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Patient preferences for emergency department-initiated tobacco interventions: a multicenter cross-sectional study of current smokers
Emergency Medicine Publications and Presentations
  • Esther K. Choo, Brown University
  • Ashley F. Sullivan, Harvard Medical School
  • Frank Lovecchio, Maricopa Medical Center
  • John N. Perret, Loiusiana State University
  • Carlos A. Camargo, Jr., Harvard Medical School
  • Edwin D. Boudreaux, University of Massachusetts Medical School
UMMS Affiliation
Department of Emergency Medicine
Publication Date
Document Type
Smoking Cessation; Emergency Service, Hospital
BACKGROUND: The emergency department (ED) visit provides a great opportunity to initiate interventions for smoking cessation. However, little is known about ED patient preferences for receiving smoking cessation interventions or correlates of interest in tobacco counseling. METHODS: ED patients at 10 US medical centers were surveyed about preferences for hypothetical smoking cessation interventions and specific counseling styles. Multivariable linear regression determined correlates of receptivity to bedside counseling. RESULTS: Three hundred seventy-five patients were enrolled; 46% smoked at least one pack of cigarettes per day, and 11% had a smoking-related diagnosis. Most participants (75%) reported interest in at least one intervention. Medications were the most popular (e.g., nicotine replacement therapy, 54%), followed by linkages to hotlines or other outpatient counseling (33-42%), then counseling during the ED visit (33%). Counseling styles rated most favorably involved individualized feedback (54%), avoidance skill-building (53%), and emphasis on autonomy (53%). In univariable analysis, age (r = 0.09), gender (average Likert score = 2.75 for men, 2.42 for women), education (average Likert score = 2.92 for non-high school graduates, 2.44 for high school graduates), and presence of smoking-related symptoms (r = 0.10) were significant at the p < 0.10 level and thus were retained for the final model. In multivariable linear regression, male gender, lower education, and smoking-related symptoms were independent correlates of increased receptivity to ED-based smoking counseling. CONCLUSIONS: In this multicenter study, smokers reported receptivity to ED-initiated interventions. However, there was variability in individual preferences for intervention type and counseling styles. To be effective in reducing smoking among its patients, the ED should offer a range of tobacco intervention options.
Rights and Permissions
© 2012 Choo et al; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
DOI of Published Version
Addict Sci Clin Pract. 2012;7(1):4. Epub 2012 Mar 15. Link to article on publisher's site
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Link to Article in PubMed
PubMed ID
Citation Information
Esther K. Choo, Ashley F. Sullivan, Frank Lovecchio, John N. Perret, et al.. "Patient preferences for emergency department-initiated tobacco interventions: a multicenter cross-sectional study of current smokers" Vol. 7 Iss. 1 (2012) ISSN: 1940-0632 (Linking)
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