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Changing the default for tobacco-cessation treatment in an inpatient setting: study protocol of a randomized controlled trial

Faseru, Babalola
Ellerbeck, Edward F.
Catley, Delwyn
Gajewski, Byron J.
Scheuermann, Taneisha S.
Shireman, Theresa I.
Mussulman, Laura M.
Nazir, Niaman
Bush, Terry
Richter, Kimber P.
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Abstract
Most health care providers do not treat tobacco dependence routinely. This may in part be due to the treatment “default.” Current treatment guidelines recommend that providers (1) ask patients if they are willing to quit and (2) provide cessation-focused medications and counseling only to smokers who state that they are willing to quit. The default is that patients have to “opt in” to receive cessation assistance: providers ask smokers if they are willing to quit, and only offer medications and cessation support to those who say “yes.” This drastically limits the reach of cessation services because, at any given encounter, only one in three smokers say that they are ready to quit. The objective of this study is to determine the impact of providing all smokers with tobacco-cessation treatment unless they refuse it (OPT OUT) versus current practice—screening for readiness and only offering treatment to smokers who say they are ready to quit (OPT IN).
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A grant from the One-University Open Access Fund at the University of Kansas was used to defray the author's publication fees in this Open Access journal. The Open Access Fund, administered by librarians from the KU, KU Law, and KUMC libraries, is made possible by contributions from the offices of KU Provost, KU Vice Chancellor for Research & Graduate Studies, and KUMC Vice Chancellor for Research. For more information about the Open Access Fund, please see http://library.kumc.edu/authors-fund.xml.
Date
2017-08-14
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BioMed Central
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Faseru, B., Ellerbeck, E. F., Catley, D., Gajewski, B. J., Scheuermann, T. S., Shireman, T. I., ... & Richter, K. P. (2017). Changing the default for tobacco-cessation treatment in an inpatient setting: study protocol of a randomized controlled trial. Trials, 18(1), 379.
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