Introduction

Adding screening for health-related social needs to tobacco treatment interventions initiated during hospitalizations may improve intervention effectiveness among vulnerable populations. Our objective was to examine the effect the acceptability and feasibility of a intervention in which a patient navigator screens for and addresses social needs to increase receipt of smoking cessation medication among recently hospitalized smokers at a safety-net hospital.

Methods

In a two-group randomized exploratory pilot study, we assigned hospitalized smokers to either the Enhanced Traditional Control (ETC) group (list of smoking cessation resources) or ETC + Patient Navigation (up to 10 h of navigation over a 3-month period, in which a navigator screens for and addresses health-related social needs). We assessed socio-demographics, smoking-related variables, and process data.

Results

Of 171 individuals screened, 44 (26%) were enrolled. Participants (mean age = 54.9 years, 61.4% non-Hispanic black, 68.2% high school education or less) smoked a mean of 11.4 cigarettes/day. 20 participants received a prescription for a cessation medication, 42.9% in the ETC group and 47.8% in the ETC + Patient Navigation group. 11 participants (47.8%) in the ETC + Patient Navigation group received the minimum intervention dose (completion of the social needs screener and at least one counseling session). Barriers to navigation were participants’ medical illness and difficulty connecting with participants.

Conclusions

Although nearly half of hospitalized smokers receiving support from a patient navigator received a prescription for a smoking cessation medication, the percentage did not differ by study arm. Refinement of the protocol to coordinate with hospital-wide tobacco treatment and social needs screening initiatives is needed.

中文翻译：

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对最近住院的吸烟者进行患者导航以促进烟草治疗：随机探索性试点研究的结果

 介绍

在住院期间启动的烟草治疗干预措施中增加对健康相关社会需求的筛查可能会提高弱势群体的干预效果。我们的目标是检验干预措施的可接受性和可行性，其中患者导航员筛选并满足社会需求，以增加最近在安全网医院住院的吸烟者接受戒烟药物的情况。

 方法

在一项两组随机探索性试点研究中，我们将住院吸烟者分配到增强传统控制 (ETC) 组（戒烟资源列表）或 ETC + 患者导航组（在 3 个月内进行最多 10 小时的导航，其中导航器筛选并解决与健康相关的社会需求）。我们评估了社会人口统计、吸烟相关变量和过程数据。

 结果

在接受筛查的 171 人中，有 44 人 (26%) 被登记。参与者（平均年龄 = 54.9 岁，61.4% 为非西班牙裔黑人，68.2% 受过高中或以下教育）平均每天吸 11.4 支香烟。 20 名参与者收到了戒烟药物处方，其中 ETC 组占 42.9%，ETC + 患者导航组占 47.8%。 ETC + 患者导航组中的 11 名参与者 (47.8%) 接受了最低干预剂量（完成社交需求筛查和至少一次咨询课程）。导航的障碍是参与者的医疗疾病以及与参与者联系的困难。

 结论

尽管在患者导航员的支持下，近一半的住院吸烟者收到了戒烟药物处方，但各研究组的百分比没有差异。需要完善该方案以与全院烟草治疗和社会需求筛查举措相协调。