Optimizing Smoking Cessation Counseling in a University Hospital: Results and Pitfalls

被引:3
作者
de Frel, Daan L. [1 ]
Janssen, Veronica R. [1 ]
Meijer, Eline [2 ,3 ]
Atsma, Douwe E. [1 ,2 ,4 ]
机构
[1] Leiden Univ, Med Ctr, Dept Cardiol, Leiden, Netherlands
[2] Leiden Univ, Med Ctr, Natl Ehlth Living Lab, Leiden, Netherlands
[3] Leiden Univ, Med Ctr, Publ Hlth & Primary Care, Leiden, Netherlands
[4] Assoc Arts Leefstijl Phys & Lifestyle, Utrecht, Netherlands
来源
FRONTIERS IN HEALTH SERVICES | 2022年 / 2卷
关键词
smoking cessation counseling; smoking cessation; Ask-Advise-Connect; smoking; physicians role; preventive medicine; secondary prevention; TOBACCO CESSATION; CARE; KNOWLEDGE; SMOKERS;
D O I
10.3389/frhs.2022.882964
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
BackgroundHealthcare professionals (HPs) can play a substantial role in smoking cessation counseling (SCC) but in practice often skip this task due to time constraints. This study evaluates the implementation of the rapid Ask-Advise-Connect (AAC) method in a University hospital setting.MethodsThis mixed methods pre-post interventional study was performed at the Cardiology department of a University hospital and consisted of (1) a quantitative assessment of patient smoking registration and HP connection rates to external SCC from the Electronic Medical Record, (2) semi-structured interviews with 10 HPs to assess their attitudes toward AAC, and (3) a blended intervention aimed to implement AAC. The blended intervention consisted of face-to-face and online AAC psychoeducation for HPs followed-up with motivational messages on their smart pagers over a period of 6 weeks.ResultsIn total, 48,321 patient registrations and 67 HPs were included. Before AAC implementation, HPs assessed smoking status in 74.0% of patients and connected 9.3% of identified smokers with SCC. Post intervention, these percentages did not increase (73.2%, p = 0.20; and 10.9%, p = 0.18, respectively). Nonetheless, the vast majority (90%) of HPs feel it is important to discuss patient smoking, and view it as their duty to do so. Main barriers to AAC reported by HPs were forgetfulness and time pressure.ConclusionThis study shows that this AAC intervention does not increase Asking after smoking status or Connection of patients to SCC in a University Hospital. However, HPs hold positive attitudes toward AAC. A better understanding of the mechanisms required for optimizing HPs practice behavior is needed.
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页数:8
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共 27 条
  • [1] Smoking Cessation for Smokers Not Ready to Quit: Meta-analysis and Cost-effectiveness Analysis
    Ali, Ayesha
    Kaplan, Cameron M.
    Derefinko, Karen J.
    Klesges, Robert C.
    [J]. AMERICAN JOURNAL OF PREVENTIVE MEDICINE, 2018, 55 (02) : 253 - 262
  • [2] Brief opportunistic smoking cessation interventions: a systematic review and meta-analysis to compare advice to quit and offer of assistance
    Aveyard, Paul
    Begh, Rachna
    Parsons, Amanda
    West, Robert
    [J]. ADDICTION, 2012, 107 (06) : 1066 - 1073
  • [3] Implementing a Referral to Telephone Tobacco Cessation Services in Louisiana Community Pharmacies: A Pilot Study
    Baggarly, Scott A.
    Jenkins, Tara L.
    Biglane, Gina C.
    Smith, Gregory W.
    Smith, Connie M.
    Blaylock, Benny L.
    [J]. ANNALS OF PHARMACOTHERAPY, 2010, 44 (09) : 1395 - 1402
  • [4] Opportunities Missed: A Cross-Sectional Survey of the Provision of Smoking Cessation Care to Pregnant Women by Australian General Practitioners and Obstetricians
    Bar Zeev, Yael
    Bonevski, Billie
    Twyman, Laura
    Watt, Kerrianne
    Atkins, Lou
    Palazzi, Kerrin
    Oldmeadow, Christopher
    Gould, Gillian S.
    [J]. NICOTINE & TOBACCO RESEARCH, 2017, 19 (05) : 636 - 641
  • [5] Christiano A., 2017, Stanford Social Innovation Review, V15, P34
  • [6] Mortality in relation to smoking: 50 years' observations on male British doctors
    Doll, R
    Peto, R
    Boreham, J
    Sutherland, I
    [J]. BMJ-BRITISH MEDICAL JOURNAL, 2004, 328 (7455): : 1519 - 1528
  • [7] Italian cardiologists and tobacco smoking. A survey on the prevalence and knowledge of smoking and strategies for smoking cessation in a cohort of Italian cardiologists
    Frisinghelli, Anna
    Cesana, Francesca
    Clavario, Piero
    Mureddu, Gian Francesco
    Temporelli, Pier Luigi
    Cherubini, Antonella
    Mocini, David
    Fioravanti, Pino
    Fattirolli, Francesco
    [J]. GIORNALE ITALIANO DI CARDIOLOGIA, 2015, 16 (07) : 426 - 432
  • [8] Why is changing health-related behaviour so difficult?
    Kelly, Michael P.
    Barker, Mary
    [J]. PUBLIC HEALTH, 2016, 136 : 109 - 116
  • [9] Leonard TC, 2008, CONST POLITICAL ECON, V19, P356, DOI 10.1007/s10602-008-9056-2
  • [10] Motivational interviewing for smoking cessation
    Lindson-Hawley, Nicola
    Thompson, Tom P.
    Begh, Rachna
    [J]. COCHRANE DATABASE OF SYSTEMATIC REVIEWS, 2015, (03):