Document Detail

Does the smoking status of general practitioners affect the efficacy of smoking cessation counselling?
MedLine Citation:
PMID:  18818045     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: To examine the association between the smoking status of general practitioners (GPs) and abstinence rates among patients receiving GP-delivered brief advice for smoking cessation. METHODS: A quasi-experimental multilevel study with follow-up assessments at 6, 12, 18, and 24 months after baseline was conducted using a random sample of 39 general practices in a defined area (participation rate=87.2%). Patients aged 18-70 were consecutively screened for smoking status (n=11,560) over the course of 3 weeks and were assigned to a control group (week 1), a computer expert system intervention (week 2), or a personal counselling intervention with the GP (week 3). For the current analysis, patients participating in study week 2 were excluded. A total of 1260 patients fulfilled the inclusion criteria and 80.2% took part: 609 patients in study week 1 and 402 patients from study week 3. GPs participated in a training session concerning smoking counselling, which was held between study weeks 2 and 3. Self-reported 4-week and 6-month prolonged abstinence measures at the 6-, 12-, 18-, and 24-month follow-ups were assessed. RESULTS: The smoking status of the GP was neither significantly related to 4-week prolonged abstinence nor 6-month prolonged abstinence among patients in a main effects model. Further modelling revealed that the intervention group modified the effect of the non-smoking status of the GP on the likelihood to quit smoking. A significant interactive effect was found between the non-smoking status of the GP and the intervention group on both abstinence measures. CONCLUSION: The non-smoking status of the GP had a positive effect among counselled patients. PRACTICE IMPLICATIONS: The consideration of lifestyle behavioural variables such as the smoking status of the GP will be essential for further research concerning the efficacy of smoking interventions.
Sabina Ulbricht; Sebastian E Baumeister; Christian Meyer; Carsten Oliver Schmidt; Anja Schumann; Hans-Jürgen Rumpf; Ulrich John
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Publication Detail:
Type:  Comparative Study; Controlled Clinical Trial; Journal Article; Research Support, Non-U.S. Gov't     Date:  2008-09-24
Journal Detail:
Title:  Patient education and counseling     Volume:  74     ISSN:  0738-3991     ISO Abbreviation:  Patient Educ Couns     Publication Date:  2009 Jan 
Date Detail:
Created Date:  2008-12-08     Completed Date:  2009-04-03     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8406280     Medline TA:  Patient Educ Couns     Country:  Ireland    
Other Details:
Languages:  eng     Pagination:  23-8     Citation Subset:  N    
Institute of Epidemiology and Social Medicine, University of Greifswald, Walther-Rathenau-Strasse 48, Greifswald, Germany.
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MeSH Terms
Computer-Assisted Instruction / methods*
Counseling / methods
Family Practice / methods*
Follow-Up Studies
Germany / epidemiology
Logistic Models
Middle Aged
Multivariate Analysis
Outcome Assessment (Health Care)
Patient Education as Topic / methods
Physician's Practice Patterns / organization & administration
Physicians, Family / education,  organization & administration,  psychology*
Smoking / epidemiology,  prevention & control,  psychology*
Smoking Cessation* / psychology,  statistics & numerical data

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