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dc.contributor.authorLiebmann, Edward P.
dc.contributor.authorScheuermann, Taneisha S.
dc.contributor.authorFaseru, Babalola
dc.contributor.authorRichter, Kimber P.
dc.date.accessioned2020-11-23T15:24:25Z
dc.date.available2020-11-23T15:24:25Z
dc.date.issued2019-04-24
dc.identifier.citationLiebmann, E. P., Scheuermann, T. S., Faseru, B., & Richter, K. P. (2019). Critical steps in the path to using cessation pharmacotherapy following hospital-initiated tobacco treatment. BMC health services research, 19(1), 246. https://doi.org/10.1186/s12913-019-4059-4en_US
dc.identifier.urihttp://hdl.handle.net/1808/30899
dc.descriptionThis work is licensed under a Creative Commons Attribution 4.0 International License.en_US
dc.description.abstractBackground Hospital-initiated smoking cessation interventions utilizing pharmacotherapy increase post-discharge quit rates. Use of smoking cessation medications following discharge may further increase quit rates. This study aims to identify individual, smoking-related and hospitalization-related predictors of engagement in three different steps in the smoking cessation pharmacotherapy utilization process: 1) receiving medications as inpatient, 2) being discharged with a prescription and 3) using medications at 1-month post-hospitalization, while accounting for associations between these steps.

Methods Study data come from a clinical trial (N = 1054) of hospitalized smokers interested in quitting who were randomized to recieve referral to a quitline via either warm handoff or fax. Variables were from the electronic health record, the state tobacco quitline, and participant self-report. Relationships among the predictors and the steps in cessation medication utilization were assessed using bivariate analyses and multivariable path analysis.

Results Twenty-eight percent of patients reported using medication at 1-month post-discharge. Receipt of smoking cessation medications while hospitalized (OR = 2.09, 95%CI [1.39, 3.15], p < .001) and discharge with a script (OR = 4.88, 95%CI [3.34, 7.13], p < .001) were independently associated with medication use at 1-month post-hospitalization. The path analysis also revealed that the likelihood of being discharged with a script was strongly influenced by receipt of medication as an inpatient (OR = 6.61, 95%CI [4.66, 9.38], p < .001). A number of other treatment- and individual-level factors were associated with medication use in the hospital, receipt of a script, and use post-discharge.

Conclusions To encourage post-discharge smoking cessation medication use, concerted effort should be made to engage smokers in tobacco treatment while in hospital. The individual and hospital-level factors associated with each step in the medication utilization process provide good potential targets for future implementation research to optimize treatment delivery and outcomes.
en_US
dc.description.sponsorshipNational Heart, Lung, and Blood Institute (U01 HL105232)en_US
dc.publisherBMCen_US
dc.rights© The Author(s). 2019en_US
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/en_US
dc.subjectSmoking cessationen_US
dc.subjectMedication reconciliationen_US
dc.subjectTobacco use cessation devicesen_US
dc.subjectPatient dischargeen_US
dc.titleCritical steps in the path to using cessation pharmacotherapy following hospital-initiated tobacco treatmenten_US
dc.typeArticleen_US
kusw.kuauthorLiebmann, Edward P.
kusw.kudepartmentPsychologyen_US
dc.identifier.doi10.1186/s12913-019-4059-4en_US
dc.identifier.orcidhttps://orcid.org/0000-0002-0351-4336en_US
kusw.oaversionScholarly/refereed, publisher versionen_US
kusw.oapolicyThis item meets KU Open Access policy criteria.en_US
dc.identifier.pmidPMC6480776en_US
dc.rights.accessrightsopenAccessen_US


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© The Author(s). 2019
Except where otherwise noted, this item's license is described as: © The Author(s). 2019