This research provided evidence that GPs referring smokers to an evidence-based quitline service results in increased cessation. The benefit is largely due to patients in the referral condition receiving more external help than patients in the in-practice condition, as they received equivalent practice-based help. Where suitable services exist, we recommend that referral become the normative strategy for management of smoking cessation in general practice to complement any practice-based help provided.
The design and evaluation of computing technology supporting a process of personal change presents both opportunities and challenges for HCI. Here we describe an existing program of ongoing smoking cessation support delivered via the Internet, and present the case for augmenting this system using messaging and 'social' technologies. A key concern in this enterprise is reconciling a model of human behaviour with models of technology interaction. This involves utilizing a model describing the health behaviour change process to inform present support (an interactive, Web-based 'coaching' system -the QuitCoach or QC) and future technologies augmenting this system. The two data sets we present (patterns of use of the QC and emails sent to the site) illustrate some broad requirements for interactive support programs, operating through several channels of communication, for smokers trying to quit.
Aim: To investigate whether participation in a clinical audit and education session would improve GP management of patients who smoke.
Methods:GPs who participated in an associated smoking cessation research program were invited to complete a three-stage clinical audit. This process included a retrospective self-audit of smoking cessation management practices over the 6 months prior to commencing the study, attending a 2.5 hour education session about GP management of smoking cessation, and completion of a second retrospective self-audit 6 months later. Twenty-eight GPs completed the full audit and education process, providing information about their smoking cessation management with 1114 patients. The main outcome measure was changes in GP management of smoking cessation with patients across the audit period, as measured by the clinical audit tool.
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