The adoption of tobacco dependence treatment by rehabilitation clinicians

Abstract

Interventions that have successfully increased adoption by the two other clinician groups should be utilized to increase tobacco dependence treatment provision by rehabilitation clinicians. Additional research is warranted to determine how to overcome obstacles to adoption.

Smoking rates and smoking cessation among individuals with multiple sclerosis

“…This rate of brief interventions for smokers with MS is, however, still less than the 85% goal encouraged by Healthy People 2010 [44]. Strategies successfully used to increase brief intervention provision by clinicians working with smokers in the general population and with other difficult-to-treat smokers may help increase tobacco treatment intervention adoption with this group [5,50].…”

Estimates of National Health Care Expenditures Associated With Disability

“…Public health strategies that prevent or delay disease or chronic conditions hold promise for reducing disability or reducing secondary conditions among people with disabilities (Altman & Bernstein, 2008;Friend, Levy, & Mernoff, 2005;Rimmer, 1999;U.S. DHHS, 2000).…”

Disparities in Smoking Behaviors Among Those With and Without Disabilities From 2001 to 2005

“…As Friend et al (2005) have proposed, a comprehensive approach will be needed to address tobacco cessation in people with disabilities. Such an approach fits well with Keller's public health intervention model, now known as the Intervention Wheel (Keller et al, 2004).…”

“…Previous studies have also shown that people with disabilities are more likely to smoke than nondisabled persons (Centers for Disease Control and Prevention [CDC], n.d.‐b). Smoking may exacerbate an individual's underlying disabling condition (Friend, Levy, & Mernoff, 2005). For example, many individuals with disabilities already have compromised cardiovascular and respiratory systems, and so smoking may further impair their health.…”

“…In a national study of rehabilitation medicine training program directors, only 25% of their rehabilitation units offered tobacco cessation services (Basford, Rohe, Barnes, & DePompolo, 2002), although 77% reported screening patients for tobacco use. The researchers concluded that while tobacco use is recognized as an addiction, screening and access to cessation programs approximate what was available for alcohol and drug treatment programs 15 years ago, despite the fact that the Joint Commission on Accreditation of Healthcare Organizations has now established smoking restrictions as a performance standard for inpatient rehabilitation facilities (Friend et al, 2005).…”