At a glance
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The Impact of Brief Motivational Counseling for Smoking Cessation in an Italian Emergency Department: a Randomized Controlled Trial
In Brief
A clinical study evaluating Brief counseling based on the 5As model for Smoking Habit. Completed, enrolled 480 participants across 1 site.
Detailed Summary
Smoke is still a significant Public Health problem. The Emergency Departments (EDs) could be the ideal setting to set up smoke cessation interventions (high prevalence of smoking patient compared to the general population). The structured brief counseling 5As based (ask, advice, asses, assist, arrange) is an effective Public Health intervention when performed by the General Practitioners. Still not clear is its feasibility and effectiveness in the ED setting. Aim of the study. To assess the feasibility and effectiveness of the 5As based counselling in the University ED of Novara compared to the "usual care".
Study Details
Timeline
Interventions
It is a structured brief counselling perfomed by nurse who takes clinical care of the patient and it is performed as follow: 1. ASK: every patient should be asked whether he/she is or is not a smoker; 2. ADVICE: the patient is advised to quit in a strong, clear and personalized way; 3. ASSESS: the patient is asked if he/she would like to quit and the strenght of his/her dependence is assessed. 4. ASSIST: The smoker interested in quitting are assisted in their attempts, for example by helping them to define a quit date, by advising them about strategies against withdrawal symptoms and by providing them information material; patients are asked whether they want to be contacted by the CTT. 5. ARRANGE: this step is only addressed to the patients who have started a treatment in the CTT and is expected to prevent or treat eventual relapses.