Across rheumatic diseases

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 Pre-post study

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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