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Enhancing Tobacco Cessation in ED Settings: A Pilot Study with Research Associates

This pilot study utilized scripted format where Research Associates approached ED patients and visitors weekly, obtaining consent and taking detailed tobacco histories. Referrals to CT Quitline were offered to smokers. Over 21 weeks, 63 RAs approached 4613 potential participants with 78% enrollment. Findings show 54% have used tobacco, with 22% smoking within the past 30 days. A substantial portion of Quitline referrals were made, making this study significant in tobacco cessation efforts in EDs.

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Enhancing Tobacco Cessation in ED Settings: A Pilot Study with Research Associates

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  1. Tobacco Cessation in ED Utilizing Research Associates

  2. Tobacco Cessation in ED Pilot Study

  3. Tobacco Cessation in ED Pilot Study Using a scripted format, RAs

  4. Tobacco Cessation in ED Pilot Study Using a scripted format, RAs • approached as many ED patients and their visitors as possible on their weekly 4-hour shift

  5. Tobacco Cessation in ED Pilot Study Using a scripted format, RAs • approached as many ED patients and their visitors as possible on their weekly 4-hour shift • obtained verbal assent or written informed consent

  6. Tobacco Cessation in ED Pilot Study Using a scripted format, RAs • approached as many ED patients and their visitors as possible on their weekly 4-hour shift • obtained verbal assent or written informed consent • took a detailed tobacco history

  7. Tobacco Cessation in ED Pilot Study Using a scripted format, RAs • approached as many ED patients and their visitors as possible on their weekly 4-hour shift • obtained verbal assent or written informed consent • took a detailed tobacco history • offered a referral to CT Quitline to all who smoked > 30 days at any time in their lives

  8. Tobacco Cessation in ED Pilot Study • 21 weeks, 63 RAs approached 4613 potential participants

  9. Tobacco Cessation in ED Pilot Study • 21 weeks, 63 RAs approached 4613 potential participants 4038 (88%) eligible (i.e., no exclusion criteria)

  10. Tobacco Cessation in ED Pilot Study • 21 weeks, 63 RAs approached 4613 potential participants 4038 (88%) eligible (i.e., no exclusion criteria) enrolled 3125 participants (78%)

  11. Tobacco Cessation in ED Pilot Study • 21 weeks, 63 RAs approached 4613 potential participants 4038 (88%) eligible (i.e., no exclusion criteria) enrolled 3125 participants (78%) • smoking history (+) → CT Quitline referral

  12. Tobacco Cessation in ED Pilot Study • 21 weeks, 63 RAs approached 4613 potential participants 4038 (88%) eligible (i.e., no exclusion criteria) enrolled 3125 participants (78%) • smoking history (+) → CT Quitline referral • 54% used tobacco at some time

  13. Tobacco Cessation in ED Pilot Study • 21 weeks, 63 RAs approached 4613 potential participants 4038 (88%) eligible (i.e., no exclusion criteria) enrolled 3125 participants (78%) • smoking history (+) → CT Quitline referral • 54% used tobacco at some time 22% w/i preceding 30 days

  14. Tobacco Cessation in ED Pilot Study • smoked ever = 18% → Quitline referral

  15. Tobacco Cessation in ED Pilot Study • smoked ever = 18% → Quitline referral • smoked w/i 30 d. = 38% → Quitline referral

  16. Tobacco Cessation in ED Pilot Study • smoked ever = 18% → Quitline referral • smoked w/i 30 d. = 38% → Quitline referral • ≈ 50% of all Quitline referrals over those 21 weeks in entire state of CT

  17. Tobacco Cessation in EDValidation Study

  18. Tobacco Cessation in EDValidation Study • Same study design, except Verbal Assent

  19. Tobacco Cessation in EDValidation Study • Same study design, except Verbal Assent • REDCap

  20. Tobacco Cessation in EDValidation Study • Same study design, except Verbal Assent • REDCap • St. Vincent’s + Hartford Hospital and Lawrence & Memorial

  21. Tobacco Cessation in EDValidation Study • 1 October – 15 December 2010 = beta testing

  22. Tobacco Cessation in EDValidation Study • 1 October – 15 December 2010 = beta testing • Spring, summer and fall semesters 2011 = validation study

  23. Tobacco Cessation in EDValidation Study • 1 October – 15 December 2010 = beta testing • Spring, summer and fall semesters 2011 = validation study • 10,000 participants in 30 weeks.

  24. Tobacco Cessation in EDNational Study

  25. Tobacco Cessation in EDNational Study • National Alliance of Research Associate Programs (NARAP)

  26. Tobacco Cessation in EDNational Study • National Alliance of Research Associate Programs (NARAP) • 15 hospitals (academic and community) around the country

  27. Tobacco Cessation in EDNational Study • National Alliance of Research Associate Programs (NARAP) • 15 hospitals (academic and community) around the country • 2012, 30 weeks → ≈ 70,000 participants

  28. Tobacco Cessation in EDNational Study • National Alliance of Research Associate Programs (NARAP) • 15 hospitals (academic and community) around the country • 2012, 30 weeks → ≈ 70,000 participants Could be largest prospective, interventional clinical study ever done in a short time frame!

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