Hostname: page-component-76fb5796d-wq484 Total loading time: 0 Render date: 2024-04-27T00:48:53.110Z Has data issue: false hasContentIssue false
  • English
  • Français

Who Opted Out of an Opt-Out Smoking-Cessation Programme for Hospitalised Patients?

Published online by Cambridge University Press:  31 August 2016

Georges J. Nahhas ,
K. Michael Cummings ,
Vince Talbot ,
Matthew J. Carpenter ,
Benjamin A. Toll  and
Graham W. Warren
Georges J. Nahhas*
Affiliation:
Department of Psychiatry & Behavioral Sciences, Medical University of South Carolina, Charleston, SC
K. Michael Cummings
Affiliation:
Department of Psychiatry & Behavioral Sciences, Medical University of South Carolina, Charleston, SC
Vince Talbot
Affiliation:
TelASK Technologies Inc., Ottawa, Canada
Matthew J. Carpenter
Affiliation:
Department of Psychiatry & Behavioral Sciences, Medical University of South Carolina, Charleston, SC
Benjamin A. Toll
Affiliation:
Department of Public Health Sciences, Medical University of South Carolina, Charleston, SC
Graham W. Warren
Affiliation:
Department of Cell and Molecular Pharmacology, Medical University of South Carolina, Charleston, SC Department of Radiation Oncology, Medical University of South Carolina, Charleston, SC
*
Address for correspondence: Georges J. Nahhas, PhD, MPHA 68 President St. Charleston, SC, 29425, USA. Email: elnahas@musc.edu
Get access Rights & Permissions [Opens in a new window]

Abstract

Introduction: The Medical University of South Carolina (MUSC) hospital implemented an inpatient opt-out smoking-cessation service where smokers received a mandatory smoking-cessation consult and phone follow-up within 1-month post-discharge.

Aim: To examine predictors of patients who opted-out of bedside counselling or follow-up phone calls.

Methods: Eligible adult cigarette smokers admitted to the MUSC hospital were enrolled in the programme. Opting-out of bedside consult or follow-up calls were assessed separately using log-linear modelling where predictors included patient demographics, length of hospitalisation, insurance type, smoking history, and motivation/confidence to quit.

Results: Of the 38,758 admitted patients (February 2014–May 2015), 6,684 reported currently smoking and were automatically referred to bedside-consult. Approximately 26% of smokers made contact with the counselor, most of whom (83%) accepted the consult. Amongst patients eligible for post-discharge follow-up (n = 3485), 49% responded to the calls. Those who opted-out of the bedside-consult were mostly males (RR = 1.29). Those who did not respond to follow-up calls were younger age (RR = 1.33), with Medicaid/no insurance (RR = 1.17), and had not received a bedside consult (RR = 1.32).

Conclusions: An opt-out smoking-cessation programme was feasible and acceptable to most patients and was able to reach 65% of eligible smokers; 17% opted-out of bedside counselling; <1% asked to be removed from further phone calls.

Type
Protocol
Information
Journal of Smoking Cessation , Volume 12 , Issue 4 , December 2017 , pp. 199 - 204
Copyright
Copyright © The Author(s) 2016 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Cummings, K. M. (2016). Smoking isn't cool anymore: The success and continuing challenge of public health efforts to reduce smoking. Journal of Public Health Management and Practice, 22 (1), 5–8.Google Scholar
Dillman, D. A., Phelps, G., Tortora, R., Swift, K., Kohrell, J., Berck, J. et al. L. (2009). Response rate and measurement differences in mixed-mode surveys using mail, telephone, interactive voice response (IVR) and the Internet. Social Science Research, 38 (1), 1–18.Google Scholar
Duffy, S. A., Cummins, S. E., Fellows, J. L., Harrington, K. F., Kirby, C., Rogers, E. et al. (2015). Fidelity monitoring across the seven studies in the Consortium of Hospitals Advancing Research on Tobacco (CHART). Tobacco Induced Diseases, 13 (1), 1.Google Scholar
Fiore, M. C., Goplerud, E., & Schroeder, S. A. (2012). The joint commission's new tobacco-cessation measures—will hospitals do the right thing?. New England Journal of Medicine, 366 (13), 1172–1174.Google Scholar
Hu, S. S., Balluz, L., Battaglia, M. P., & Frankel, M. R. (2011). Improving public health surveillance using a dual-frame survey of landline and cell phone numbers. American Journal of Epidemiology, 173 (6), 703–711.Google Scholar
Joint Commission on Accreditation of Healthcare Organizations. Tobacco Treatment Measures (TTM). (2011). http://www.jointcommission.org/assets/1/6/Tobacco%20Treatment%20Measures%20List1.PDF. Accessed October 21, 2015.Google Scholar
Kotz, D. (2015). Implementation of a new ‘opt-out'default for tobacco treatment is urgently needed, but requires free access to evidence-based treatments. Addiction, 110 (3), 387–388.Google Scholar
Nahhas, G. J., Wilson, D., Talbot, V., Cartmell, K. B., Warrant, G. W., Toll, B. et al. (2016). Implementation of a Hospital-Based opt-out Tobacco Cessation Program. (Under review in Nicotine and Tobacco Research).Google Scholar
National Institute for Clinical Excellence. Quitting smoking in pregnancy and following childbirth commissioning guide: National institute for clinical excellence. (2010). 6–9. http://nice.org.uk/guidance/ph26.Google Scholar
Richter, K. P., & Ellerbeck, E. F. (2015). It's time to change the default for tobacco treatment. Addiction, 110 (3), 381–386.Google Scholar
Rodriguez, H. P., von Glahn, T., Rogers, W. H., Chang, H., Fanjiang, G., & Safran, D. G. (2006). Evaluating patients’ experiences with individual physicians: A randomized trial of mail, internet, and interactive voice response telephone administration of surveys. Medical Care, 44 (2), 167–174.CrossRefGoogle ScholarPubMed
Skierkowski, D., & Wood, R. M. (2012). To text or not to text? The importance of text messaging among college-aged youth. Computers in Human Behavior, 28 (2), 744–756.Google Scholar
Sloan, M., Campbell, K. A., Bowker, K., Coleman, T., Cooper, S., Brafman-Price, B., & Naughton, F. (2016). Pregnant women's experiences and views on an “Opt-Out” referral pathway to specialist smoking cessation support: A qualitative evaluation. Nicotine & Tobacco Research, 18 (5), 900–905.Google Scholar
Warren, G. W., Marshall, J. R., Cummings, K. M., Zevon, M. A., Reed, R., Hysert, P. et al. (2014). Automated tobacco assessment and cessation support for cancer patients. Cancer, 120 (4), 562–569.CrossRefGoogle ScholarPubMed