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 | |
| State | Published - Jan 2013 |
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Keywords
- Brief interventions
- Emergency department
- Motivational interviewing
- Smoking
- Smoking cessation
ASJC Scopus subject areas
- Psychiatry and Mental health
- Clinical Psychology
- Phychiatric Mental Health
- Medicine (miscellaneous)
Cite this
Efficacy of an emergency department-based multicomponent intervention for smokers with substance use disorders. / Bernstein, Steven L.; Bijur, Polly E.; Cooperman, Nina; Jearld, Saba; Arnsten, Julia H.; Moadel-Robblee, Alyson B.; Gallagher, E. John.
In: Journal of Substance Abuse Treatment, Vol. 44, No. 1, 01.2013, p. 139-142.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Efficacy of an emergency department-based multicomponent intervention for smokers with substance use disorders
AU - Bernstein, Steven L.
AU - Bijur, Polly E.
AU - Cooperman, Nina
AU - Jearld, Saba
AU - Arnsten, Julia H.
AU - Moadel-Robblee, Alyson B.
AU - Gallagher, E. John
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
UR - http://www.scopus.com/inward/record.url?scp=84870169962&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84870169962&partnerID=8YFLogxK
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 -