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

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

Research output: Contribution to journalArticle

13 Citations (Scopus)

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 languageEnglish (US)
Pages (from-to)139-142
Number of pages4
JournalJournal of Substance Abuse Treatment
Volume44
Issue number1
DOIs
StatePublished - Jan 2013

Fingerprint

Substance-Related Disorders
Hospital Emergency Service
Pamphlets
Alcohols
Tobacco Use Cessation Products
Tobacco Use Disorder
Street Drugs
Smoking Cessation
Telephone
Alcoholism
Tobacco
Interviews
Therapeutics

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

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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.",
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AU - Moadel-Robblee, Alyson B.

AU - Gallagher, E. John

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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.

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