Adapting screening, brief intervention, and referral to treatment to tobacco: a hospital trial of warm handoffs for smoking cessation

Peer Reviewe

Using "warm handoffs" to link hospitalized smokers with tobacco treatment after discharge: Study protocol of a randomized controlled trial

Abstract Background Post-discharge support is a key component of effective treatment for hospitalized smokers, but few hospitals provide it. Many hospitals and care settings fax-refer smokers to quitlines for follow-up; however, less than half of fax-referred smokers are successfully contacted and enrolled in quitline services. “Warm handoff” is a novel approach to care transitions in which health care providers directly link patients with substance abuse problems with specialists, using face-to-face or phone transfer. Warm handoff achieves very high rates of treatment enrollment for these vulnerable groups. Methods The aim of this study—“EQUIP” (Enhancing Quitline Utilization among In-Patients)—is to determine the effectiveness, and cost-effectiveness, of warm handoff versus fax referral for linking hospitalized smokers with tobacco quitlines. This study employs a two-arm, individually randomized design. It is set in two large Kansas hospitals that have dedicated tobacco treatment interventionists on staff. At each site, smokers who wish to remain abstinent after discharge will be randomly assigned to groups. For patients in the fax group, staff will provide standard in-hospital intervention and will fax-refer patients to the state tobacco quitline for counseling post-discharge. For patients in the warm handoff group, staff will provide brief in-hospital intervention and immediate warm handoff: staff will call the state quitline, notify them that a warm handoff inpatient from Kansas is on the line, then transfer the call to the patients’ mobile or bedside hospital phone for quitline enrollment and an initial counseling session. Following the quitline session, hospital staff provides a brief check-back visit. Outcome measures will be assessed at 1, 6, and 12 months post enrollment. Costs are measured to support cost-effectiveness analyses. We hypothesize that warm handoff, compared to fax referral, will improve care transitions for tobacco treatment, enroll more participants in quitline services, and lead to higher quit rates. We also hypothesize that warm handoff will be more cost-effective from a societal perspective. Discussion If successful, this project offers a low-cost solution for more efficiently linking millions of hospitalized smokers with effective outpatient treatment—smokers that might otherwise be lost in the transition to outpatient care. Trial registration Clinical Trials Registration NCT01305928Peer Reviewe

Using “warm handoffs” to link hospitalized smokers with tobacco treatment after discharge: study protocol of a randomized controlled trial

Post-discharge support is a key component of effective treatment for hospitalized smokers, but few hospitals provide it. Many hospitals and care settings fax-refer smokers to quitlines for follow-up; however, less than half of fax-referred smokers are successfully contacted and enrolled in quitline services. “Warm handoff” is a novel approach to care transitions in which health care providers directly link patients with substance abuse problems with specialists, using face-to-face or phone transfer. Warm handoff achieves very high rates of treatment enrollment for these vulnerable groups

Joseph Mussulman Interview, September 9, 2006

Joseph Mussulman discusses moving to Missoula, Montana from Ripon, Wisconsin in 1957 and working for the University of Montana, Missoula in the School of Music. He explains his interest in the Rattlesnake Wilderness, his involvement with the United States Forest Service and Montana Power Company, and the formation of the Friends of the Rattlesnake. Mussulman describes his experiences working as a backcountry guard for the Forest Service during his retirement, and gives a detailed account of particular places in the Rattlesnake wilderness, including Franklin Bridge, Stewart Peak, Grant Peak, East Fork, Gold Creek, and Sheep Mountain Trail. He also discusses his belief that there is a lack of bicycle etiquette among recreationists.https://scholarworks.umt.edu/forestrylanduseconservation_interviews/1003/thumbnail.jp

The relationship between depression and motivation to quit among rural smokers

Thesis (M.P.H.)--University of Kansas, Preventive Medicine and Public Health, 2007.This is the first study to examine the relationship between depression and autonomous motivation to quit smoking. A population-based sample of 750 smokers was identified from 50 rural primary care clinics across the State of Kansas. Participants were predominately female (58.5%), with a mean age of 47.2 years, and 234 (31.2%) were currently depressed. As hypothesized, we found that current depression was not significantly related to importance in quitting smoking or stage of change. In addition, depression was not significantly associated with autonomous motivation. Results suggest that depressed smokers are just as motivated to quit smoking and have similar autonomous reasons for quitting smoking as non-depressed smokers. The prevalence of current depression among this sample of rural primary care smokers is high and underscores the need to screen for depressive symptomatology and to continue to offer depressed smokers smoking cessation opportunities and treatment

Simultaneous Radiative and Conductive Heat Transfer in a Nongray Gas

112 p.Thesis (Ph.D.)--University of Illinois at Urbana-Champaign, 1973.U of I OnlyRestricted to the U of I community idenfinitely during batch ingest of legacy ETD