Skip to main content
Grant Details

Grant Number: 5U01CA159533-04 Interpret this number
Primary Investigator: Zhu, Shu-Hong
Organization: University Of California, San Diego
Project Title: Using Nrt and Quitline Services to Help Hospitalized Smokers Stay Quit
Fiscal Year: 2013
Back to top


Abstract

When smokers are hospitalized they quit smoking, either voluntarily or involuntarily. Most of them, however, go back to smoking soon after discharge. Research has shown that extended follow-up counseling post-discharge can help prevent relapse. However, it is difficult for hospitals to conduct extended follow up for patients after discharge. The proposed study aims to establish a practical model in which hospitals will work with a state quitline in the following manner: Hospital staff will conduct bedside counseling and then refer patients to the quitline. Quitline counselors will proactively call patients post-discharge and provide counseling up to 2 months. With the proposed project we intend to establish a practical model that lends itself to broader dissemination, while testing the effectiveness ofthe interventions with the rigor of a randomized design. We plan to demonstrate in a randomized trial the effects of two interventions, dispensing nicotine patches at discharge and providing proactive telephone counseling soon after discharge, on the long term quit rates of hospitalized smokers in a 2 x 2 factorial design. All eligible patients receive brief counseling from hospital staff. This is usual care. Study participants are randomly assigned into one ofthe four conditions: usual care, nicotine patch post discharge, telephone counseling post discharge, or both patch and counseling post discharge. It is hypothesized that the patch and counseling each has an independent effect and their combined effect is greater than that for either single intervention. We also intend to compare the cost-effectiveness ofthe interventions: patch alone, counseling alone, and combined interventions, against the usual care condition. Further, the proposed study will allow us to examine if a patient's medical diagnosis is a moderating factor for intervention effects such that patients with certain diagnoses benefit more from the interventions than patients with other diagnoses. RELEVANCE (See instructions): , . - ,, ...,,. The hospital-quitline partnership model proposed to be tested in the study can help increase the number of hospitalized smokers to quit during their stay and remain quit post-discharge.

Back to top


Publications

Accuracy of self-reported smoking abstinence in clinical trials of hospital-initiated smoking interventions.
Authors: Scheuermann T.S. , Richter K.P. , Rigotti N.A. , Cummins S.E. , Harrington K.F. , Sherman S.E. , Zhu S.H. , Tindle H.A. , Preacher K.J. , Consortium of Hospitals Advancing Research on Tobacco (CHART) .
Source: Addiction (Abingdon, England), 2017 Dec; 112(12), p. 2227-2236.
EPub date: 2017-08-23.
PMID: 28834608
Related Citations

Comparison of the Substance Use Brief Screen (SUBS) to the AUDIT-C and ASSIST for detecting unhealthy alcohol and drug use in a population of hospitalized smokers.
Authors: Han B.H. , Sherman S.E. , Link A.R. , Wang B. , McNeely J. .
Source: Journal of substance abuse treatment, 2017 08; 79, p. 67-74.
EPub date: 2017-05-31.
PMID: 28673530
Related Citations

Helping Hospitalized Smokers: A Factorial RCT of Nicotine Patches and Counseling.
Authors: Cummins S.E. , Gamst A.C. , Brandstein K. , Seymann G.B. , Klonoff-Cohen H. , Kirby C.A. , Tong E.K. , Chaplin E. , Tedeschi G.J. , Zhu S.H. .
Source: American journal of preventive medicine, 2016 10; 51(4), p. 578-86.
PMID: 27647058
Related Citations

Smoking-Cessation Interventions for Urban Hospital Patients: A Randomized Comparative Effectiveness Trial.
Authors: Sherman S.E. , Link A.R. , Rogers E.S. , Krebs P. , Ladapo J.A. , Shelley D.R. , Fang Y. , Wang B. , Grossman E. .
Source: American journal of preventive medicine, 2016 10; 51(4), p. 566-77.
PMID: 27647057
Related Citations

Fidelity monitoring across the seven studies in the Consortium of Hospitals Advancing Research on Tobacco (CHART).
Authors: Duffy S.A. , Cummins S.E. , Fellows J.L. , Harrington K.F. , Kirby C. , Rogers E. , Scheuermann T.S. , Tindle H.A. , Waltje A.H. , Consortium of Hospitals Advancing Research on Tobacco (CHART) .
Source: Tobacco induced diseases, 2015; 13(1), p. 29.
EPub date: 2015-09-03.
PMID: 26336372
Related Citations

Health and economic effects from linking bedside and outpatient tobacco cessation services for hospitalized smokers in two large hospitals: study protocol for a randomized controlled trial.
Authors: Fellows J.L. , Mularski R. , Waiwaiole L. , Funkhouser K. , Mitchell J. , Arnold K. , Luke S. .
Source: Trials, 2012-08-01; 13, p. 129.
EPub date: 2012-08-01.
PMID: 22853325
Related Citations

Nicotine patches and quitline counseling to help hospitalized smokers stay quit: study protocol for a randomized controlled trial.
Authors: Cummins S. , Zhu S.H. , Gamst A. , Kirby C. , Brandstein K. , Klonoff-Cohen H. , Chaplin E. , Morris T. , Seymann G. , Lee J. .
Source: Trials, 2012-08-01; 13, p. 128.
EPub date: 2012-08-01.
PMID: 22853197
Related Citations

Web-based smoking cessation intervention that transitions from inpatient to outpatient: study protocol for a randomized controlled trial.
Authors: Harrington K.F. , McDougal J.A. , Pisu M. , Zhang B. , Sadasivam R.S. , Houston T.K. , Bailey W.C. , CHART Collaborative Group .
Source: Trials, 2012-08-01; 13, p. 123.
EPub date: 2012-08-01.
PMID: 22852802
Related Citations

Overview of the Consortium of Hospitals Advancing Research on Tobacco (CHART).
Authors: Riley W.T. , Stevens V.J. , Zhu S.H. , Morgan G. , Grossman D. .
Source: Trials, 2012-08-01; 13, p. 122.
EPub date: 2012-08-01.
PMID: 22852768
Related Citations




Back to Top