Implementing a Referral to Telephone Tobacco Cessation Services in Louisiana Community Pharmacies: A Pilot Study

Baggarly, Scott; Biglane, Gina C; Smith, Gregory; Smith, Connie; Blaylock, Benny L.

doi:10.1345/aph.1p226

Cited by 14 publications

(13 citation statements)

References 4 publications

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“…Because most pharmacists are interested in providing cessation services, 17 yet few are able to integrate comprehensive tobacco cessation counseling into routine practice, 24 brief interventions are inherently appealing for the pharmacy profession American Journal of Pharmaceutical Education 2013; 77 (5) Article 93. and appear to be feasible in the pharmacy practice environment. [25][26][27][28][29] If broadly implemented, brief interventions (3 minutes or less) 19 could lead to a significant reduction in the national prevalence of tobacco use.…”

Section: Treating Tobacco Use and Dependence: Education For The Pharmmentioning

confidence: 99%

The Role of Academic Pharmacy in Tobacco Cessation and Control

McBane

Corelli

Albano

et al. 2013

American Journal of Pharmaceutical Education

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Despite decades of public health initiatives, tobacco use remains the leading known preventable cause of death in the United States. Clinicians have a proven, positive effect on patients' ability to quit, and pharmacists are strategically positioned to assist patients with quitting. The American Association of Colleges of Pharmacy recognizes health promotion and disease prevention as a key educational outcome; as such, tobacco cessation education should be a required component of pharmacy curricula to ensure that all pharmacy graduates possess the requisite evidence-based knowledge and skills to intervene with patients who use tobacco. Faculty members teaching tobacco cessation-related content must be knowledgeable and proficient in providing comprehensive cessation counseling, and all preceptors and practicing pharmacists providing direct patient care should screen for tobacco use and provide at least minimal counseling as a routine component of care. Pharmacy organizations should establish policies and resolutions addressing the profession's role in tobacco cessation and control, and the profession should work together to eliminate tobacco sales in all practice settings where pharmacy services are rendered.

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Section: Treating Tobacco Use and Dependence: Education For The Pharmmentioning

confidence: 99%

The Role of Academic Pharmacy in Tobacco Cessation and Control

McBane

Corelli

Albano

et al. 2013

American Journal of Pharmaceutical Education

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“…6–14 As such, and because community pharmacies are widely accessible and are the primary source for prescription and non-prescription medications for smoking cessation, they might serve as an ideal venue for generating referrals to the tobacco quitline using the Ask-Advise-Refer method. 15–18 …”

Section: Introductionmentioning

confidence: 99%

A randomized trial evaluating 2 approaches for promoting pharmacy-based referrals to the tobacco quitline: Methods and baseline findings

Zillich

Corelli

Zbikowski³

et al. 2013

Research in Social and Administrative Pharmacy

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Background Historically, community pharmacies have not integrated tobacco cessation activities into routine practice, instead unbundling them as unique services. This approach might have limited success and viability. Objective The objective of this report is to describe the methods and baseline findings for a two-state, randomized trial evaluating two intervention approaches for increasing pharmacy-based referrals to their state’s tobacco quitline. Methods Participating community pharmacies in Connecticut (n=32) and Washington (n=32) were randomized to receive either (a) on-site education with an academic detailer, describing methods for implementing brief interventions with patients and providing referrals to the tobacco quitline, or (b) quitline materials delivered by mail. Both interventions advocated for pharmacy personnel to ask about tobacco use, advise patients who smoke to quit, and refer patients to the tobacco quitline for additional assistance with quitting. Study outcome measures include the number of quitline registrants who are referred by pharmacies (before and during the intervention period), the number of quitline materials distributed to patients, and self-reported behavior of cessation counseling and quitline referrals, assessed using written surveys completed by pharmacy personnel (pharmacists, technicians). Results Pharmacists (n=124) and pharmacy technicians (n=127), representing 64 participating pharmacies with equal numbers of retail chain and independently-owned pharmacies, participated in the study. Most pharmacists (67%) and half of pharmacy technicians (50%) indicated that they were “not at all” familiar with the tobacco quitline. During the baseline (pre-intervention) monitoring period, the quitline registered 120 patients (18 in CT and 102 in WA) who reported that they heard about the quitline from a pharmacy. Conclusion Novel tobacco intervention approaches are needed to capitalize on the community pharmacy’s frequent interface with tobacco users, and these approaches need to be evaluated to estimate their effectiveness. Widespread implementation of brief, yet feasible, pharmacy-based tobacco cessation efforts that generate referrals to a tobacco quitline could have a substantial impact on the prevalence of tobacco use.

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“…13 Lack of time has been consistently identified as a key impediment. 13,14,15 Accepting this crucial barrier, pharmacy advocates are now promoting a recently introduced alternative approach derived from the 5As called Ask-Advise-Refer (AAR). 9,16 The evidence-based guidelines specifically recommend AAR in situations where 5As might not be feasible (e.g.…”

Section: Introductionmentioning

confidence: 99%

“…These include pharmacists’ training, technician support, and having patients initiate cessation discussions or request services. 18 Few studies have assessed the feasibility of AAR, 6,7,19 particularly in community pharmacies, 8,15 and the effectiveness of these facilitators in promoting AAR implementation. Purcell and colleagues 8 demonstrated AAR feasibility in 2 independent pharmacies with low prescription volume.…”

Section: Introductionmentioning

confidence: 99%

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Effectiveness of intervention to implement tobacco cessation counseling in community chain pharmacies

Patwardhan

Chewning

2012

Journal of the American Pharmacists Association

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Objective To test the feasibility of implementing ask-advise-refer (AAR) in representative community chain pharmacies serving low socioeconomic areas, and to assess the effectiveness of a multimodal intervention on short-term implementation of AAR. Design Randomized controlled trial Settings Sixteen community chain pharmacies in South-central Wisconsin Intervention A multimodal intervention including: 1) training to implement AAR, 2) workflow integration recommendations, 3) a cessation poster to create awareness, and 4) a support visit. Main outcome measures Number of patrons asked about their tobacco use, number of tobacco users advised to quit, number of quitline cards given, and number of tobacco users enrolled in the quitline. Results As hypothesized, the multimodal intervention significantly predicted the number of patrons asked (estimate=4.84, incidence rate ratios[IRR]=127.2; p<0.001) tobacco users advised (estimate=2.12, IRR=8.33; p<0.01), quitline cards distributed (estimate=1.04, IRR=2.82; p<0.05), and tobacco users enrolled in the quitline (estimate=2.31, IRR=10.13; p<0.001). Conclusion This trial demonstrates the feasibility of implementing AAR in routine community pharmacy practice. This trial also indicates the short-term effectiveness of the intervention in facilitating AAR, implementation in partnership with other public health services and systems. More research is needed to evaluate the generalizability, effectiveness and sustainability of AAR, including factors influencing adoption and the impact on cessation.

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Implementing a Referral to Telephone Tobacco Cessation Services in Louisiana Community Pharmacies: A Pilot Study

Abstract: Louisiana community pharmacists have the ability to screen and identify tobacco-dependent patients ready to quit tobacco use, but barriers exist that prevent a large number of these patients from being referred to available, free cessation counseling.

Cited by 14 publications

References 4 publications

The Role of Academic Pharmacy in Tobacco Cessation and Control

The Role of Academic Pharmacy in Tobacco Cessation and Control

A randomized trial evaluating 2 approaches for promoting pharmacy-based referrals to the tobacco quitline: Methods and baseline findings

Effectiveness of intervention to implement tobacco cessation counseling in community chain pharmacies

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