Can residents be trained to counsel patients about quitting smoking?

Strecher, Victor J.; O’Malley, Michael S.; Villagra, Victor G.; Campbell, Elizabeth E.; González, Javier; Irons, Thomas G.; Kenney, Richard D.; Turner, R. C.; Rogers, C. Stewart; Lyles, Mary F.; White, Stuart F.; Sanchez, Clare J.; Stritter, Frank T.; Fletcher, Suzanne W.

doi:10.1007/bf02599383

Cited by 106 publications

(65 citation statements)

References 32 publications

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“…While we cannot determine causality, it is encouraging that students with more exposure to tobacco counseling education appreciate more the importance of this activity for their future practices, and are more likely to currently counsel their smoking patients. Prior literature (Cornuz et al, 1997;Strecher et al, 1991) also support that training interventions increase smoking cessation counseling.…”

Section: Trainingmentioning

confidence: 95%

Personal and clinical tobacco-related practices and attitudes of U.S. medical students

Frank¹,

Elon²,

Spencer³

2009

Preventive Medicine

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Section: Trainingmentioning

confidence: 95%

Personal and clinical tobacco-related practices and attitudes of U.S. medical students

Frank¹,

Elon²,

Spencer³

2009

Preventive Medicine

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“…Despite this, few pediatricians address tobacco, 8 -11 and neither undergraduate medical education 12 nor residency training 13 is adequately preparing the next generation of pediatricians to take up the tobacco challenge. Although efforts to teach pediatric residents to intervene on tobacco hold considerable promise, 14,15 few programs include in their curriculum comprehensive training in intervention on tobacco, and pediatric residents are less active in the area of tobacco intervention than are residents in other medical disciplines. 16 Shortcomings in pediatric training and practice represent important gaps in the United States' efforts to protect young people from tobacco-related disease and addiction.…”

mentioning

confidence: 99%

Pediatric Residency Training on Tobacco

Hymowitz¹,

Schwab

Eckholdt

2001

Pediatrics

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ABSTRACT. Objective. Pediatricians have a unique role to play in the antismoking arena. However, few pediatric residency training programs prepare residents to meet the tobacco challenge. This study evaluates the effects of a comprehensive pediatric residency training program on tobacco on resident tobacco intervention behaviors, as well as on changes in the behavior of patients and their parents/guardians.Methods. Pediatric residents were exposed to a comprehensive training program on tobacco. Baseline and follow-up surveys of residents, parents/guardians, and patients were used to assess the effects of the training program. A quasi-experimental design permitted unambiguous evaluation of the program's effects on resident intervention behaviors.Results. The comprehensive training program on tobacco led to marked and significant changes in resident intervention on tobacco. Many of these changes were supported by parents' and patients' reports. In turn, resident intervention on tobacco led to a significant increase in the likelihood that parents would maintain a "smokefree household." Significant changes in the prevalence of parental smoking were not found, although the trend during 3 years of follow-up was in the desired direction. A high proportion of residents reported that they intervened on tobacco in patients at baseline and follow-up, but too few patients were sampled to permit analysis of the impact on changes in smoking.Conclusions. Comprehensive training on tobacco had a positive and powerful effect on the tobacco intervention behavior of pediatric residents. In turn, intervention on tobacco by pediatric residents may have a significant impact on patients and their parents. These findings underscore the efficacy of pediatric residency training on tobacco, and it is hoped that they will serve as an impetus for other pediatric residency programs to introduce training on tobacco. Pediatrics 2001;108(1). URL: http://www. pediatrics.org/cgi/content/full/108/1/e8; tobacco control and prevention, cigarette smoking, environmental tobacco smoke, residency training.

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“…A meta-analysis done in 1988 by Kottke et al showed an overall cessation rate of 8.4% at six months with brief (less than 15 minutes) physician's advise. Since then, there have been several large studies on physician's advise that have shown quit rates of up to 10 percent, (Cummings et al 1889, Strecher et al 1991 At week 12, the mean FTND score for smokers was 2.33 (±0.862) in pharmacotherapy group versus 1.09 (±0.578) in the combined therapy group, (P=0.002) and FTND-ST score for smokeless tobacco users was 2.66 (±1.52) in pharmacotherapy group versus 1.73 (±1.823) in the combined therapy group, (P=0.039, t=2.11), showed significant reduction in score. The cessation rate for smokeless tobacco in combined group was nearly double that of pharmacotherapy group 53.85% and 28.12%, respectively and cessation rate in smokers were 33.33% in pharmacotherapy group alone and 54.54% in combined group.…”

Section: Discussionmentioning

confidence: 99%

Efficacy of Pharmacotherapy versus Combined Therapy in Tobacco Cessation: A Prospective Comparative Study

Mehdi¹

2018

jmscr

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Can residents be trained to counsel patients about quitting smoking?

Abstract: A simple and feasible educational intervention can increase residents' smoking cessation counseling.

Cited by 106 publications

References 32 publications

Personal and clinical tobacco-related practices and attitudes of U.S. medical students

Personal and clinical tobacco-related practices and attitudes of U.S. medical students

Pediatric Residency Training on Tobacco

Efficacy of Pharmacotherapy versus Combined Therapy in Tobacco Cessation: A Prospective Comparative Study

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