Elective surgery represents a teachable moment to deliver tobacco interventions. The
overall goal of this proposal is to increase the utilization of the QUITPLANSM Helpline by
surgical patients who smoke. Two specific aims will be pursued using a multidisciplinary
research team. In the first aim, we will develop a practice-based intervention to promote
QUITPLANSM Helpline utilization by surgical patients (Specific Aim 1A) using a combination
of key informant interviews (approximately 30 subjects), and focus groups (approximately 25
subjects) then develop methods to educate providers in its implementation (Specific Aim 1B)
and test their effectiveness in approximately 20 providers. In the second aim, we will
perform a randomized clinical trial of this intervention in 300 patients scheduled for
elective surgery, with the primary outcome being utilization of the QUITPLANSM Helpline
(Specific Aim 2). Subjects will be randomized to receive either the intervention developed
in Specific Aim 1, or a brief control intervention.
- Patients ≥ 18 yrs. scheduled for elective surgery at Mayo Clinic Rochester.
- Current smoking before the scheduling of surgery, defined as > 100 cigarettes
lifetime consumption and self-reports of smoking either every day or some days.
Patients who are in the midst of a quit attempt initiated since learning about
surgery are eligible.
- Patient is not available for telephone follow-up