Clinician-delivered intervention to facilitate tobacco quitline use by surgical patients

David O. Warner, Robert Klesges, Lowell C. Dale, Kenneth P. Offord, Darrell R. Schroeder, Yu Shi, Kristin S. Vickers, David R. Danielson

Research output: Contribution to journalArticle

28 Citations (Scopus)

Abstract

Background: Telephone quitlines that provide counseling support are efficacious in helping cigarette smokers quit and have been widely disseminated; currently, they are underused. Surgery represents a teachable moment for smoking cessation, which can benefit surgical outcomes; however, few surgical patients receive smoking cessation interventions. This study developed and tested a clinician-delivered intervention to facilitate quitline use by adult patients scheduled for elective surgery. Methods: After formative work involving patients and clinicians, a brief intervention was designed to facilitate telephone quitline use. It was then evaluated in a randomized trial of 300 adults scheduled for elective surgery. A control standard brief stop-smoking intervention served as a comparator, with both interventions delivered by clinicians. The primary outcome was the use rate of a quitline accessed through a dedicated toll-free telephone number, with use defined as completing at least one full counseling session. Secondary outcomes included self-reported abstinence from cigarettes at 30 and 90 days postoperatively. Results: Subject characteristics were similar between the two groups. Records from the designated quitline documented that 29 of 149 subjects (19.5%) in the quitline intervention group and 0 of 151 subjects in the control group completed the first full counseling session (P < 0.0001). There were no significant differences in the self-reported point-prevalent and continuous abstinence rates between groups at either 30 or 90 days postoperatively, although rates tended to be higher in the quitline intervention group. Conclusions: Clinicians can effectively facilitate quitline use by surgical patients. Further work is necessary to evaluate the efficacy of this approach in terms of long-term abstinence from cigarette smoking.

Original languageEnglish (US)
Pages (from-to)847-855
Number of pages9
JournalAnesthesiology
Volume114
Issue number4
DOIs
StatePublished - Jan 1 2011

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Tobacco Use
Telephone
Counseling
Smoking Cessation
Tobacco Products
Smoking
Control Groups

All Science Journal Classification (ASJC) codes

  • Anesthesiology and Pain Medicine

Cite this

Warner, D. O., Klesges, R., Dale, L. C., Offord, K. P., Schroeder, D. R., Shi, Y., ... Danielson, D. R. (2011). Clinician-delivered intervention to facilitate tobacco quitline use by surgical patients. Anesthesiology, 114(4), 847-855. https://doi.org/10.1097/ALN.0b013e31820d868d

Clinician-delivered intervention to facilitate tobacco quitline use by surgical patients. / Warner, David O.; Klesges, Robert; Dale, Lowell C.; Offord, Kenneth P.; Schroeder, Darrell R.; Shi, Yu; Vickers, Kristin S.; Danielson, David R.

In: Anesthesiology, Vol. 114, No. 4, 01.01.2011, p. 847-855.

Research output: Contribution to journalArticle

Warner, DO, Klesges, R, Dale, LC, Offord, KP, Schroeder, DR, Shi, Y, Vickers, KS & Danielson, DR 2011, 'Clinician-delivered intervention to facilitate tobacco quitline use by surgical patients', Anesthesiology, vol. 114, no. 4, pp. 847-855. https://doi.org/10.1097/ALN.0b013e31820d868d
Warner DO, Klesges R, Dale LC, Offord KP, Schroeder DR, Shi Y et al. Clinician-delivered intervention to facilitate tobacco quitline use by surgical patients. Anesthesiology. 2011 Jan 1;114(4):847-855. https://doi.org/10.1097/ALN.0b013e31820d868d
Warner, David O. ; Klesges, Robert ; Dale, Lowell C. ; Offord, Kenneth P. ; Schroeder, Darrell R. ; Shi, Yu ; Vickers, Kristin S. ; Danielson, David R. / Clinician-delivered intervention to facilitate tobacco quitline use by surgical patients. In: Anesthesiology. 2011 ; Vol. 114, No. 4. pp. 847-855.
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