Background
Methods/Design
Design
Intervention | Pre staff-intervention quit rate | Staff-intervention implementation | Post staff-intervention quit rate |
---|---|---|---|
Tobacco Tactics | O1, O2
| X1
| O1, O2
|
Usual Care | O1, O2
| O1, O2
|
Setting and sample
Inclusion criteria | |
---|---|
1. at least 18 years of age | |
2. smoked a cigarette within one month prior to hospitalization | |
3. projected hospital stay of at least 24 hours | |
4. willing to complete the questionnaires | |
Exclusion criteria
| |
1. refuse to participate | |
2. involved in a concurrent trial that includes intervention on smoking | |
3. non-English speaking (the intervention is currently only in English) | |
4. unavailable to participate | |
5. not cognitively able to participate | |
6. not physically able to participate |
Power analysis
Group 1 | RN positions | Number of units | Annual discharges | % minorities | Group 2 | RN positions | Number of units | Annual discharges | % minorities |
---|---|---|---|---|---|---|---|---|---|
Hospital 1 | 659 | 11 | 19,800 | 70% | Hospital 4 | 502 | 12 | 18,250 | 31% |
Hospital 2 | 326 | 9 | 17,000 | 4% | Hospital 5 | 536 | 8 | 20,500 | 29% |
Hospital 3 | 765 | 9 | 11,400 | 27% | Hospital 6 | 765 | 9 | 11,400 | 48% |
Total
|
1,750
|
29
|
48,200
|
17,618/48,200 = 37%
|
Total
|
1,803
|
29
|
50,150
|
17,075/50,150 = 34%
|
Procedures
Overview
Enrollment of patients into the study
Follow-up
Eligibility criteria log | Medical records | Baseline | thirty-day | six-month | |
---|---|---|---|---|---|
Independent variable
| |||||
Tobacco Tactics intervention versus Usual Care | |||||
Control variables
| |||||
Health behaviors
| |||||
· Nicotine dependence (HSI)* |
X
|
X
|
X
| ||
· Alcohol use (AUDIT-C)* |
X
|
X
| |||
Clinical characteristics
| |||||
· Comorbidities |
X
| ||||
· Depression (PHQ-2)* |
X
|
X
| |||
Socio-demographics
| |||||
· Demographics (age, sex, race, educational level, marital status, employment, hospital site)* |
X
|
X
|
X
| ||
Dependent variables/outcomes
| |||||
Aim 1: Provider and patient receptivity, barriers, and facilitators to implementation
| |||||
· Face-to-face feedback |
Ongoing
| ||||
· Surveys |
Pre-, post-, and three months post-training
| ||||
Aim 2: Cessation efficacy
| |||||
· Thirty-day/six-month* reported smoking |
X
|
X
| |||
· Six-month cotinine test* |
X
| ||||
Aim 3: Cost-effectiveness
| |||||
· Cost per quitter |
X
|
X
| |||
· Cost per life-year saved |
X
|
X
| |||
· Cost per quality-adjusted life-year saved (EQ-5D) |
X
|
X
|