Satish Priyanka, Khetan Aditya, Shah Dharav, Ganesan Subhashini, Balakrishnan Rojith, Srinivasan Shuba, Samuel Reema, Hull Leland, Josephson Richard A
Department of Medicine, University Hospitals Cleveland Medical Center, Cleveland, OH, USA.
Population Health Research Institute, McMaster University, Hamilton, ON, Canada.
J Smok Cessat. 2021 Jan 27;2021:6682408. doi: 10.1155/2021/6682408. eCollection 2021.
Globally, India is the second largest consumer of tobacco. However, Indian medical students do not receive adequate training in smoking cessation counseling. Each patient hospitalization is an opportunity to counsel smokers. Medical Student Counseling for Hospitalized patients Addicted to Tobacco (MS-CHAT) is a 2-arm multicenter randomized controlled trial (RCT) that compares the effectiveness of a medical student-guided smoking cessation program initiated in inpatients and continued for two months after discharge versus standard hospital practice. Current smokers admitted to the hospital are randomized to receive either usual care or the intervention. The intervention group receives inpatient counseling and longitudinal postdischarge telephone follow-up by medical students. The control group receives counseling at the discretion of the treating physician. The primary outcome is biochemically verified 7-day point prevalence of smoking cessation at 6 months after enrollment. Changes in medical student knowledge and attitude will also be studied using a pre- and postquestionnaire delivered prior to and 12 months after training. This trial tests a unique model that seeks to provide hands-on experience in smoking cessation counseling to medical students while simultaneously improving cessation outcomes among hospitalized smokers in India.
在全球范围内，印度是第二大烟草消费国。然而，印度医学生在戒烟咨询方面未接受充分培训。每次患者住院都是为吸烟者提供咨询的契机。医学生对住院烟草成瘾患者的咨询（MS-CHAT）是一项双臂多中心随机对照试验（RCT），该试验比较了一项由医学生指导的、在住院患者中启动并在出院后持续两个月的戒烟项目与标准医院做法的有效性。入院的现吸烟者被随机分配接受常规护理或干预措施。干预组接受医学生的住院咨询和出院后纵向电话随访。对照组由主治医生酌情提供咨询。主要结局是入组6个月后经生化验证的7天戒烟点患病率。还将使用培训前和培训后12个月发放的问卷来研究医学生知识和态度的变化。该试验测试了一种独特的模式，旨在为医学生提供戒烟咨询的实践经验，同时改善印度住院吸烟者的戒烟效果。
