Smoking stage of change and interest in an emergency department-based intervention
Document Type
Journal ArticlePublication Date
2005-03-03Keywords
AdolescentAdult
Counseling
*Emergency Service, Hospital
Female
Health Behavior
Health Care Surveys
Humans
Male
Middle Aged
Motivation
Multivariate Analysis
New Jersey
Patient Acceptance of Health Care
Prospective Studies
Regression Analysis
Smoking Cessation
Emergency Medicine
Psychiatry
Metadata
Show full item recordAbstract
OBJECTIVES: To examine factors associated with motivation to quit smoking and interest in an emergency department (ED)-based intervention. METHODS: Consecutive ED patients 18 years of age and older were interviewed. Severely ill and cognitively disabled patients were excluded. Smoking history, stage of change, self-efficacy, presence of a smoking-related illness, interest in an ED-based smoking intervention, and screening/counseling by the patient's ED provider were assessed. RESULTS: A total of 1,461 of 2,314 patients (64%) were interviewed. A total of 581 (40%) currently smoked, with 21% in precontemplation (no intention to quit), 43% in contemplation (intention to quit but not within the next 30 days), and 36% in preparation (intention to quit within the next 30 days). Approximately 50% indicated a willingness to remain 15 extra minutes in the ED to receive counseling. Only 8% received counseling by their ED provider. A regression analysis showed that greater readiness to change was associated with multiple lifetime quit attempts, presence of a quit attempt in the past 30 days, and higher self-efficacy. Interest in an ED-based intervention was more likely among patients who reported higher self-efficacy. CONCLUSIONS: Approximately 50% of smokers reported at least moderate interest in an ED-based intervention and a willingness to stay 15 extra minutes, but only 8% reported receiving counseling during their ED visit. Considering time and resource constraints, counseling/referral may be best suited for patients characterized by a strong desire to quit, multiple previous quit attempts, high self-efficacy, a smoking-related ED visit, and strong interest in ED-based counseling.Source
Acad Emerg Med. 2005 Mar;12(3):211-8. Link to article on publisher's siteDOI
10.1197/j.aem.2004.09.022Permanent Link to this Item
http://hdl.handle.net/20.500.14038/45667PubMed ID
15741583Notes
At the time of publication, Edwin Boudreaux and Douglas Ziedonis were not yet affiliated with the University of Massachusetts Medical School.
Related Resources
Link to Article in PubMedae974a485f413a2113503eed53cd6c53
10.1197/j.aem.2004.09.022