Outcomes of a randomized trial evaluating two approaches for promoting pharmacy-based referrals to the tobacco quitline

被引:12
作者
Hudmon, Karen Suchanek [1 ]
Corelli, Robin L. [2 ]
de Moor, Carl [3 ]
Zillich, Alan J. [1 ]
Fenlon, Christine [4 ]
Miles, Lyndsay [5 ]
Prokhorov, Alexander, V [6 ]
Zbikowski, Susan M. [7 ,8 ]
机构
[1] Purdue Univ, Coll Pharm, Pharm Practice, Indianapolis, IN 46202 USA
[2] Univ Calif San Francisco, Sch Pharm, Clin Pharm, San Francisco, CA 94143 USA
[3] Purdue Univ, Coll Pharm, W Lafayette, IN 47907 USA
[4] Purdue Univ, Coll Pharm, Indianapolis, IN 46202 USA
[5] Alere Wellbeing, Seattle, WA USA
[6] MD Anderson Canc Ctr, Houston, TX USA
[7] Alere Wellbeing, Res Training & Evaluat, Seattle, WA USA
[8] inZights Consulting LLC, Seattle, WA USA
关键词
EDUCATIONAL OUTREACH; COMMUNITY PHARMACIES; SMOKING; PROGRAM; INTERVENTION; PHYSICIANS; PATIENT;
D O I
10.1016/j.japh.2018.04.016
中图分类号
R9 [药学];
学科分类号
1007 ;
摘要
Objectives: To evaluate the long-term impact of 2 promising intervention approaches to engage pharmacy personnel (pharmacists, technicians) in referring patients who want to quit smoking to the tobacco quitline. Design: Randomized trial. Setting: Community pharmacies in Connecticut (n = 32) and Washington (n = 32). Intervention: Two intervention approaches were evaluated: academic detailing (AD), which involved on-site training for pharmacy staff about the quitline, versus mailed quitline materials (MM). Main outcome measures: Changes in the overall percentage of quitline registrants who reported hearing about the quitline from any pharmacy during the 6-month baseline monitoring period versus the 12-month intervention period, and between-group comparisons of a) the number of quitline registrants who reported hearing about the quitline from one of the study pharmacies during the 12-month intervention period, and b) the number of quitline cards and brochures distributed to patients during the first 6 months of the intervention period. Results: The percentage of quitline callers who reported having heard about the quitline from a pharmacy increased significantly, from 2.2% during the baseline monitoring period to 3.8% during the 12-month intervention (P < 0.0001). In addition, comparisons controlled for seasonal effects also revealed significant increases in referrals. Across all 64 pharmacies, 10,013 quitline cards and 4755 brochures were distributed. The number of quitline cards distributed and the number registrants who reported hearing about the quitline from a pharmacy did not differ by intervention approach (AD vs. MM), although AD pharmacies distributed more quitline brochures (P = 0.022). Conclusion: Brief cessation interventions are feasible in community pharmacies, and the 2 approaches evaluated for engaging pharmacy personnel were similarly effective and collectively led to meaningful increases in the number and proportion of all patients who called the quitline. Involvement of community pharmacy personnel in tobacco cessation presents a significant opportunity to promote quitline services by connecting patients with an effective publicly available resource. (C) 2018 American Pharmacists Association (R). Published by Elsevier Inc. All rights reserved.
引用
收藏
页码:387 / 394
页数:8
相关论文
共 38 条
[11]   Tobacco cessation counseling: Pharmacists' opinions and practices [J].
Hudmon, KS ;
Prokhorov, AV ;
Corelli, RL .
PATIENT EDUCATION AND COUNSELING, 2006, 61 (01) :152-160
[12]  
IBM SPSS, 2016, STAT WIND VERS 24
[13]   Implementing Best Evidence in Smoking Cessation Treatment for Hospitalized Veterans: Results from the VA-BEST Trial [J].
Katz, David A. ;
Holman, John E. ;
Johnson, Skyler R. ;
Hillis, Stephen L. ;
Adams, Susan L. ;
Fu, Steven S. ;
Grant, Kathleen M. ;
Buchanan, Lynne M. ;
Prochazka, Allan ;
Battaglia, Catherine T. ;
Titler, Marita G. ;
Joseph, Anne M. ;
Vander Weg, Mark W. .
JOINT COMMISSION JOURNAL ON QUALITY AND PATIENT SAFETY, 2014, 40 (11) :493-+
[14]   The Emergency Department Action in Smoking Cessation (EDASC) Trial: Impact on Cessation Outcomes [J].
Katz, David A. ;
Holman, John E. ;
Nugent, Andrew S. ;
Baker, Laurence J. ;
Johnson, Skyler R. ;
Hillis, Stephen L. ;
Tinkelman, David G. ;
Titler, Marita G. ;
Vander, Mark W. .
NICOTINE & TOBACCO RESEARCH, 2013, 15 (06) :1032-1043
[15]   Promoting a smokers' quitline in Ontario, Canada: an evaluation of an academic detailing approach [J].
Kirst, Maritt ;
Schwartz, Robert .
HEALTH PROMOTION INTERNATIONAL, 2015, 30 (02) :310-317
[16]   Utilizing audit and feedback to improve hospitalists' performance in tobacco dependence counseling [J].
Kisuule, Flora ;
Necochea, Alejandro ;
Howe, Erica E. ;
Wright, Scott .
NICOTINE & TOBACCO RESEARCH, 2010, 12 (08) :797-800
[17]  
Lang W., 2016, Acad Pharm Now, V9, P12
[18]   Academic Detailing Interventions Improve Tobacco Use Treatment among Physicians Working in Underserved Communities [J].
Leone, Frank T. ;
Evers-Casey, Sarah ;
Graden, Sarah ;
Schnoll, Robert ;
Mallya, Giridhar .
ANNALS OF THE AMERICAN THORACIC SOCIETY, 2015, 12 (06) :854-858
[19]   Pharmacy-based statewide naloxone distribution: A novel "top-down, bottom-up" approach [J].
Morton, Kate J. ;
Harrand, Brianna ;
Floyd, Carly Cloud ;
Schaefer, Craig ;
Acosta, Julie ;
Logan, Bridget Claire ;
Clark, Karen .
JOURNAL OF THE AMERICAN PHARMACISTS ASSOCIATION, 2017, 57 (02) :S99-+
[20]   Educational outreach visits: effects on professional practice and health care outcomes [J].
O'Brien, M. A. ;
Rogers, S. ;
Jamtvedt, G. ;
Oxman, A. D. ;
Odgaard-Jensen, J. ;
Kristoffersen, D. T. ;
Forsetlund, L. ;
Bainbridge, D. ;
Freemantle, N. ;
Davis, D. A. ;
Haynes, R. B. ;
Harvey, E. L. .
COCHRANE DATABASE OF SYSTEMATIC REVIEWS, 2007, (04)