Smoking Cessation Invention in the Emergency Department (ED)

NCT01173653 | Completed Results

• 1 other identifier: 100411
• Study Type: interventional
• Target: 199
• Locations: 1 country
• Sites: 1

Brief Summary

The emergency department (ED) serves a vital and growing role in the US health care system, responsible for both the delivery of emergent medical care and for safety-net care for populations without traditional access to health services. Uninsured populations rely significantly on the safety-net services of the ED. Between 2000-2005 the number of uninsured Americans increased from 39.6 million to 46.1 million, and this growth is expected to continue. Many health policy analysts consider the ED to be an effective place to provide preventative care. Prophylactic tetanus immunization, for example, has been a successful preventive health intervention that has become a standard of care in the ED setting. Brief smoking cessation interventions have been introduced in the ED but have not had great success based on lack of follow-up and continuity. Our study is novel in that it introduces a brief smoking intervention through use of an established, federally-funded and federally-sponsored cessation counseling resource, the National Smoking Cessation Quit Line, also available at smokefree.gov. This is a joint initiative between the Tobacco Control Research Branch of the National Cancer Institute and the Centers for Disease Control and Prevention. Since ED patients who smoke often lack the ability to use self-help cessation resources, we hypothesize that by introducing this population to the counselors on the National Smoking Cessation Quit Line (also called the 1-800-QUIT-NOW line) during the ED visit via phone, that this new brief intervention would have a realizable and significant effect on smoking cessation among the this population.

Conditions

Smoking Cessation; Tobacco Use Cessation; Health Behavior

Keywords

smoking; smoking cessation; health behavior

Outcome Measures

Primary Outcomes (1)

• Smoking Status at Follow up

  Patients enrolled in this study were contacted via phone to assess smoking status. Smoking status was a self-report from each subject. Primary outcome measure is the smoking status of the enrollee at the time of follow-up contact. We calculated the percentage of participants who had stopped smoking at the 6 week follow-up period in each arm

  6 weeks

Study Arms (2)

Standard EM Smoking Cessation Info

PLACEBO COMPARATOR

Patients discharged from ER receive pamphlet re: smoking cessation

Other: Smoking Cessation

Patients contact 1-800-QUIT-NOW before leaving ED

ACTIVE COMPARATOR

Prior the patient leaving the ED, the PI will assist the patient with contacting 1-800-QUIT-NOW, who will help patient to quit smoking.

Other: Smoking Cessation

Interventions

Smoking Cessation OTHER

Randomly introducing patients to a Department of Health program to help them quit smoking.

Standard EM Smoking Cessation Info

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Patients 18 years of age and older
• Patients who are active smokers who present to the Adult ED at VUMC
• Patients who are able to give informed verbal consent
• Patients with stable vital signs

You may not qualify if:

• Patients who are unable to provide consent
• Patients who are unable to communicate verbally as determined by the treating attending physician and/or triage nurse. This includes patients with alterations in mental status, who are cognitively impaired, or are intoxicated or on drugs
• Patients with abnormal vital signs, and triage ratings (ES1 score 1) suggesting immediate life threatening illness

Sponsors & Collaborators

• Vanderbilt University: lead

Study Sites (1)

Vanderbilt University Medical Center - Emergency Medicine

Nashville, Tennessee, 37232-4700, United States

Location

MeSH Terms

Conditions

Smoking Cessation; Tobacco Use Cessation; Health Behavior; Smoking

Condition Hierarchy (Ancestors)

Behavior

Limitations and Caveats

This is a preliminary study with a convenience sample of patients at a single academic medical center. A larger multicenter trial targeting consecutive ED patients who smoke will be essential to validate the applicability of our findings.

Results Point of Contact

• Title: Benjamin Heavrin, MD
• Organization: Vanderbilt University Emergency Medicine Department

benjamin.heavrin@vanderbilt.edu

615-936-0253-

Study Officials

• Ben Heavrin, MD

  Vanderbilt University Medical Center

  PRINCIPAL INVESTIGATOR

Publication Agreements

• PI is Sponsor Employee: Yes

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: PREVENTION
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Benjamin S. Heavrin, MD, MBA

Study Record Dates

• First Submitted: July 29, 2010
• First Posted: August 2, 2010
• Study Start: July 1, 2010
• Primary Completion: October 1, 2010
• Study Completion: January 1, 2011
• Last Updated: December 27, 2012
• Results First Posted: November 19, 2012

Record last verified: 2012-12

Locations

US (1)