Emergency department-initiated tobacco dependence treatment

Department of Respiratory and Surgical Technology, College of Health Related Professions, University of Arkansas for Medical Sciences, Little Rock, USA.
American journal of health behavior (Impact Factor: 1.31). 09/2011; 35(5):546-56. DOI: 10.5993/AJHB.35.5.4
Source: PubMed


To examine the feasibility of a fax referral program to increase enrollment in tobacco dependence treatment in emergency department (ED) patients.
The control group received quit advice and printed information; the intervention group also received a faxed referral that generated telephone contacts.
Treatment enrollment was higher in the intervention group (13.5% vs 2.7%). Only the faxed referral was associated with treatment enrollment.
An ED intervention is feasible. Faxed referral resulted in a 5-fold increase in tobacco treatment enrollment. The ED may be an opportune setting to facilitate smoking-cessation behavior change among lower income, underserved patients.

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Available from: Christine Elizabeth Sheffer, Sep 23, 2015
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    • "Second, it is possible that screened individuals, in an effort to maintain social desirability, accepted referrals without really being interested in treatment or intentionally provided an incorrect phone number so they could not be reached. It is important to note that the current study demonstrated a very similar proportion of unreachable referred patients (Willett et al., 2009) and greater rates of treatment enrollment (Anders et al., 2011) than previous studies using faxed tobacco cessation referrals. Third, some institutions do not allow volunteers to perform the same services as paid employees (e.g., research assistants; project coordinators), which would negate much of the cost saving associated with the presented protocol. "
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