Cessation of smoking trial in the emergency department (CoSTED): protocol for a multicentre randomised controlled trial.

Autor:	Notley C; Faculty of Medicine and Health Sciences, Norwich Medical School, University of East Anglia, Norwich, UK C.Notley@uea.ac.uk., Clark L; Norwich Clincial Trials Unit, Faculty of Medicine and Health Sciences, University of East Anglia, Norwich, UK., Belderson P; Faculty of Medicine and Health Sciences, Norwich Medical School, University of East Anglia, Norwich, UK., Ward E; Faculty of Medicine and Health Sciences, Norwich Medical School, University of East Anglia, Norwich, UK., Clark AB; Norwich Clincial Trials Unit, Faculty of Medicine and Health Sciences, University of East Anglia, Norwich, UK., Parrott S; Department of Health Sciences, University of York, York, UK., Agrawal S; Institute of Lung Health, University of Leicester, Leicester, UK., Bloom BM; Emergency Department, Barts Health NHS Trust, London, UK., Boyle AA; Emergency Medicine, Addenbrooke's Hospital, Cambridge, UK., Morris G; Department of Emergency Medicine, Homerton University Hospital NHS Foundation Trust, London, UK., Gray A; Department of Emergency Medicine, Royal Infirmary of Edinburgh, Edinburgh, UK., Coats T; Department of Cardiovascular Sciences, University of Leicester, Leicester, UK., Man MS; Norwich Clincial Trials Unit, Faculty of Medicine and Health Sciences, University of East Anglia, Norwich, UK., Bauld L; Usher Institute of Population Health Sciences and Informatics, University of Edinburgh Division of Medical and Radiological Sciences, Edinburgh, UK., Holland R; Medical School, University of Leicester, Leicester, UK., Pope I; Faculty of Medicine and Health Sciences, Norwich Medical School, University of East Anglia, Norwich, UK.; Department of Emergency Medicine, Norfolk and Norwich University Hospitals NHS Foundation Trust, Norwich, UK.
Jazyk:	angličtina
Zdroj:	BMJ open [BMJ Open] 2023 Jan 18; Vol. 13 (1), pp. e064585. Date of Electronic Publication: 2023 Jan 18.
DOI:	10.1136/bmjopen-2022-064585
Abstrakt:	Introduction: Attendees of emergency departments (EDs) have a higher than expected prevalence of smoking. ED attendance may be a good opportunity to prompt positive behaviour change, even for smokers not currently motivated to quit. This study aims to determine whether an opportunist smoking cessation intervention delivered in the ED can help daily smokers attending the ED quit smoking and is cost-effective. Methods and Analysis: A two-arm pragmatic, multicentred, parallel-group, individually randomised, controlled superiority trial with an internal pilot, economic evaluation and mixed methods process evaluation. The trial will compare ED-based brief smoking cessation advice, including provision of an e-cigarette and referral to local stop smoking services (intervention) with the provision of contact details for local stop smoking services (control). Target sample size is 972, recruiting across 6 National Health Service EDs in England and Scotland. Outcomes will be collected at 1, 3 and 6 months. The primary outcome at 6 months is carbon monoxide verified continuous smoking abstinence. Ethics and Dissemination: The trial was approved by the South Central-Oxford B Research Committee (21/SC/0288). Dissemination will include the publication of outcomes, and the process and economic evaluations in peer-reviewed journals. The findings will also be appropriately disseminated to relevant practice, policy and patient representative groups. Trial Registration Number: NCT04854616; protocol V.4.2. Competing Interests: Competing interests: None declared. (© Author(s) (or their employer(s)) 2023. Re-use permitted under CC BY. Published by BMJ.)
Databáze:	MEDLINE
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