TY - JOUR
T1 - Efficacy of an emergency department-based multicomponent intervention for smokers with substance use disorders
AU - Bernstein, Steven L.
AU - Bijur, Polly
AU - Cooperman, Nina
AU - Jearld, Saba
AU - Arnsten, Julia H.
AU - Moadel, Alyson
AU - Gallagher, E. John
N1 - Funding Information:
This work was supported by grant R21DA017812 from the National Institute on Drug Abuse of the National Institutes of Health . It was presented in part at the Annual Meeting of the Society for Research on Nicotine and Tobacco, Toronto, Canada, February, 2011.
Copyright:
Copyright 2013 Elsevier B.V., All rights reserved.
PY - 2013/1
Y1 - 2013/1
N2 - The efficacy of brief emergency department (ED)-based interventions for smokers with concurrent alcohol or substance use is unknown. We performed a subgroup analysis of a trial enrolling adult smokers in an urban ED, focusing on subjects who screened positive for alcohol abuse or illicit drug use. Subjects receiving usual care (UC) were given a smoking cessation brochure; those receiving enhanced care (EC) got the brochure, a brief negotiated interview, 6. weeks of nicotine patches, and a telephone call. Follow-up occurred at 3. months. Of 340 subjects in the parent study, 88 (25.9%) reported a substance use disorder. At 3. months, substance users receiving EC were more likely to be tobacco-abstinent than those receiving UC (14.6% versus 0%, p=.015), and to self-identify as nonsmokers (12.5% v. 0%, p=.03). This finding suggests that concurrent alcohol or substance use should not prevent initiation of tobacco dependence treatment in the ED.
AB - The efficacy of brief emergency department (ED)-based interventions for smokers with concurrent alcohol or substance use is unknown. We performed a subgroup analysis of a trial enrolling adult smokers in an urban ED, focusing on subjects who screened positive for alcohol abuse or illicit drug use. Subjects receiving usual care (UC) were given a smoking cessation brochure; those receiving enhanced care (EC) got the brochure, a brief negotiated interview, 6. weeks of nicotine patches, and a telephone call. Follow-up occurred at 3. months. Of 340 subjects in the parent study, 88 (25.9%) reported a substance use disorder. At 3. months, substance users receiving EC were more likely to be tobacco-abstinent than those receiving UC (14.6% versus 0%, p=.015), and to self-identify as nonsmokers (12.5% v. 0%, p=.03). This finding suggests that concurrent alcohol or substance use should not prevent initiation of tobacco dependence treatment in the ED.
KW - Brief interventions
KW - Emergency department
KW - Motivational interviewing
KW - Smoking
KW - Smoking cessation
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U2 - 10.1016/j.jsat.2012.05.005
DO - 10.1016/j.jsat.2012.05.005
M3 - Article
C2 - 22763199
AN - SCOPUS:84870169962
VL - 44
SP - 139
EP - 142
JO - Journal of Substance Abuse Treatment
JF - Journal of Substance Abuse Treatment
SN - 0740-5472
IS - 1
ER -