Tobacco Use Disorder Clinical Trial
Official title:
Effectiveness of Inpatient Initiated Varenicline Tartrate for Smoking Cessation, for Smoking Related Illnesses.
The Smoking Termination Opportunity for inPatients, (STOP) project is designed to capture
the opportunity that is provided by admission for acute smoking related illness, to assist
patients through withdrawal by use of a combination of:
- the new medication Champix with
- best practice counselling
- initiated in an inpatient setting
to achieve:
- sustained smoking abstinence
- reduced hospital bed and health service utilisation
- reduced inpatient smoking and craving prior to discharge
A national standard in public hospitals for the management of smoking in patients admitted
with smoking related acute illnesses is lacking. Where such patients have continued to smoke
up until the time of admission, it can be assumed that "primary" prevention has failed.
Once admitted, there is a vastly under-utilised opportunity, by use of a structured and
systematic approach, to intervene with a secondary prevention attempt. This takes advantage
of the synergy of:
1. the smoker is a "captive audience" and may be receptive to considering lifestyle
factors that have lead to the admission, and
2. best practice medication and counselling can be initiated prior to discharge. If proven
to be cost-effective in our analysis, a systematic roll-out of this secondary
prevention initiative would be advocated. ie translation of research into practice.
;
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Single Group Assignment, Masking: Single Blind (Investigator), Primary Purpose: Prevention
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