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Tobacco Cessation in ED Utilizing Research Associates. Tobacco Cessation in ED Pilot Study. Tobacco Cessation in ED Pilot Study. Using a scripted format , RAs. Tobacco Cessation in ED Pilot Study. Using a scripted format , RAs approached as many ED patients and their visitors
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Tobacco Cessation in ED Pilot Study Using a scripted format, RAs
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
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
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
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
Tobacco Cessation in ED Pilot Study • 21 weeks, 63 RAs approached 4613 potential participants
Tobacco Cessation in ED Pilot Study • 21 weeks, 63 RAs approached 4613 potential participants 4038 (88%) eligible (i.e., no exclusion criteria)
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%)
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
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
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
Tobacco Cessation in ED Pilot Study • smoked ever = 18% → Quitline referral
Tobacco Cessation in ED Pilot Study • smoked ever = 18% → Quitline referral • smoked w/i 30 d. = 38% → Quitline referral
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
Tobacco Cessation in EDValidation Study • Same study design, except Verbal Assent
Tobacco Cessation in EDValidation Study • Same study design, except Verbal Assent • REDCap
Tobacco Cessation in EDValidation Study • Same study design, except Verbal Assent • REDCap • St. Vincent’s + Hartford Hospital and Lawrence & Memorial
Tobacco Cessation in EDValidation Study • 1 October – 15 December 2010 = beta testing
Tobacco Cessation in EDValidation Study • 1 October – 15 December 2010 = beta testing • Spring, summer and fall semesters 2011 = validation study
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.
Tobacco Cessation in EDNational Study • National Alliance of Research Associate Programs (NARAP)
Tobacco Cessation in EDNational Study • National Alliance of Research Associate Programs (NARAP) • 15 hospitals (academic and community) around the country
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
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!