Implementing a Staff‐Led Smoking Cessation Intervention in a Diverse Safety‐Net Rheumatology Clinic: A Pre‐Post Scalability Study in a Low‐Resource Setting
Authors' conclusion
In a safety-net rheumatology clinic with a predominantly Black population, QC improved tobacco screening, readiness-to-quit assessment, and referrals and was also feasible and cost-effective.
Study context
- Population
- Adult rheumatology visits by patients who smoked, safety-net rheumatology clinic with a predominantly Black population (89.8% Black, 69.5% women)visit-level patients who smoked
- Participants
- 550 participants
- Comparison
- After vs before Quit Connect staff-led smoking cessation intervention
- Outcome
- Quit readiness assessed in visits with patients who smoked
Methodological detailsscalability study, single safety-net rheumatology clinic, electronic health record (EHR) data, staff focus groups and questionnaires, cost-effectiveness assessment, Visits analysed November 2019 through November 2021, omitting COVID-19 peak April through November 2020
- Scalability study
- Single safety-net rheumatology clinic
- EHR data
- Staff focus groups and questionnaires
- Cost-effectiveness assessment
- Visits analysed November 2019 through November 2021, omitting COVID-19 peak April through November 2020
Main finding
As reported in the abstract
Further findings
- Set a quit date, among those reached of 102 accepting cessation services — After Quit Connect (QC)
- 37%
- Patients assessed after QC endorsing readiness to cut back or quit
- 58.9%
- Set a quit date, among those reached of 102 accepting cessation services: 102 accepted cessation services
Feasibility and acceptability (staff)
- Staff found the intervention feasible and acceptable
Cost per quit attempt
- Each quit attempt cost approximately
- $4 to $10
Original publication
Implementing a Staff‐Led Smoking Cessation Intervention in a Diverse Safety‐Net Rheumatology Clinic: A Pre‐Post Scalability Study in a Low‐Resource Setting. Arthritis Care Res (Hoboken). Published 3 June 2024. doi:10. 1002/ acr. 25349
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