The Effects of Opt-out vs Opt-in Tobacco Treatment on Engagement, Cessation, and Costs: A Randomized Clinical Trial.

ABSTRACT:

Importance

Tobacco use causes 7 million deaths per year; most national guidelines require people who use tobacco to opt in to care by affirming they are willing to quit. Use of medications and counseling is low even in advanced economy countries.

Objective

To evaluate the efficacy of opt-out care vs opt-in care for people who use tobacco.

Design, setting, and participants

In Changing the Default (CTD), a Bayesian adaptive population-based randomization trial, eligible patients were randomized into study groups, treated according to group assignment, and debriefed and consented for participation at 1-month follow-up. A total of 1000 adult patients were treated at a tertiary care hospital in Kansas City. Patients were randomized from September 2016 to September 2020; fi

SUBMITTER: Richter KP 

PROVIDER: S-EPMC9972241 | biostudies-literature | 2023 Apr

REPOSITORIES: biostudies-literature