Family Physicians' Utilization of a Brief Smoking Cessation Program Following Reinforcement Contact after Training: A Randomized Trial

Richmond, Robyn; Mendelsohn, Colin; Kehoe, Linda

doi:10.1006/pmed.1997.0240

Cited by 36 publications

(18 citation statements)

References 37 publications

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“…It has shown that the stage of change in smoking behavior can significantly predict smoking cessation (36). Also, the distribution of stages for smoking has been studied, and interventions matching subjects' stages have been effective in randomized trials (40,41). Future studies will examine the association between stage of change at baseline and process of change for salt intake, and factors influencing the stage of change.…”

Section: Discussionmentioning

confidence: 99%

Stages of Change for Salt Intake and Urinary Salt Excretion: Baseline Results from the High-Risk and Population Strategy for Occupational Health Promotion (HIPOP-OHP) Study

et al. 2004

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Section: Discussionmentioning

confidence: 99%

Stages of Change for Salt Intake and Urinary Salt Excretion: Baseline Results from the High-Risk and Population Strategy for Occupational Health Promotion (HIPOP-OHP) Study

et al. 2004

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“…System approaches to improving smoking cessation services in clinical settings have included (a) training of physicians (Cornuz et al, 1997;Richmond, Mendelsohn, & Kehoe, 1998;Swartz, Cowan, DePue, & Goldstein, 2002), (b) including smoking status as a vital sign (Fiore et al, 1995;Robinson, Laurent, & Little, 1995), (c) staff training and educational materials (Lancaster, Silagy, & Fowler, 2004;Pine, Sullivan, Sauser, & David, 1997;Solberg, Maxwell, Kottke, Gepner, & Brekke, 1990), (d) assignment of smoking cessation interventions to job descriptions of professionals other than physicians or to teams (Hollis et al, 2000;Hollis, Lichtenstein, Vogt, Stevens, & Biglan, 1993), (e) chart reminders used alone (Chang, Zimmerman, & Beck, 1995) or with other strategies such as free nicotine replacement (Cohen et al, 1987), and (f) reduced or reimbursed costs for smoking cessation services Curry, Grothaus, McAfee, & Pabiniak, 1998;Doescher et al, 2002;. A multicomponent approach that included prioritization of prevention objectives, quality management techniques, and attention to influences on service delivery at the practice, organizational, and community levels was effective (Thompson et al, 1995).…”

Section: Introductionmentioning

confidence: 99%

Improving clinic- and neighborhood-based smoking cessation services within federally qualified health centers serving low-income, minority neighborhoods

Fisher¹,

Musick²,

Scott³

et al. 2005

CNTR

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Within federally qualified health centers serving low-income, African American audiences, participatory approaches to system changes were organized through multidisciplinary committees that (a) drew on evidence-based guidelines, (b) guided system changes including the requirement of documenting smoking status and readiness to quit in encounter forms, (c) tested and refined practice improvements prior to their general adoption, and (d) guided development of neighborhood-based resources and supports for smoking cessation that were linked to clinic-based services. Documentation of smoking status or readiness to quit increased from 2% of encounter forms in the first 3 months to 94.3% in the last 3 months of the 24-month program. This rate remained over 90% throughout the following year. Exit interviews also indicated increased key clinic-based services, including "explained importance of quitting" (to 78% and 82% of interview respondents in the two intervention clinics in year 2), "tell you that you should quit" (to 80% in each), "tell you about nicotine gum...or other medications" (to 69% and 58%), "offer to help you quit" (to 61% and 64%), and "tell you about programs or help in your neighborhood" (to 51% and 56%). These rates exceeded those in one comparison clinic and equaled those in a second that also had launched a smoking cessation initiative. From exit interviews, improvements in neighborhood resources and support (e.g., people and activities that encourage nonsmoking) also exceeded those in comparison clinics. Thus, participatory approaches to system changes and quality improvement can enhance clinic- and neighborhood-based smoking cessation services within health centers serving low-income, minority populations.

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“…Although these barriers were reported by previous studies of drug-related problems Richmond, Mendelsohn, Kehoe, 1998;Rodriguez-Martos, Castellano, Salmerón, Domingo, 2007;Ronzani, 2005;Ronzani, Bitarello do Amaral, Souza-Formigoni, Babor, 2008a), we expected that the trained professionals would perform SBI themselves with individual patients by rearranging the structural functioning of the clinic based on the new practice. However, PHC settings have other important programs that are being developed simultaneously.…”

Section: Discussionmentioning

confidence: 93%

“…The dissemination strategies involved in health systems include PHC managers and the official government. Some authors have reported the failure of these levels to appropriately offer support for such actions, still focusing on emergency/curative care rather than preventive care (Richmond et al, 1998;Ronzani et al, 2005;Ronzani et al, 2008a). A good strategy for promoting changes in health systems is to construct a solid bridge between research findings and practice, and action research techniques might be useful for achieving this goal.…”

Section: Discussionmentioning

confidence: 96%

Early Risky Drug Use Detection in Primary Healthcare: How Does It Work in the Real World?

Boerngen-Lacerda

Zottis

Zibe-Piegel

et al. 2012

Substance Use & Misuse

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Despite effectiveness in research, the efficacy of screening and brief intervention (SBI) for risky substance users is not adequately understood in routine clinical practice. Primary healthcare professionals (n = 103) from three cities in a metropolitan area in Brazil were trained and supervised in SBI and then screened 40 patients. One year later, meetings were held in each city to obtain feedback. Twenty professionals who fulfilled the task (Yes [Y]) and 24 who did not (No [N]) were individually interviewed about their SBI experience. Reports were independently interpreted and codified by two researchers. The Y and N groups reported the same barriers and positive beliefs, but only the Y group reported no negative issues. The present study lasted from 2007 to 2009.

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Family Physicians' Utilization of a Brief Smoking Cessation Program Following Reinforcement Contact after Training: A Randomized Trial

Cited by 36 publications

References 37 publications

Stages of Change for Salt Intake and Urinary Salt Excretion: Baseline Results from the High-Risk and Population Strategy for Occupational Health Promotion (HIPOP-OHP) Study

Stages of Change for Salt Intake and Urinary Salt Excretion: Baseline Results from the High-Risk and Population Strategy for Occupational Health Promotion (HIPOP-OHP) Study

Improving clinic- and neighborhood-based smoking cessation services within federally qualified health centers serving low-income, minority neighborhoods

Early Risky Drug Use Detection in Primary Healthcare: How Does It Work in the Real World?

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