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Integrating Tobacco Dependence Treatment into Hospital Practice Using the Rochester Model

PURPOSE: Delivering evidence-based tobacco dependence treatments to hospital patients in real-world settings continues to be a challenge. To achieve long-term abstinence, a program should provide both bedside counseling and post-discharge contacts. These program features are necessary but difficult...

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Autores principales: Grable, John C, Lin, Jonathan K, Peltzer, Kenneth, Schultz, Rebecca, Bugbee, Doris, Pilipenko, Mikhail, Levy, Scott C, Hawkins, Shayne
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Dove 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10082598/
https://www.ncbi.nlm.nih.gov/pubmed/37038455
http://dx.doi.org/10.2147/JMDH.S400615
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author Grable, John C
Lin, Jonathan K
Peltzer, Kenneth
Schultz, Rebecca
Bugbee, Doris
Pilipenko, Mikhail
Levy, Scott C
Hawkins, Shayne
author_facet Grable, John C
Lin, Jonathan K
Peltzer, Kenneth
Schultz, Rebecca
Bugbee, Doris
Pilipenko, Mikhail
Levy, Scott C
Hawkins, Shayne
author_sort Grable, John C
collection PubMed
description PURPOSE: Delivering evidence-based tobacco dependence treatments to hospital patients in real-world settings continues to be a challenge. To achieve long-term abstinence, a program should provide both bedside counseling and post-discharge contacts. These program features are necessary but difficult to implement due to lack of training, time and low administrative support. The Rochester Model is a tobacco treatment program using existing staff and medical students to reduce the barriers for treating hospitalized smokers. PATIENTS AND METHODS: Any smoking patient admitted to a participating hospital unit can participate. Staff nurses, mid-level providers and physicians deliver the counseling steps during the admission. Nurses hold two bedside counseling sessions, while providers give quitting advice and encourage pharmacotherapy. Nurses also contribute as unit champions and post-discharge call counselors. New York State quit line counselors combined with a University of Rochester call team fulfill the post-discharge calls. The latter call team is composed of staff nurses, respiratory therapists and medical students. RESULTS: The number of smoking patients screened was 2610 while 385 enrolled after a proof-of-concept period. The 7-day point prevalence quit rates using the as treated (patients contacted) analysis is 50% at 4 weeks, 42% at 3 months and 38% at 6 months. The 7-day point prevalence quit rates using the intent-to-treat (all patients) analysis is 23% at 4 weeks, 16% at 3 months and 14% at 6 months. CONCLUSION: Preliminary data on the Rochester Model is showing an effective yet affordable tobacco treatment program using hospital staff and medical students. Nurses serve as bedside counselors, unit champions and post-discharge call counselors. Hospitals, even with limited resources, can implement tobacco treatment programs using existing staff.
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spelling pubmed-100825982023-04-09 Integrating Tobacco Dependence Treatment into Hospital Practice Using the Rochester Model Grable, John C Lin, Jonathan K Peltzer, Kenneth Schultz, Rebecca Bugbee, Doris Pilipenko, Mikhail Levy, Scott C Hawkins, Shayne J Multidiscip Healthc Short Report PURPOSE: Delivering evidence-based tobacco dependence treatments to hospital patients in real-world settings continues to be a challenge. To achieve long-term abstinence, a program should provide both bedside counseling and post-discharge contacts. These program features are necessary but difficult to implement due to lack of training, time and low administrative support. The Rochester Model is a tobacco treatment program using existing staff and medical students to reduce the barriers for treating hospitalized smokers. PATIENTS AND METHODS: Any smoking patient admitted to a participating hospital unit can participate. Staff nurses, mid-level providers and physicians deliver the counseling steps during the admission. Nurses hold two bedside counseling sessions, while providers give quitting advice and encourage pharmacotherapy. Nurses also contribute as unit champions and post-discharge call counselors. New York State quit line counselors combined with a University of Rochester call team fulfill the post-discharge calls. The latter call team is composed of staff nurses, respiratory therapists and medical students. RESULTS: The number of smoking patients screened was 2610 while 385 enrolled after a proof-of-concept period. The 7-day point prevalence quit rates using the as treated (patients contacted) analysis is 50% at 4 weeks, 42% at 3 months and 38% at 6 months. The 7-day point prevalence quit rates using the intent-to-treat (all patients) analysis is 23% at 4 weeks, 16% at 3 months and 14% at 6 months. CONCLUSION: Preliminary data on the Rochester Model is showing an effective yet affordable tobacco treatment program using hospital staff and medical students. Nurses serve as bedside counselors, unit champions and post-discharge call counselors. Hospitals, even with limited resources, can implement tobacco treatment programs using existing staff. Dove 2023-04-04 /pmc/articles/PMC10082598/ /pubmed/37038455 http://dx.doi.org/10.2147/JMDH.S400615 Text en © 2023 Grable et al. https://creativecommons.org/licenses/by-nc/3.0/This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/ (https://creativecommons.org/licenses/by-nc/3.0/) ). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms (https://www.dovepress.com/terms.php).
spellingShingle Short Report
Grable, John C
Lin, Jonathan K
Peltzer, Kenneth
Schultz, Rebecca
Bugbee, Doris
Pilipenko, Mikhail
Levy, Scott C
Hawkins, Shayne
Integrating Tobacco Dependence Treatment into Hospital Practice Using the Rochester Model
title Integrating Tobacco Dependence Treatment into Hospital Practice Using the Rochester Model
title_full Integrating Tobacco Dependence Treatment into Hospital Practice Using the Rochester Model
title_fullStr Integrating Tobacco Dependence Treatment into Hospital Practice Using the Rochester Model
title_full_unstemmed Integrating Tobacco Dependence Treatment into Hospital Practice Using the Rochester Model
title_short Integrating Tobacco Dependence Treatment into Hospital Practice Using the Rochester Model
title_sort integrating tobacco dependence treatment into hospital practice using the rochester model
topic Short Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10082598/
https://www.ncbi.nlm.nih.gov/pubmed/37038455
http://dx.doi.org/10.2147/JMDH.S400615
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