View Clinical Trial (Medical Research Study)
Smoking Cessation in Hospitalized Smokers
| City: |
|
San Diego |
| State: |
|
California |
| Zip Code: |
|
92111 |
| Conditions: |
|
Smoking Cessation |
| Purpose: |
|
When smokers are hospitalized they quit smoking, either voluntarily or involuntarily. Most
of them, however, go back to smoking soon after discharge. This study will test an
innovative approach which includes dispensing nicotine patches at discharge, providing
proactive telephone counseling post discharge, or giving a combination of the two. The
interventions are aimed at increasing the long term quit rate of these patients.
The specific aims of the study are to demonstrate the effects of two interventions,
dispensing nicotine patches at discharge and providing proactive telephone counseling soon
after discharge, on 12-month quit rates of hospitalized smokers in a 2 x 2 factorial design.
|
| Study Summary: |
|
Most smokers in the U.S. actually do quit smoking when hospitalized, either voluntarily or
involuntarily because of hospital's nonsmoking policy. However, the majority of them return
to smoking soon after their discharge from the hospital. A hospital stay, therefore, is a
"teachable moment" for these patients, a good opportunity to encourage them to lead a
smoke-free life after they are discharged. Research, however, has found that brief
counseling provided to smokers while they are hospitalized has limited effect. The
scientific data clearly show that smokers should be identified at the hospital, provided
counseling, and given intensive interventions with follow up extended to 1 month post
discharge. Providing such clinical services to these patients will reduce their chance of
relapse to smoking and the rate of re-hospitalization. In practice though, hospitals have
had difficulty providing even basic bedside counseling with a subgroup of patients, not to
mention a much longer follow up post-discharge with all patients.
The proposed study aims to demonstrate that state quitlines can help bridge the gap between
the recommendations from existing scientific data and the current practice by hospitals.
Quitlines deliver counseling services by telephone. This is convenient for patients because
they do not have to go anywhere in order to receive the counseling. Moreover, telephone
counseling can be delivered proactively by the counselor.
The potential impact of this study is that if this model is proven effective in a rigorous
study design, then it is likely that state quitlines across the U.S. will adopt it and start
working with hospitals that are interested in using such as system. If the new JCAHO
requirements get adopted, there will be a strong incentive for the hospitals to work with
partners like the quitlines that can help provide follow up counseling.
With the proposed project the investigators intend to establish a practical model that lends
itself to broader dissemination, while testing the effectiveness of the interventions with
the rigor of a randomized design.
|
| Criteria: |
|
Inclusion Criteria:
- 18 years or older
- Smoke >=6 CPD
- English or Spanish speaking
- Valid phone number
- Valid address
- CA resident
- Gave consent to participate in study and evaluation
Exclusion Criteria:
- Hospital stay of less than 24 hours
- Terminal illness (prognosis less than 12 months)
- Inability to communicate orally
- Hypersensitivity to nicotine
- Pregnant
- Hospitalized for psychiatric treatment
|
| NCT ID: |
|
NCT01289275 |
| Primary Contact: |
|
Principal Investigator
Shu-Hong Zhu, Ph.D.
UCSD
Sharon Cummins, Ph.D.
Phone: 858-300-1046
Email: scummins@ucsd.edu
|
| Backup Contact: |
|
Email: ckirby@ucsd.edu
Carrie Kirby, M.S.
Phone: 858-300-1054
|
| Location Contact: |
|
San Diego, California 92111
United States
Dee Segui
Phone: 858-300-1018
Email: dsegui@ucsd.edu
Site Status: Recruiting |
| Data Source: |
|
ClinicalTrials.gov |
| Date Processed: |
|
June 18, 2013 |
| Modifications to this listing: |
|
Only selected fields are shown, please use the link
below to view all information about this clinical trial. |
|
Click to view Full Listing
|