Email updates

Keep up to date with the latest news and content from Addiction Science & Clinical Practice and BioMed Central.

This article is part of the supplement: International Network on Brief Interventions for Alcohol and Other Drugs (INEBRIA) Meeting 2011

Open Access Meeting abstract

Adapting screening, brief intervention, and referral to treatment to tobacco: a hospital trial of warm handoffs for smoking cessation

Kimber Richter1*, Biatriz Carlini2, Jamie Hunt3, Babalola Faseru1 and Laura Mussulman3

  • * Corresponding author: Kimber Richter

Author Affiliations

1 Department of Preventive Medicine and Public Health, University of Kansas Medical Center, Kansas City, KS, USA

2 Alcohol and Drug Abuse Institute, University of Washington, Seattle, WA, USA

3 Preventive Medicine & Public Health Tobacco Research Group, University of Kansas Medical Center, Kansas City, KS, USA

For all author emails, please log on.

Addiction Science & Clinical Practice 2012, 7(Suppl 1):A59  doi:10.1186/1940-0640-7-S1-A59


The electronic version of this article is the complete one and can be found online at: http://www.ascpjournal.org/content/7/S1/A59


Published:9 October 2012

© 2012 Richter et al; licensee BioMed Central Ltd.

This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Meeting abstract

Post-discharge support is key to effective treatment for hospitalized smokers. The few hospitals that systematically address tobacco refer smokers via fax to tobacco quitlines, yet few smokers enroll. “Warm handoff” (direct referral by one provider to another provider) is used in some cases of tobacco screening and brief intervention (SBI) to link patients with treatment, but little data exists on process or outcomes. We present pilot outcomes and early implementation data on an ongoing randomized controlled trial (RCT). Recruitment began in July 1, 2011. The purpose of the trial (Enhancing Quitline Utilization by Inpatients [EQUIP]) is to determine the effectiveness and cost-effectiveness of warm handoff versus fax referral for linking hospitalized smokers with tobacco quitlines. The EQUIP trial is a two-arm RCT funded by the National Institutes of Health (trial registration: NCT01305928) in which smokers who wish to quit permanently after discharge are randomized to either fax referral (standard in-hospital intervention with fax-referral for counseling post-discharge) or warm handoff (brief in-hospital intervention and immediate staff call to the state quitline and transfer of the call to the patient’s mobile or bedside hospital phone for enrollment and an initial counseling session). Outcomes, including costs, are assessed at one, six, and 12 months following baseline. We hypothesize that warm handoff will outperform fax referral in terms of enrollment in services, cessation, and cost-effectiveness. This study explores what alcohol and other drug trials have done to strengthen handoffs and the evidence for efficacy; how EQUIP compares with AOD handoffs, and what pitfalls might be expected; and whether tobacco SBI and referral to treatment would or could be incorporated into alcohol and other drug SBI and referral to treatment.