Web-based Smoking Cessation Intervention: transition from inpatient to outpatient

基于网络的戒烟干预：从住院到门诊的转变

• 批准号: 8144935
• 负责人: WILLIAM C BAILEY
• 金额: $ 73.18万
• 依托单位: UNIVERSITY OF ALABAMA AT BIRMINGHAM
• 依托单位国家: 美国
• 财政年份: 2010
• 资助国家: 美国
• 起止时间: 2010-09-30 至 2014-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8144935
• 关键词: Abstinence; Address; Adult; Caring; Effectiveness; Electronic Mail; Electronics; General Population; Health; Healthcare; Healthcare Systems; Home environment; Hospitalization; Hospitals; Inpatients; Instruction; Intervention; Knowledge; Life; Measures; Methods; Online Systems; Outpatients; Patient Self-Report; Patients; Physicians; Principal Investigator; Publishing; Quality of life; Quality-Adjusted Life Years; Randomized; Research; Research Design; Smoke; Smoker; Smoking; Smoking Cessation Intervention; Societies; Specialist; System; Testing; Text; Tobacco; Training; Vulnerable Populations; abstracting; arm; base; cost effective; cost effectiveness; design; follow-up; group support; health care service utilization; intervention program; primary outcome; programs; reduce tobacco use; smoking cessation; success; tobacco abstinence; treatment as usual

DESCRIPTION (provided by applicant): This project, "Web-based Smoking Cessation Intervention: transition from inpatient to outpatient," addresses smoking among hospitalized patients, whose rates are higher than among the general population. Hospitalization offers a unique opportunity to intervene, as it requires temporary abstinence and patients are focused on health concerns. Hypotheses: A tailored web-based and e-message smoking cessation program for current smokers that upon hospital discharge, transitions the patient to continue a quit attempt when home (Transition2Quit) will be effective. Further, we hypothesize that this approach will be cost-effective. Specific Aims: 1. To test the effectiveness of a web-based smoking cessation intervention. 2. To determine the cost- effectiveness of this approach. Research Design - Methods: A randomized two-arm follow-up design will be used to test the effectiveness of an evidence- and theoretically-based smoking cessation program designed for post- hospitalization. Patients randomized to this arm will be contacted by hospital staff, trained as tobacco treatment transition specialists, to engage in TransitionZQuit, an interactive web-based program that offers personalized and tailored messages, e-group support, and text messages promoting tobacco abstinence. All hospitalized patients will receive standardized smoking cessation messages via DVD format that physicians can order (along with NRT and study referral) via the hospital's electronic order system. Our primary outcome is biologically confirmed tobacco abstinence at 12 months follow-up; we will also assess self-reported quit rates at 3 and 6 months and variables hypothesized to predict quit success. We will measure health care utilization and quality of life to allow testing the cost-effectiveness of this program conducted from the perspective of a hospital, health care payers, patients and society. Significance of results: At study completion we will know whether imbedding smoking cessation into usual hospital care, with minimal hospital-staff burden, and an interactive web-based tailored intervention program is an effective way to reduce smoking rates among hospitalized patients, and if it is cost-effective. This program will be an "off the shelf approach that could be disseminated easily. RELEVANCE (See instructions): This study aims to address the Health People 2010 objective 27-1 to reduce tobacco use by adults. Further it aims to extend knowledge about reducing tobacco use among a vulnerable group of people to enhance their health so that they can live longer and more fulfilling lives. This would result in a reduction of the burden of smoking on the health care system as well as society as a whole. (End of Abstract)

描述（由申请人提供）： 该项目“基于网络的吸烟戒烟干预：从住院到门诊的过渡”，介绍了住院的患者的吸烟，这些患者的比率高于一般人群。住院提供了一个独特的干预机会，因为它需要暂时节制，并且患者专注于健康问题。假设：针对当前吸烟者量身定制的基于网络和电子通讯的戒烟计划，在出院后，过渡患者在回家（Transition2Quit）时继续戒烟将是有效的。此外，我们假设这种方法将具有成本效益。具体目的：1。测试基于网络的戒烟干预的有效性。 2。确定这种方法的成本效益。研究设计 - 方法：将使用随机的两臂后续设计来测试用于住院后设计的循证和基于理论上的戒烟计划的有效性。将随机分配给该部门的患者将由医院工作人员与接受烟草治疗过渡专家的培训，从事TransitionZquit，这是一种基于互动的Web计划，提供个性化和量身定制的消息，电子团体支持以及促进烟草戒酒的短信。所有住院的患者将通过DVD格式收到标准化的戒烟消息，医生可以通过医院的电子订单系统订购（以及NRT和研究转诊）。我们的主要结果是在12个月的随访中在生物学上确认的戒烟。我们还将在3个月和6个月时评估自我报告的退出率，并假设的变量可以预测戒烟成功。我们将衡量医疗保健利用和生活质量，以允许从医院，医疗保健付款人，患者和社会的角度测试该计划的成本效益。结果的重要性：在研究完成时，我们将知道将吸烟戒烟施加到通常的医院护理中，并减少医院服务负担，并且基于互动的基于Web的量身定制干预计划是降低住院患者吸烟率的有效方法，以及是否具有成本效益。该计划将是一种“摆脱货架方法，可以轻松分解。相关性（请参阅说明）：本研究旨在解决健康人群2010年目标27-1，以减少成年人使用烟草的使用。它的旨在，旨在扩大有关较脆弱的人群中烟草使用的知识，从而使他们的健康状况更长，从而使他们的健康状况更长。 所有的。 （抽象的结尾）