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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
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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 

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