Working… Menu

Smoking Cessation Invention in the Emergency Department (ED)

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. Identifier: NCT01173653
Recruitment Status : Completed
First Posted : August 2, 2010
Results First Posted : November 19, 2012
Last Update Posted : December 27, 2012
Information provided by (Responsible Party):
Ben Heavrin, Vanderbilt University

Brief Summary:

The emergency department (ED) serves a vital and growing role in the US health care system, responsible for both the delivery of emergent medical care and for safety-net care for populations without traditional access to health services. Uninsured populations rely significantly on the safety-net services of the ED. Between 2000-2005 the number of uninsured Americans increased from 39.6 million to 46.1 million, and this growth is expected to continue. Many health policy analysts consider the ED to be an effective place to provide preventative care. Prophylactic tetanus immunization, for example, has been a successful preventive health intervention that has become a standard of care in the ED setting. Brief smoking cessation interventions have been introduced in the ED but have not had great success based on lack of follow-up and continuity.

Our study is novel in that it introduces a brief smoking intervention through use of an established, federally-funded and federally-sponsored cessation counseling resource, the National Smoking Cessation Quit Line, also available at This is a joint initiative between the Tobacco Control Research Branch of the National Cancer Institute and the Centers for Disease Control and Prevention. Since ED patients who smoke often lack the ability to use self-help cessation resources, we hypothesize that by introducing this population to the counselors on the National Smoking Cessation Quit Line (also called the 1-800-QUIT-NOW line) during the ED visit via phone, that this new brief intervention would have a realizable and significant effect on smoking cessation among the this population.

Condition or disease Intervention/treatment Phase
Smoking Cessation Tobacco Use Cessation Health Behavior Other: Smoking Cessation Not Applicable

  Show Detailed Description

Layout table for study information
Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 199 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Primary Purpose: Prevention
Official Title: A Randomized Controlled Trial of Directed Smoking Cessation Intervention in the Emergency Care Population
Study Start Date : July 2010
Actual Primary Completion Date : October 2010
Actual Study Completion Date : January 2011

Resource links provided by the National Library of Medicine

Arm Intervention/treatment
Placebo Comparator: Standard EM Smoking Cessation Info
Patients discharged from ER receive pamphlet re: smoking cessation
Other: Smoking Cessation
Randomly introducing patients to a Department of Health program to help them quit smoking.

Active Comparator: Patients contact 1-800-QUIT-NOW before leaving ED
Prior the patient leaving the ED, the PI will assist the patient with contacting 1-800-QUIT-NOW, who will help patient to quit smoking.
Other: Smoking Cessation
A simple intervention where ED patients who were motivated to quit smoking were put in direct phone contact with a trained smoking cessation counselor during their ED stay.

Primary Outcome Measures :
  1. Smoking Status at Follow up [ Time Frame: 6 weeks ]
    Patients enrolled in this study were contacted via phone to assess smoking status. Smoking status was a self-report from each subject. Primary outcome measure is the smoking status of the enrollee at the time of follow-up contact. We calculated the percentage of participants who had stopped smoking at the 6 week follow-up period in each arm

Information from the National Library of Medicine

Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the contacts provided below. For general information, Learn About Clinical Studies.

Layout table for eligibility information
Ages Eligible for Study:   18 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • Patients 18 years of age and older
  • Patients who are active smokers who present to the Adult ED at VUMC
  • Patients who are able to give informed verbal consent
  • Patients with stable vital signs

Exclusion Criteria:

  • Patients who are unable to provide consent
  • Patients who are unable to communicate verbally as determined by the treating attending physician and/or triage nurse. This includes patients with alterations in mental status, who are cognitively impaired, or are intoxicated or on drugs
  • Patients with abnormal vital signs, and triage ratings (ES1 score 1) suggesting immediate life threatening illness

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its identifier (NCT number): NCT01173653

Layout table for location information
United States, Tennessee
Vanderbilt University Medical Center - Emergency Medicine
Nashville, Tennessee, United States, 37232-4700
Sponsors and Collaborators
Vanderbilt University
Layout table for investigator information
Principal Investigator: Ben Heavrin, MD Vanderbilt University Medical Center

Layout table for additonal information
Responsible Party: Ben Heavrin, Benjamin S. Heavrin, MD, MBA, Vanderbilt University Identifier: NCT01173653     History of Changes
Other Study ID Numbers: 100411
First Posted: August 2, 2010    Key Record Dates
Results First Posted: November 19, 2012
Last Update Posted: December 27, 2012
Last Verified: December 2012
Keywords provided by Ben Heavrin, Vanderbilt University:
smoking cessation
health behavior
Additional relevant MeSH terms:
Layout table for MeSH terms
Disease Attributes
Pathologic Processes