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Health evaluation and referral assistant: a randomized controlled trial to improve smoking cessation among emergency department patients
Open Access Articles
  • Edwin D. Boudreaux, University of Massachusetts Medical School
  • Beau Abar, University of Rochester Medical Center
  • Brianna Haskins, University of Massachusetts Medical School
  • Brigitte Bauman, Cooper Medical School of Rowan University
  • Grant Grissom, Polaris Health Directions, Inc,
UMMS Affiliation
Department of Emergency Medicine
Date
11-5-2015
Document Type
Article
Abstract
BACKGROUND: Computer technologies hold promise for implementing tobacco screening, brief intervention, and referral to treatment (SBIRT). This study aims to evaluate a computerized tobacco SBIRT system called the Health Evaluation and Referral Assistant (HERA). METHODS: Smokers (n = 421) presenting to an emergency department were randomly assigned to the HERA or a minimal-treatment Control and were followed for 3 months. Analyses compared smoking cessation treatment provider contact, treatment initiation, treatment completion, and smoking behavior across condition using univariable comparisons, generalized estimating equations (GEE), and post hoc Chi square analyses. RESULTS: HERA participants were more likely to initiate contact with a treatment provider but did not differ on treatment initiation, quit attempts, or sustained abstinence. Subanalyses revealed HERA participants who accepted a faxed referral were more likely to initiate treatment but were not more likely to stop smoking. CONCLUSIONS: The HERA promoted initial contact with a smoking cessation provider and the faxed referral further promoted treatment initiation, but it did not lead to improved abstinence. TRIAL REGISTRATION: ClinicalTrials.gov number NCT01153373.
Rights and Permissions
Citation: Addict Sci Clin Pract. 2015 Nov 5;10:24. doi: 10.1186/s13722-015-0045-2. Link to article on publisher's site
DOI of Published Version
10.1186/s13722-015-0045-2
Comments

This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.

Related Resources
Link to Article in PubMed
Keywords
  • Tobacco,
  • Brief intervention,
  • Emergency medicine,
  • Facilitated referral,
  • Tobacco treatment,
  • Tobacco screening
PubMed ID
26542471
Creative Commons License
Creative Commons Attribution 4.0
Citation Information
Edwin D. Boudreaux, Beau Abar, Brianna Haskins, Brigitte Bauman, et al.. "Health evaluation and referral assistant: a randomized controlled trial to improve smoking cessation among emergency department patients" Vol. 10 (2015) ISSN: 1940-0632 (Linking)
Available at: http://works.bepress.com/edwin_boudreaux/99/