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

Esther K. Choo, Ashley F. Sullivan, Frank Lovecchio, John N. Perret, Carlos A. Camargo, Edwin D. Boudreaux

Research output: Contribution to journalArticle

9 Scopus citations

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) 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.

Original languageEnglish (US)
Article number4
JournalAddiction Science and Clinical Practice
Volume7
Issue number1
DOIs
StatePublished - Aug 28 2012

Keywords

  • Cigarettes
  • Counseling
  • Emergency medicine
  • Patient preference
  • Smoking
  • Tobacco

ASJC Scopus subject areas

  • Medicine(all)

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