The Emergency Department Action in Smoking Cessation (EDASC) Trial: Impact on Delivery of Counseling
Wednesday, May 16, 2012
Posted by: Natalia Gromov
DA, Vander Weg MW, Holman J, Nugent A, Baker L, Johnson S, Hillis SL, Titler M.
Acad Emerg Med. 2012 Apr;19(4):409-420. doi: 10.1111/j.1553-2712.2012.01331.x.
This study examined the effect of an emergency department (ED) nurse-initiated
intervention on delivery of smoking cessation counseling, and assessed ED
nurses’ and physicians’ perception of smoking cessation counseling. ED nurses
and physicians received face-to-face training and an online tutorial for how to
deliver cessation counseling based on a 5As framework, use of a
charting/reminder tool, and access to fax referral for motivated smokers to the
state quitline. Results showed that after the intervention, a greater
proportion of smokers had been asked about smoking (68% vs. 53%), assessed for
willingness to quit (31% vs. 9%), assisted in quitting (23% vs. 6%), and had
arrangements for follow-up counseling (7% vs. 1%) compared to the
pre-intervention period. Results show that ED nurses and physicians can
effectively deliver smoking cessation counseling to smokers in a time-efficient
manner. The authors also emphasize that the findings support expert
recommendations that call for nursing staff to play a larger role in delivering
public health interventions in the ED.