Efficacy of an emergency department-based multicomponent intervention for smokers with substance use disorders

Steven L. Bernstein; Polly Bijur; Nina Cooperman; Saba Jearld; Julia H. Arnsten; Alyson Moadel; E. John Gallagher

doi:10.1016/j.jsat.2012.05.005

Efficacy of an emergency department-based multicomponent intervention for smokers with substance use disorders

Steven L. Bernstein, Polly Bijur, Nina Cooperman, Saba Jearld, Julia H. Arnsten, Alyson Moadel, E. John Gallagher

Research output: Contribution to journal › Article › peer-review

15 Scopus citations

Abstract

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.

Original language	English (US)
Pages (from-to)	139-142
Number of pages	4
Journal	Journal of Substance Abuse Treatment
Volume	44
Issue number	1
DOIs	https://doi.org/10.1016/j.jsat.2012.05.005
State	Published - Jan 1 2013

Keywords

Brief interventions
Emergency department
Motivational interviewing
Smoking
Smoking cessation

ASJC Scopus subject areas

Phychiatric Mental Health
Medicine (miscellaneous)
Clinical Psychology
Psychiatry and Mental health

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10.1016/j.jsat.2012.05.005

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Efficacy of an emergency department-based multicomponent intervention for smokers with substance use disorders. / Bernstein, Steven L.; Bijur, Polly; Cooperman, Nina; Jearld, Saba; Arnsten, Julia H.; Moadel, Alyson; Gallagher, E. John.

In: Journal of Substance Abuse Treatment, Vol. 44, No. 1, 01.01.2013, p. 139-142.

Research output: Contribution to journal › Article › peer-review

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