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Patient preferences for emergency department-initiated tobacco interventions: a multicenter cross-sectional study of current smokers

BACKGROUND: The emergency department (ED) visit provides a great opportunity to initiate interventions for smoking cessation. However, little is known about ED patient preferences for receiving smoking cessation interventions or correlates of interest in tobacco counseling. METHODS: ED patients at 1...

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Autores principales: Choo, Esther K, Sullivan, Ashley F, LoVecchio, Frank, Perret, John N, Camargo , Carlos A, Boudreaux, Edwin D
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2012
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3414814/
https://www.ncbi.nlm.nih.gov/pubmed/22966410
http://dx.doi.org/10.1186/1940-0640-7-4
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author Choo, Esther K
Sullivan, Ashley F
LoVecchio, Frank
Perret, John N
Camargo , Carlos A
Boudreaux, Edwin D
author_facet Choo, Esther K
Sullivan, Ashley F
LoVecchio, Frank
Perret, John N
Camargo , Carlos A
Boudreaux, Edwin D
author_sort Choo, Esther K
collection PubMed
description BACKGROUND: The emergency department (ED) visit provides a great opportunity to initiate interventions for smoking cessation. However, little is known about ED patient preferences for receiving smoking cessation interventions or correlates of interest in tobacco counseling. METHODS: ED patients at 10 US medical centers were surveyed about preferences for hypothetical smoking cessation interventions and specific counseling styles. Multivariable linear regression determined correlates of receptivity to bedside counseling. RESULTS: Three hundred seventy-five patients were enrolled; 46% smoked at least one pack of cigarettes per day, and 11% had a smoking-related diagnosis. Most participants (75%) reported interest in at least one intervention. Medications were the most popular (e.g., nicotine replacement therapy, 54%), followed by linkages to hotlines or other outpatient counseling (33-42%), then counseling during the ED visit (33%). Counseling styles rated most favorably involved individualized feedback (54%), avoidance skill-building (53%), and emphasis on autonomy (53%). In univariable analysis, age (r = 0.09), gender (average Likert score = 2.75 for men, 2.42 for women), education (average Likert score = 2.92 for non-high school graduates, 2.44 for high school graduates), and presence of smoking-related symptoms (r = 0.10) were significant at the p < 0.10 level and thus were retained for the final model. In multivariable linear regression, male gender, lower education, and smoking-related symptoms were independent correlates of increased receptivity to ED-based smoking counseling. CONCLUSIONS: In this multicenter study, smokers reported receptivity to ED-initiated interventions. However, there was variability in individual preferences for intervention type and counseling styles. To be effective in reducing smoking among its patients, the ED should offer a range of tobacco intervention options.
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spelling pubmed-34148142012-09-11 Patient preferences for emergency department-initiated tobacco interventions: a multicenter cross-sectional study of current smokers Choo, Esther K Sullivan, Ashley F LoVecchio, Frank Perret, John N Camargo , Carlos A Boudreaux, Edwin D Addict Sci Clin Pract Research BACKGROUND: The emergency department (ED) visit provides a great opportunity to initiate interventions for smoking cessation. However, little is known about ED patient preferences for receiving smoking cessation interventions or correlates of interest in tobacco counseling. METHODS: ED patients at 10 US medical centers were surveyed about preferences for hypothetical smoking cessation interventions and specific counseling styles. Multivariable linear regression determined correlates of receptivity to bedside counseling. RESULTS: Three hundred seventy-five patients were enrolled; 46% smoked at least one pack of cigarettes per day, and 11% had a smoking-related diagnosis. Most participants (75%) reported interest in at least one intervention. Medications were the most popular (e.g., nicotine replacement therapy, 54%), followed by linkages to hotlines or other outpatient counseling (33-42%), then counseling during the ED visit (33%). Counseling styles rated most favorably involved individualized feedback (54%), avoidance skill-building (53%), and emphasis on autonomy (53%). In univariable analysis, age (r = 0.09), gender (average Likert score = 2.75 for men, 2.42 for women), education (average Likert score = 2.92 for non-high school graduates, 2.44 for high school graduates), and presence of smoking-related symptoms (r = 0.10) were significant at the p < 0.10 level and thus were retained for the final model. In multivariable linear regression, male gender, lower education, and smoking-related symptoms were independent correlates of increased receptivity to ED-based smoking counseling. CONCLUSIONS: In this multicenter study, smokers reported receptivity to ED-initiated interventions. However, there was variability in individual preferences for intervention type and counseling styles. To be effective in reducing smoking among its patients, the ED should offer a range of tobacco intervention options. BioMed Central 2012 2012-03-15 /pmc/articles/PMC3414814/ /pubmed/22966410 http://dx.doi.org/10.1186/1940-0640-7-4 Text en Copyright ©2012 Choo et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research
Choo, Esther K
Sullivan, Ashley F
LoVecchio, Frank
Perret, John N
Camargo , Carlos A
Boudreaux, Edwin D
Patient preferences for emergency department-initiated tobacco interventions: a multicenter cross-sectional study of current smokers
title Patient preferences for emergency department-initiated tobacco interventions: a multicenter cross-sectional study of current smokers
title_full Patient preferences for emergency department-initiated tobacco interventions: a multicenter cross-sectional study of current smokers
title_fullStr Patient preferences for emergency department-initiated tobacco interventions: a multicenter cross-sectional study of current smokers
title_full_unstemmed Patient preferences for emergency department-initiated tobacco interventions: a multicenter cross-sectional study of current smokers
title_short Patient preferences for emergency department-initiated tobacco interventions: a multicenter cross-sectional study of current smokers
title_sort patient preferences for emergency department-initiated tobacco interventions: a multicenter cross-sectional study of current smokers
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3414814/
https://www.ncbi.nlm.nih.gov/pubmed/22966410
http://dx.doi.org/10.1186/1940-0640-7-4
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