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Health evaluation and referral assistant: a randomized controlled trial to improve smoking cessation among emergency department patients.


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.

SUBMITTER: Boudreaux ED 

PROVIDER: S-EPMC4672559 | biostudies-literature | 2015 Nov

REPOSITORIES: biostudies-literature

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Health evaluation and referral assistant: a randomized controlled trial to improve smoking cessation among emergency department patients.

Boudreaux Edwin D ED   Abar Beau B   Haskins Brianna B   Bauman Brigitte B   Grissom Grant G  

Addiction science & clinical practice 20151105


<h4>Background</h4>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).<h4>Methods</h4>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  ...[more]

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