purpose of this study is to examine whether a multicomponent intervention delivered in the ED by a Lay Educator to adult smokers interested in quitting is more likely to result in cessation than usual care A secondary goal is to test whether patients who present to the ED with a tobacco-related illness as indicated by ICD9 code are more likely to quit than ED smokers with a non-tobacco-related condition This will allow us to test the validity of the teachable moment as an opportune time to engage patients in considering a behavioral change The proposed study is a randomized trial of a motivational interview provision of six weeks worth of nicotine patches literature and post-visit follow-up Enhanced Care vs referral to a cessation clinic Minimal Care for ED patients who smoke Eligibility criteria age 21 years contemplation or preparation stage of change not admitted to hospital All patients will undergo a standardized stage of change assessment and measurements of nicotine dependence and exhaled carbon monoxide All will receive a cessation fact sheet and referral card to the smoking cessation clinic the cards of those in the Enhanced Care group will have a specific appointment date and time The Enhanced Care group will receive a language-appropriate pamphlet discussing smoking cessation We will record the ICD9 codes associated with each visit Major outcome measure cessation within 3 months of the ED visit stratified by treatment group Secondary outcome measure cessation within 3 months of the ED visit stratified by whether the visit was smoking-related If smokers receiving Enhanced Care are more likely to quit then the ED could be considered a new effective locus for tobacco control potentially reaching several million smokers If patients with a smoking-related diagnosis for the ED visit are more likely to quit than those with non-smoking-related ICD9 then this supports the construct of the teachable moment
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
None
Is a FDA Regulated Device?:
None
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None