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

Hudmon, Karen Suchanek; Corelli, Robin L.; Moor, Carl de; Zillich, Alan J.; Fenlon, Christine M.; Miles, Lyndsay; Prokhorov, Alexander V.; Zbikowski, Susan M.

doi:10.1016/j.japh.2018.04.016

Cited by 14 publications

(12 citation statements)

References 36 publications

(41 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…With regards to the latter, the white paper notes, “…support personnel can also assist with scheduling and communicating referrals to other health care providers.” Our findings demonstrate a need to clearly define roles for pharmacy technicians in referrals and provision of associated training. This recommendation is consistent with Hudmon et al work demonstrating success with two models (academic detailing and mailed materials) for engaging community pharmacy staff (both pharmacists and pharmacy technicians) in promoting referrals to a tobacco quitline . Clear roles and training for community pharmacists and pharmacy technicians in making quitline referrals were developed, with pharmacy technicians positioned to refer interested patients to pharmacists and the quitline for counseling .…”

Section: Discussionsupporting

confidence: 68%

Perceived roles of independent community pharmacists and pharmacy technicians in patient referrals to community resources: A Study from the Medication Safety Research Network of Indiana (Rx‐SafeNet)

Miller

Perras

Frail

et al. 2019

J Am Coll Clin Pharm

View full text Add to dashboard Cite

Introduction Referrals to community resources represent one element of the Chronic Care Model, however, little is known about the perceived role of community pharmacy staff in referring patients to community resources. Objectives The objective of this study was to describe community pharmacists', community pharmacy technicians', and patients' perceptions of pharmacist referrals to community resources. Methods Semi‐structured interviews were conducted with community pharmacists, pharmacy technicians, and patients from community pharmacies that are members of the Medication Safety Research Network of Indiana. Qualitative analysis was conducted to identify emergent themes. Results A total of 37 participants, including six community pharmacists, one pharmacy student completing an advanced pharmacy practice experience, 15 community pharmacy technicians, and 15 patients across four independently owned community pharmacies were interviewed. Themes included: (1) Need to build on a foundation of strong patient‐community pharmacist relationships to clearly define the pharmacist's role in referrals, (2) Need to improve familiarity with community resources, (3) Need to clearly delineate and support the role for pharmacy technicians in making referrals, and (4) Need to follow‐up on referrals. Conclusion To enhance community pharmacy staff provision of referrals to community resources, interventions are needed to improve patient and pharmacist familiarity with available resources, patients' perception of the pharmacist's role outside of prescription fulfillment, and follow‐up on referrals. Moreover, pharmacy technician education and training could be expanded to optimize their role in supporting community pharmacists in making referrals.

show abstract

Section: Discussionsupporting

confidence: 68%

Perceived roles of independent community pharmacists and pharmacy technicians in patient referrals to community resources: A Study from the Medication Safety Research Network of Indiana (Rx‐SafeNet)

Miller

Perras

Frail

et al. 2019

J Am Coll Clin Pharm

View full text Add to dashboard Cite

show abstract

“…Previous research shows that health promotion programs, such as mass media campaigns, targeted mailings, incentive payments to clinicians, and pharmacy-led referrals can increase use of Quitline services. [15] , [16] , [17] , [18] , [19] However, the research on interventions to increase Quitline use in the Western Pacific region is limited to evaluations of Australian mass media campaigns. These studies found that mass media anti-smoking campaigns significantly increased the volume of calls to the Quitline.…”

Section: Introductionmentioning

confidence: 99%

The impact of a regional smoking cessation program on referrals and use of Quitline services in Queensland, Australia: a controlled interrupted time series analysis

Khan

Green

Khandaker

et al. 2021

The Lancet Regional Health - Western Pacific

View full text Add to dashboard Cite

Background: The prevalence of smoking in Central Queensland (CQ), Australia was higher than the state and national averages. A regional smoking cessation initiative ("10,0 0 0 Lives") was launched to promote available interventions (e.g., Quitline). We investigated the impact of "10,0 0 0 Lives" on referral to and use of Quitline services. Methods:We conducted an interrupted time series analysis using a segmented Poisson regression model to measure the impact of "10,0 0 0 Lives" on monthly referrals to, and use of Quitline services (counselling sessions and nicotine replacement therapy (NRT) dispatched by Quitline), in CQ compared to other areas in the state (control population). The control population included all regional areas in Queensland with a comparable smoking prevalence to CQ and similar access to Quitline's Intensive Quit Support Program. We calculated the changes in level and trend of outcomes in CQ relative to the change in the control area during the post-launch period of "10,0 0 0 Lives". The models were checked for autocorrelation and seasonality and adjusted accordingly.Findings: After the introduction of "10,0 0 0 Lives", the mean monthly rate per 1,0 0 0 smoking population increased in the intervention area for each outcome; e.g., from 3 . 3 to 10 . 8 for referrals to Quitline, from 1 . 6 to 4 . 4 for initial counselling session completed. These results were validated by the controlled interrupted time series analysis which showed relative increases for each of these outcomes (238 • 5% for monthly rate of referral to Quitline per 1,0 0 0 smoking population and 248 • 6% for monthly rate of initial counselling sessions completed per 1,0 0 0 smoking population).Interpretation: Our study demonstrates a locally coordinated health promotion initiative can promote and boost the referral to, and use of Quitline smoking cessation services.

show abstract

“…This study applied a randomized design, with the community pharmacy as the unit of randomization, to estimate the impact of two intervention strategies for engaging community pharmacy personnel in referring patients who use tobacco and are interested in quitting to the tobacco quitline [19,22,23]. Quitlines are publicly funded programs available in all 50 states and US territories (1-800-QUIT NOW), offering a variety of free resources, including information on how to quit smoking, 1-on-1 telephone-based counseling, referral to other cessation resources, information on FDA-approved cessation medications, and in some cases, cessation medications provided at no cost [24].…”

Section: Methodsmentioning

confidence: 99%

“…Consistent with this, except for addressing reorders for implementation tools, the research team communicated with the study sites only during periods of data collection. Detailed aspects of the study design, including sampling procedures, recruitment results, and baseline findings, are described in detail elsewhere [19,22,23]. The study procedures and materials were approved by the Purdue University Human Research Protection Program.…”

Section: Methodsmentioning

confidence: 99%

“…Published research suggests that brief interventions are effective in connecting patients to cessation services in primary care [14] and behavioral health settings [15], and in emergency departments [16]. Furthermore, prior research suggests that brief interventions are a feasible approach to delivering tobacco cessation in the context of community pharmacies [17][18][19]. However, few studies have applied theory to assess factors that support or impede the adoption of brief interventions for tobacco cessation into routine practice in community pharmacy settings [20].…”

Section: Introduction 1pharmacists' Role In Tobacco Cessationmentioning

confidence: 99%

See 1 more Smart Citation

Implementing Brief Tobacco Cessation Interventions in Community Pharmacies: An Application of Rogers’ Diffusion of Innovations Theory

et al. 2022

Self Cite

View full text Add to dashboard Cite

Pharmacists, as highly accessible members of the healthcare team, have considerable potential to address tobacco use among patients. However, while published data suggest that pharmacists are effective in helping patients quit, barriers exist to routine implementation of cessation services in community pharmacy settings. Within the context of a randomized trial (n = 64 pharmacies), surveys were administered over a period of 6 months to assess pharmacists’ perceptions of factors associated with the implementation of “Ask-Advise-Refer”, a brief intervention approach that facilitates patient referrals to the tobacco quitline. Study measures, grounded in Rogers’ Diffusion of Innovations Theory, assessed pharmacists’ perceptions of implementation facilitators and barriers, perceptions of intervention materials provided, and perceived efforts and personal success in implementing Ask-Advise-Refer at 6-months follow-up. Findings indicate that while the brief intervention approach was not difficult to understand or implement, integration into normal workflows presents greater challenges and is associated with overall confidence and implementation success. Lack of time was the most significant barrier to routine implementation. Most (90.6%) believed that community pharmacies should be active in promoting tobacco quitlines. Study results can inform future development of systems-based approaches that lead to broad-scale adoption of brief interventions, including but not limited to tobacco cessation, in pharmacy settings.

show abstract

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

Cited by 14 publications

References 36 publications

Perceived roles of independent community pharmacists and pharmacy technicians in patient referrals to community resources: A Study from the Medication Safety Research Network of Indiana (Rx‐SafeNet)

Perceived roles of independent community pharmacists and pharmacy technicians in patient referrals to community resources: A Study from the Medication Safety Research Network of Indiana (Rx‐SafeNet)

The impact of a regional smoking cessation program on referrals and use of Quitline services in Queensland, Australia: a controlled interrupted time series analysis

Implementing Brief Tobacco Cessation Interventions in Community Pharmacies: An Application of Rogers’ Diffusion of Innovations Theory

Contact Info

Product

Resources

About