| Does the smoking status of general practitioners affect the efficacy of smoking cessation counselling? | |
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MedLine Citation:
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PMID: 18818045 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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Sabina Ulbricht; Sebastian E Baumeister; Christian Meyer; Carsten Oliver Schmidt; Anja Schumann; Hans-Jürgen Rumpf; Ulrich John |
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Publication Detail:
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Type: Comparative Study; Controlled Clinical Trial; Journal Article; Research Support, Non-U.S. Gov't Date: 2008-09-24 |
Journal Detail:
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Title: Patient education and counseling Volume: 74 ISSN: 0738-3991 ISO Abbreviation: Patient Educ Couns Publication Date: 2009 Jan |
Date Detail:
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Created Date: 2008-12-08 Completed Date: 2009-04-03 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8406280 Medline TA: Patient Educ Couns Country: Ireland |
Other Details:
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Languages: eng Pagination: 23-8 Citation Subset: N |
Affiliation:
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Institute of Epidemiology and Social Medicine, University of Greifswald, Walther-Rathenau-Strasse 48, Greifswald, Germany. ulbricht@uni-greifswald.de |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Computer-Assisted Instruction / methods* Counseling / methods Family Practice / methods* Female Follow-Up Studies Germany / epidemiology Humans Logistic Models Male 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* Questionnaires Smoking / epidemiology, prevention & control, psychology* Smoking Cessation* / psychology, statistics & numerical data |
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