| Feasibility of tobacco interventions in anesthesiology practices: a pilot study. | |
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MedLine Citation:
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PMID: 19417604 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Abstinence from smoking can improve postoperative outcomes, and surgery is also an excellent opportunity for smokers to permanently quit. One strategy for perioperative tobacco interventions is that anesthesiologists Ask, Advise, and Refer (AAR) -- Ask their patients about tobacco use, Advise them to abstain, and Refer them to resources such as telephone quit-lines. This pilot project determined the feasibility and acceptability of the AAR strategy in anesthesiology practices. METHODS: An educational program, including presentations, written materials, and Web-based resources, was developed and disseminated to 14 U.S. anesthesiology practices, representing both academic and private practices, who agreed to implement the AAR strategy as a part of their routine clinical practice. Three months after implementation, a survey was administered to those members of these practices who were instructed in the AAR strategy. RESULTS: There were 97 respondents (75% response rate). Since the pilot project began, 91%, 79%, and 58% of respondents reported that they frequently or almost always asked, advised, and referred their patients who smoke, respectively. The majority of respondents (56%) agreed that they were responsible for helping patients get the help they need to quit smoking. Most (74%) also agreed that they planned to incorporate the AAR strategy into their routine practice. CONCLUSION: These results suggest that the AAR strategy is potentially feasible and well-accepted in anesthesiology clinical practice. Further work will be needed to define whether these practices and attitudes can be sustained and whether they are ultimately effective in modifying perioperative smoking behavior in surgical patients. |
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Authors:
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David O Warner; |
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Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: Anesthesiology Volume: 110 ISSN: 1528-1175 ISO Abbreviation: Anesthesiology Publication Date: 2009 Jun |
Date Detail:
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Created Date: 2009-05-27 Completed Date: 2009-06-16 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 1300217 Medline TA: Anesthesiology Country: United States |
Other Details:
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Languages: eng Pagination: 1223-8 Citation Subset: AIM; IM |
Affiliation:
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Department of Anesthesiology, Mayo Clinic, Rochester, MN 55905, USA. warner.david@mayo.edu |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Anesthesia* Anesthesiology* Attitude Data Interpretation, Statistical Feasibility Studies Female Health Care Surveys Humans Internet Male Middle Aged Patient Education as Topic* Pilot Projects Smoking Cessation* United States |
| Investigator | |
Investigator/Affiliation:
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Daniel Briggs / ; Lowell Dale / ; Patti Davidson / ; Michael Entrup / ; Al Head / ; Scott Hernberg / ; Zeev Kain / ; Bob Klesges / ; Stan Stead / ; David O Warner / |
| Comments/Corrections | |
Comment In:
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Anesthesiology. 2009 Jun;110(6):1207-8
[PMID:
19417594
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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