Ignite Creation Date:
2024-05-05 @ 11:21 AM
Last Modification Date:
2024-10-26 @ 9:05 AM
Study NCT ID:
NCT00005702
Status:
COMPLETED
Last Update Posted:
2016-03-01
First Post:
2000-05-25
Brief Title:
Promoting Smoking Cessation in Hospital Patients
Sponsor:
University of Minnesota
Organization:
University of Minnesota
Study Overview
Official Title:
None
Status:
COMPLETED
Status Verified Date:
2016-02
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:
To experimentally test methods to promote long-term smoking cessation in hospitalized patients
Detailed Description:
BACKGROUND
Cigarette smoking is a vitally important public health problem It is a major contributor to cardiovascular disease and one of the leading causes of cancer and respiratory disease Research in primary care over the last two decades has indicated that smoking cessation interventions in medical settings can be effective However there have been few published reports of research examining the effectiveness of smoking cessation interventions in hospital settings In-patient smoking cessation interventions can potentially reach a large number of smokers A hospital stay can also be an effective teachable moment for smoking cessation advice Smoking bans in place in hospitals make it a time of enforced abstinence and therefore an opportunity to overcome the symptoms of physical addiction Patients are removed from their usual environmental cues for smoking making initial cessation easier and they might be particularly receptive to preventive health messages at a time of ill-health Finally there is increased access to health care providers whom patients see as valid and knowledgeable sources of health information
DESIGN NARRATIVE
All smokers admitted to three hospitals over a 27-month period were identified as part of the admissions process Those who met eligibility requirements were randomly assigned to one of three treatment conditions minimal care a low intensity intervention whose centerpiece was brief firm advice by health care providers and labelling of the smokers charts PA intervention and the PA intervention plus more intensive counseling and follow-up after discharge performed by a research nurse PANC intervention Intervention components included provision of smoking cessation manuals and training of health care providers all conditions structural reminders to health care providers to give smoking cessation advice and provision of smoking cessation advice by a variety of health care providers on several different occasions PA and PANC and in-hospital counseling tailored to patient characteristics feedback about a biological marker of smoking a stepped care approach and follow-up telephone counseling after discharge PANC only All participants were followed for twelve months after discharge from the hospital to examine the relative effectiveness and cost-effectiveness of the smoking cessation programs In addition information about smoking cessation advice given to study patients by primary care physicians in the twelve months after discharge from hospital was gathered to assess the possible synergistic effects of advice provided in in-patient and out-patient settings
Cigarette smoking is a vitally important public health problem It is a major contributor to cardiovascular disease and one of the leading causes of cancer and respiratory disease Research in primary care over the last two decades has indicated that smoking cessation interventions in medical settings can be effective However there have been few published reports of research examining the effectiveness of smoking cessation interventions in hospital settings In-patient smoking cessation interventions can potentially reach a large number of smokers A hospital stay can also be an effective teachable moment for smoking cessation advice Smoking bans in place in hospitals make it a time of enforced abstinence and therefore an opportunity to overcome the symptoms of physical addiction Patients are removed from their usual environmental cues for smoking making initial cessation easier and they might be particularly receptive to preventive health messages at a time of ill-health Finally there is increased access to health care providers whom patients see as valid and knowledgeable sources of health information
DESIGN NARRATIVE
All smokers admitted to three hospitals over a 27-month period were identified as part of the admissions process Those who met eligibility requirements were randomly assigned to one of three treatment conditions minimal care a low intensity intervention whose centerpiece was brief firm advice by health care providers and labelling of the smokers charts PA intervention and the PA intervention plus more intensive counseling and follow-up after discharge performed by a research nurse PANC intervention Intervention components included provision of smoking cessation manuals and training of health care providers all conditions structural reminders to health care providers to give smoking cessation advice and provision of smoking cessation advice by a variety of health care providers on several different occasions PA and PANC and in-hospital counseling tailored to patient characteristics feedback about a biological marker of smoking a stepped care approach and follow-up telephone counseling after discharge PANC only All participants were followed for twelve months after discharge from the hospital to examine the relative effectiveness and cost-effectiveness of the smoking cessation programs In addition information about smoking cessation advice given to study patients by primary care physicians in the twelve months after discharge from hospital was gathered to assess the possible synergistic effects of advice provided in in-patient and out-patient settings
Study Oversight
Has Oversight DMC:
Is a FDA Regulated Drug?:
Is a FDA Regulated Device?:
Is an Unapproved Device?:
Is a PPSD?:
Is a US Export?:
Is an FDA AA801 Violation?:
Secondary IDs
| Secondary ID | Type | Domain | Link |
|---|---|---|---|
| R01HL054132 | NIH | None | httpsreporternihgovquickSearchR01HL054132 |