Document Detail

Engaging physicians and pharmacists in providing smoking cessation counseling.
MedLine Citation:
PMID:  20937922     Owner:  NLM     Status:  In-Process    
BACKGROUND: Health professionals have a proven, positive impact on patients' ability to quit smoking, yet few integrate cessation counseling into routine practice.The aim of this study was to evaluate the impact of continuing education training on physicians' and pharmacists' cessation counseling. METHODS: A group-randomized trial of health care providers (87 physicians and 83 pharmacists) from 16 Texas communities compared smoking cessation training (intervention group) with skin cancer prevention training (control group). Pretraining, posttraining, and extended follow-up surveys were collected from providers. Perceived ability, confidence, and intention (ACI) to address smoking with patients were assessed with a composite ACI index. Patient exit interviews (at baseline, 1452 patients completed interviews; after 12 months, 1303 completed interviews) assessed counseling practices. RESULTS: There was a significant increase in the percentage of physicians with a high ACI index in the intervention group from pretraining to posttraining (27% to 73%; P < .001) vs the control group (27% to 34%; P = .42) and for pharmacists (4% to 60%; P < .001) vs the control group (10% to 14%; P = .99). Similar results were seen from pretraining to extended follow-up. At baseline, fewer pharmacy patients reported being asked about smoking compared with patients seen by physicians (7% vs 33%; P = .001). There was an increase in assisting patients to quit (6% to 36%; P = .002) by physicians (baseline vs 12 months) in the intervention group, but not in the control group. CONCLUSIONS: Training led to significant and lasting improvement in counseling among physicians. Low levels of counseling were seen among pharmacists.
Alexander V Prokhorov; Karen Suchanek Hudmon; Salma Marani; Lewis Foxhall; Kentya H Ford; Nancy Stancic Luca; David W Wetter; Scott B Cantor; Frank Vitale; Ellen R Gritz
Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural    
Journal Detail:
Title:  Archives of internal medicine     Volume:  170     ISSN:  1538-3679     ISO Abbreviation:  Arch. Intern. Med.     Publication Date:  2010 Oct 
Date Detail:
Created Date:  2010-10-12     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0372440     Medline TA:  Arch Intern Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1640-6     Citation Subset:  AIM; IM    
Department of Behavioral Science, The University of Texas M. D. Anderson Cancer Center, Houston, 77230-1439, USA.
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MeSH Terms
Grant Support
5R01CA09396904/CA/NCI NIH HHS
Comment In:
Arch Intern Med. 2010 Oct 11;170(18):1646-7   [PMID:  20937923 ]

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