patient preferences for emergency department-initiated tobacco interventions a multicenter cross-sectional study of current smokers病人偏好紧急了烟草干预吸烟者的多中心横断面研究.pdfVIP

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patient preferences for emergency department-initiated tobacco interventions a multicenter cross-sectional study of current smokers病人偏好紧急了烟草干预吸烟者的多中心横断面研究.pdf

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patient preferences for emergency department-initiated tobacco interventions a multicenter cross-sectional study of current smokers病人偏好紧急了烟草干预吸烟者的多中心横断面研究

Choo et al. Addiction Science Clinical Practice 2012, 7:4 /content/7/1/4 RESEARCH Open Access Patient preferences for emergency department- initiated tobacco interventions: a multicenter cross-sectional study of current smokers 1* 2 3 4 2 Esther K Choo , Ashley F Sullivan , Frank LoVecchio , John N Perret , Carlos A Camargo Jr and Edwin D Boudreaux5 Abstract 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)