Patient Tobacco Use in Optometric Practice

Kennedy, Ryan David; Spafford, Marlee M.; Douglas, Ornell; Brûlé, Julie; Hammond, David; Fong, Geoffrey T.; Thompson, Mary E.; Schultz, Annette

doi:10.1097/opx.0000000000000303

Cited by 11 publications

(14 citation statements)

References 26 publications

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“…These results are consistent with previous studies in the UK 7.8 and Canada, 9 which similarly reported that community optometrists do not routinely take a smoking history nor provide advice on smoking cessation or initiate referral to specialist services. However, these researchers found that many optometrists wished to improve their knowledge in this area.…”

Section: Introductionsupporting

confidence: 92%

A pilot study of the feasibility of delivering a brief smoking cessation intervention in community optometric practice

Lawrenson

Roberts²,

Offord

2015

Public Health

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Section: Introductionsupporting

confidence: 92%

A pilot study of the feasibility of delivering a brief smoking cessation intervention in community optometric practice

Lawrenson

Roberts²,

Offord

2015

Public Health

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“…In contrast, there has been limited research into optometrists’ training for delivering smoking cessation support. The few surveys conducted to date have focussed on optometrists’ current practice and identified that only a minority (<33%) of optometrists routinely assess patients’ smoking status or advise on cessation . Nonetheless, one survey of UK optometrists identified that a majority of optometrists expressed a desire to improve their knowledge of the association between smoking and eye disease (68%), and felt they would benefit from further training on smoking cessation in relation to eye disease (56%) .…”

Section: Introductionmentioning

confidence: 99%

A survey of UK optometry trainees’ smoking cessation training

Lorencatto

Harper

Francis

et al. 2016

Ophthalmic Physiologic Optic

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Background: Smoking is a risk factor for a number of eye conditions, including age-related macular degeneration, cataracts and thyroid eye disease. Smoking cessation interventions have been shown to be highly cost-effective when delivered by a range of healthcare professionals. Optometrists are well placed to deliver smoking cessation advice to a wide population of otherwise healthy smokers. Yet optometrists remain a relatively neglected healthcare professional group in smoking cessation research and policy. Surveys of UK medical/nursing schools and of optometrists' training internationally demonstrate significant deficits in current curricular coverage regarding smoking cessation. This study aimed to identify the extent of smoking cessation training in UK optometry trainees' undergraduate and pre-registration training. Methods: All undergraduate optometry schools in the UK (n = 9) were invited to participate in a web-based survey of their curricular coverage and assessment related to smoking cessation, and of perceived barriers to delivering smoking cessation training. A content analysis of the College of Optometrists Scheme for Registration Trainee Handbook 2014 was conducted to identify competence indicators related to smoking cessation. Results: Nine undergraduate optometry schools (100%) responded to the survey. The majority reported dedicating limited hours (0-3) to teaching smoking cessation, and predominantly focused on teaching the harmful effects of smoking (89%). Only one school provides practical skills training for delivering evidencebased smoking cessation interventions, including very brief advice. The majority of schools (78%) reported that they did not formally examine students on their knowledge or skills for supporting smoking cessation, and rated confidence in their graduates' abilities to deliver smoking cessation interventions as 'poor' (78%). Lack of knowledge amongst staff was identified as the key barrier to teaching about smoking cessation support. The pre-registration competency framework does not include any competence indicators related to providing support for quitting smoking. Conclusions: There are substantial gaps in the current curricula of UK optometry training, particularly regarding practical skills for supporting smoking cessation. Increased curricular coverage of these issues is essential to ensure trainee optometrists are adequately trained and competent in supporting patients to quit smoking.

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“…While optometrists are ideally placed to have these discussions, given that most patient interactions are routine rather than acute care presentations, in this survey only one in four respondents indicated that their optometrist had mentioned that there were vision risks associated with tobacco smoking. Recent studies that have surveyed primary eye care clinicians practicing in various regions of the world, [15][16][17][18][19][20][21] highlight similar deficiencies in care provision in this practice area. Our recent research, which evaluated the self-reported routine practices of Australian optometrists, suggests that less than half of practitioners routinely enquire about their patient's smoking behaviours.…”

Section: Discussionmentioning

confidence: 99%

What do patients think about the role of optometrists in providing advice about smoking and nutrition?

Downie

Douglass

Guest

et al. 2017

Ophthalmic Physiologic Optic

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This study provides novel insight into patients' perceptions and experience with optometric practice in the areas of tobacco smoking and nutrition. The majority of respondents expected their optometrist to examine their eye health, ask them about their smoking and diet habits, and indicated feeling comfortable discussing these topics with their primary eye care provider. These findings suggest that brief advice interventions relating to tobacco use and diet are likely to be acceptable to deliver in optometry practice.

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Patient Tobacco Use in Optometric Practice

Cited by 11 publications

References 26 publications

A pilot study of the feasibility of delivering a brief smoking cessation intervention in community optometric practice

A pilot study of the feasibility of delivering a brief smoking cessation intervention in community optometric practice

A survey of UK optometry trainees’ smoking cessation training

What do patients think about the role of optometrists in providing advice about smoking and nutrition?

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