TY - JOUR
T1 - Engaging physicians and pharmacists in providing smoking cessation counseling
AU - Prokhorov, Alexander V.
AU - Hudmon, Karen Suchanek
AU - Marani, Salma
AU - Foxhall, Lewis
AU - Ford, Kentya H.
AU - Stancic Luca, Nancy
AU - Wetter, David W.
AU - Cantor, Scott B.
AU - Vitale, Frank
AU - Gritz, Ellen R.
PY - 2010/10/11
Y1 - 2010/10/11
N2 - 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.
AB - 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.
UR - http://www.scopus.com/inward/record.url?scp=77957943527&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=77957943527&partnerID=8YFLogxK
U2 - 10.1001/archinternmed.2010.344
DO - 10.1001/archinternmed.2010.344
M3 - Article
C2 - 20937922
AN - SCOPUS:77957943527
SN - 0003-9926
VL - 170
SP - 1640
EP - 1646
JO - Archives of Internal Medicine
JF - Archives of Internal Medicine
IS - 18
ER -