Can inpatient pharmacists move the needle on smoking cessation? Evaluating reach and representativeness of a pharmacist-led opt-out smoking cessation intervention protocol for hospital settings.
Purpose Hospitalization affords an opportunity to reduce smoking, but fewer than half of patients who smoke receive evidence-based cessation treatment during inpatient stays. This study evaluated a pharmacist-led, electronic health record (EHR)–facilitated opt-out smoking cessation intervention desi...
| Publicado en: | American Journal of Health-System Pharmacy Vol. 79; no. 12; pp. 969 - 979 |
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| Autores principales: | , , , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Oxford University Press / USA
6/15/2022
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=157331983&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 157331983 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10792082 1X3 jtl: American Journal of Health-System Pharmacy issn: 10792082 maglogo: N pubinfo: dt: 6/15/2022 vid: 79 iid: 12 pid: 622 pub: Oxford University Press / USA artinfo: ui: 157331983 157331983 157331983 10.1093/ajhp/zxab488 157331983 ppf: 969 ppct: 10 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Can inpatient pharmacists move the needle on smoking cessation? Evaluating reach and representativeness of a pharmacist-led opt-out smoking cessation intervention protocol for hospital settings. aug: au: Creswell, Paul D McCarthy, Danielle E Trapskin, Philip Sheehy, Ann Skora, Amy Adsit, Robert T Zehner, Mark E Baker, Timothy B Fiore, Michael C affil: UW Center for Tobacco Research and Intervention (UW-CTRI), University of Wisconsin School of Medicine and Public Health , Madison, WI , USA sug: subj: Healthcare Disparities Pharmacists Smoking Cessation Programs Protocols Hospitals Human Inpatients Pretest-Posttest Design Implementation Science Program Implementation Adult Record Review Electronic Health Records Academic Medical Centers Nicotine Replacement Therapy Chi Square Test T-Tests Multiple Logistic Regression Models, Statistical Age Factors Sex Factors Midwestern United States Nicotine Patch Descriptive Statistics Adult: 19-44 years ab: Purpose Hospitalization affords an opportunity to reduce smoking, but fewer than half of patients who smoke receive evidence-based cessation treatment during inpatient stays. This study evaluated a pharmacist-led, electronic health record (EHR)–facilitated opt-out smoking cessation intervention designed to address this need. Methods Analyses of EHR records for adult patients who smoked in the past 30 days admitted to an academic medical center in the upper Midwest were conducted using the Reach Effectiveness Adoption Implementation Maintenance (RE-AIM) framework. The reach of a pharmacist-led, EHR-facilitated protocol for smoking cessation treatment was assessed by comparing patients' receipt of nicotine replacement therapy (NRT) and tobacco quitline referral before and after implementation. χ 2 tests, t tests, and multiple logistic regression models were used to compare reach across patient demographic groups to assess treatment disparities and the representativeness of reach. Adoption of the program by hospital services was also assessed. Results Of the 70 hospital services invited to implement the program, 88.6% adopted it and 78.6% had eligible admissions. Treatment reach increased as rates of delivering NRT rose from 43.6% of eligible patients before implementation to 50.4% after implementation (P < 0.0001) and quitline referral rates rose from 0.9% to 11.9% (P < 0.0001). Representativeness of reach by sex and ethnicity improved after implementation, although disparities by race and age persisted after adjustment for demographics, insurance, and primary diagnosis. Pharmacists addressed tobacco use for eligible patients in 62.5% of cases after protocol implementation. Conclusion Smoking cessation treatment reach and representativeness of reach improved after implementation of a proactive, pharmacist-led, EHR-facilitated opt-out smoking cessation treatment protocol in adult inpatient services. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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