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New Approach to Smoking Cessation

Article: Ask-Advise-Connect: A New Approach to Smoking Treatment Delivery in Health Care Settings. JAMA Intern Med. 2013;173(6):458-464.

Summary

Helping Patients To Quit Smoking Using Information Technology.

Abstract

Importance Several national health care–based smoking cessation initiatives have been recommended to facilitate the delivery of evidence‑based treatments, such as quitline (telephone‑based tobacco cessation services) assistance. The most notable examples are the 5 As (Ask, Advise, Assess, Assist, Arrange) and Ask. Advise. Refer. (AAR) programs. Unfortunately, rates of primary care referrals to quitlines are low, and most referred smokers fail to call for assistance.

Objective To evaluate a new approach—Ask‑Advise‑Connect (AAC)—designed to address barriers to linking smokers with treatment.

Design A pair‑matched, 2‑treatment‑arm, group‑randomized design in 10 family practice clinics in a single metropolitan area. Five clinics were randomized to the AAC (intervention) and 5 to the AAR (control) conditions. In both conditions, clinic staff were trained to assess and record the smoking status of all patients at all visits in the electronic health record, and smokers were given brief advice to quit. In the AAC clinics, the names and telephone numbers of smokers who agreed to be connected were sent electronically to the quitline daily, and patients were called proactively by the quitline within 48 hours. In the AAR clinics, smokers were offered a quitline referral card and encouraged to call on their own. All data were collected from February 8 through December 27, 2011.

Setting Ten clinics in Houston, Texas.

Participants Smoking status assessments were completed for 42 277 patients; 2052 unique smokers were identified at AAC clinics, and 1611 smokers were identified at AAR clinics.

Interventions Linking smokers with quitline‑delivered treatment.

Main Outcome Measure Impact was based on the RE‑AIM (Reach, Efficacy, Adoption, Implementation, and Maintenance) conceptual framework and defined as the proportion of all identified smokers who enrolled in treatment.

Results In the AAC clinics, 7.8% of all identified smokers enrolled in treatment vs 0.6% in the AAR clinics (t4 = 9.19 [P < .001]; odds ratio, 11.60 [95% CI, 5.53‑24.32]), a 13‑fold increase in the proportion of smokers enrolling in treatment.

Conclusions and Relevance The system changes implemented in the AAC approach could be adopted broadly by other health care systems and have tremendous potential to reduce tobacco‑related morbidity and mortality.

Interview with Jennifer Irvin Vidrine, PhD, author of Ask-Advise-Connect: A New Approach to Smoking Treatment Delivery in Health Care Settings.

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Nuevo abordaje para el abandono del tabaquismo

Artículo: Preguntar-Asesorar-Conectar: un nuevo abordaje para el tratamiento contra el tabaquismo en los centros sanitarios. JAMA Intern Med. 2013;173(6):458-464.

Summary

Ayudar a los pacientes a dejar de fumar con las tecnologías de la información.

Entrevista con Jennifer Irvin Vidrine, PhD, autor de Preguntar-Asesorar-Conectar: un nuevo abordaje para el tratamiento contra el tabaquismo en los centros sanitarios.

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Nouvelle approche pour l'arrêt du tabagisme

Article: Ask-Advise-Connect : une nouvelle approche de la prise en charge des fumeurs dans les établissements médicaux. JAMA Intern Med. 2013;173(6):458-464.

Summary

Aider les patients à arrêter de fumer grâce aux technologies de l'information.

Entretien avec Jennifer Irvin Vidrine, PhD, auteur de Ask-Advise-Connect : une nouvelle approche de la prise en charge des fumeurs dans les établissements médicaux.

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Nuovo approccio alla cessazione del fumo

Articolo: Ask-Advise-Connect: nuovo approccio al trattamento: del tabagismo nelle strutture sanitarie. JAMA Intern Med. 2013;173(6):458-464.

Summary

Aiutare i pazienti a smettere di fumare utilizzando la tecnologia informatica.

Intervista a Jennifer Irvin Vidrine, PhD, autore di Ask-Advise-Connect: nuovo approccio al trattamento: del tabagismo nelle strutture sanitarie.

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戒烟新方案

文章: 询问‑劝告‑连线:一项在医疗机构中推介戒烟治疗的新方案。 JAMA Intern Med. 2013;173(6):458-464.

Summary

利用信息技术帮助患者戒烟。

专访 Jennifer Irvin Vidrine, PhD, 作者 询问‑劝告‑连线:一项在医疗机构中推介戒烟治疗的新方案。

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New Approach to Smoking Cessation

статья: Ask-Advise-Connect: A New Approach to Smoking Treatment Delivery in Health Care Settings. JAMA Intern Med. 2013;173(6):458-464.

Summary

Перевод отсутствует.

Abstract

Перевод отсутствует.

Интервью с Jennifer Irvin Vidrine, PhD автор Ask-Advise-Connect: A New Approach to Smoking Treatment Delivery in Health Care Settings.

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New Approach to Smoking Cessation

Artigo: Ask-Advise-Connect: A New Approach to Smoking Treatment Delivery in Health Care Settings. JAMA Intern Med. 2013;173(6):458-464.

Summary

Não há tradução disponível.

Abstract

Não há tradução disponível.

entrevista com o Jennifer Irvin Vidrine, PhD autor de Ask-Advise-Connect: A New Approach to Smoking Treatment Delivery in Health Care Settings.

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Neuer Ansatz zur Raucherentwöhnung

Artikel: Befragen - Beraten - Verbindung herstellen: Ein neuer Ansatz zur Behandlung von Rauchern in Einrichtungen des Gesundheitswesens. JAMA Intern Med. 2013;173(6):458-464.

Summary

Der Einsatz von Informationstechnologie, um Patienten dabei zu helfen, mit dem Rauchen aufzuhören.

Interview mit Jennifer Irvin Vidrine, PhD, autor Befragen - Beraten - Verbindung herstellen: Ein neuer Ansatz zur Behandlung von Rauchern in Einrichtungen des Gesundheitswesens.

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