Cessation of smoking trial in the emergency department (CoSTED): protocol for a multicentre randomised controlled trial

Notley, Caitlin ORCID: https://orcid.org/0000-0003-0876-3304, Clark, Lucy ORCID: https://orcid.org/0000-0001-7162-0512, Belderson, Pippa, Ward, Emma ORCID: https://orcid.org/0000-0002-7579-3215, Clark, Allan B. ORCID: https://orcid.org/0000-0003-2965-8941, Parrott, Steve, Agrawal, Sanjay, Bloom, Ben M., Boyle, Adrian A., Morris, Geraint, Gray, Alasdair, Coats, Tim, Man, Mei-See ORCID: https://orcid.org/0000-0003-4948-5670, Bauld, Linda, Holland, Richard and Pope, Ian ORCID: https://orcid.org/0000-0002-5623-4178 (2023) Cessation of smoking trial in the emergency department (CoSTED): protocol for a multicentre randomised controlled trial. BMJ Open, 13 (1). ISSN 2044-6055

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Introduction Attendees of emergency departments (EDs) have a higher than expected prevalence of smoking. ED attendance may be a good opportunity to prompt positive behaviour change, even for smokers not currently motivated to quit. This study aims to determine whether an opportunist smoking cessation intervention delivered in the ED can help daily smokers attending the ED quit smoking and is cost-effective. Methods and analysis A two-arm pragmatic, multicentred, parallel-group, individually randomised, controlled superiority trial with an internal pilot, economic evaluation and mixed methods process evaluation. The trial will compare ED-based brief smoking cessation advice, including provision of an e-cigarette and referral to local stop smoking services (intervention) with the provision of contact details for local stop smoking services (control). Target sample size is 972, recruiting across 6 National Health Service EDs in England and Scotland. Outcomes will be collected at 1, 3 and 6 months. The primary outcome at 6 months is carbon monoxide verified continuous smoking abstinence. Ethics and dissemination The trial was approved by the South Central-Oxford B Research Committee (21/SC/0288). Dissemination will include the publication of outcomes, and the process and economic evaluations in peer-reviewed journals. The findings will also be appropriately disseminated to relevant practice, policy and patient representative groups. Trial registration number NCT04854616; protocol V.4.2.

Item Type: Article
Additional Information: Funding Information: This study is funded by the National Institute for Health Research (NIHR) HTA programme Tobacco Cessation, Control and Harm Reduction (project reference 129438).
Uncontrolled Keywords: accident & emergency medicine,preventive medicine,public health,medicine(all) ,/dk/atira/pure/subjectarea/asjc/2700
Faculty \ School: Faculty of Medicine and Health Sciences > Norwich Medical School
Related URLs:
Depositing User: LivePure Connector
Date Deposited: 15 Dec 2022 04:12
Last Modified: 06 Feb 2023 09:30
URI: https://ueaeprints.uea.ac.uk/id/eprint/90172
DOI: 10.1136/bmjopen-2022-064585

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