The Effect of Systematic Clinical Interventions with Cigarette Smokers on Quit Status and the Rates of Smoking-Related Primary Care Office Visits

Land, Thomas; Rigotti, Nancy A.; Levy, Douglas E.; Schilling, Thad F.; Warner, Donna; Li, Wenjun

doi:10.1371/journal.pone.0041649

Cited by 26 publications

(17 citation statements)

References 13 publications

(7 reference statements)

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“…Routine healthcare visits remain as one of the most effective population-based methods for ensuring tobacco users receive cessation advice and treatment 26. While rates of provider advice to quit are approaching saturation (at least within the VA system), making an effective handoff to evidence-based treatment remains a challenge.…”

Section: Discussionmentioning

confidence: 99%

Telephone care co-ordination for tobacco cessation: randomised trials testing proactive versus reactive models

et al. 2017

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Section: Discussionmentioning

confidence: 99%

Telephone care co-ordination for tobacco cessation: randomised trials testing proactive versus reactive models

et al. 2017

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“…For example, the Patient Protection and Affordable Care Act of 2010, as amended by the Healthcare and Education Reconciliation Act of 2010, will increase public and private insurance coverage of tobacco cessation treatment (UWCTRI, 2010). Other national initiatives, including incentives for the adoption of electronic health records and the implementation of voluntary Joint Commission hospital performance measures, also have the potential to change health care systems in ways that promote provider cessation interventions (Fiore et al, 2012; Land et al, 2012). …”

Section: Discussionmentioning

confidence: 99%

Patient-reported recall of smoking cessation interventions from a health professional

King

Dube

Babb

et al. 2013

Preventive Medicine

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Objective To determine the prevalence and characteristics of current cigarette smokers who report receiving health care provider interventions (‘5A’s’: ask, advise, assess, assist, arrange) for smoking cessation. Methods Data came from the 2009–2010 National Adult Tobacco Survey, a telephone survey of United States adults aged ≥18 years. Among current cigarette smokers who reported visiting a health professional in the past year (n = 16,542), estimates were calculated overall and by sex, age, race/ethnicity, education, income, health insurance coverage, and sexual orientation. Results Among smokers who visited a health professional (75.2%), 87.9% were asked if they used tobacco, 65.8% were advised to quit, and 42.6% were asked if they wanted to quit. Among those wanting to quit, 78.2% were offered assistance and 17.5% had follow-up arranged. Receipt of the ‘ask’ component was lower among males and uninsured individuals. Receipt of the ‘advise’ and ‘assess’ components was lower among those aged 18–24 and uninsured individuals. Receipt of the ‘assist ’ component was lower among non-Hispanic blacks. No differences were observed for the ‘arrange’ component. Conclusions Many current smokers report receiving health care provider interventions for smoking cessation. Continued efforts to educate, encourage, and support all health professionals to provide effective, comprehensive tobacco cessation interventions to their patients may be beneficial.

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“…Evidence-based recommendations encourage clinicians to prescribe effective medications (e.g., nicotine replacement therapy, bupropion, or varenicline) in combination with behavioral support to optimize quit rates among smokers committed to quitting (Fiore, 2008). However, the first step in addressing cessation in medical settings involves the systematic identification of smokers, followed by the delivery of quitting assistance (Fiore, 2008; Land et al, 2012). …”

Section: Discussionmentioning

confidence: 99%

Formative Evaluation of a Practice-Based Smoking Cessation Program for Diverse Populations

et al. 2013

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Background Smoking rates are higher among those living at or below poverty and among persons with lower levels of education. We report on a formative research project examining patient perceptions of tobacco cessation strategies among diverse, low socioeconomic, urban smokers cared for in community-based primary care medical offices. Method We conducted 10 focus groups among low socioeconomic status participants recruited from urban primary care medical offices in Buffalo and Niagara Falls, New York. Participants included current or former smokers, who were stratified by age-group (18–39 years and 40+ years). The focus groups discussed perceptions of tobacco cessation strategies, previous quit attempts, and use/attitudes regarding technology and social media as potential platforms for cessation support. Results Participants (n = 96) included predominantly African Americans (n = 62, 65%) and European Americans (n = 16, 16%); 56% were older than 40 years and 92% were low income. Most participants were supportive of cessation message delivery via phone; however, the age-groups varied in their attitudes on quitting smoking, desired frequency of phone contacts, and social media usage. Participants aged 18 to 39 years reported more Internet use, greater use of text messaging, and were more open to health information via social media. Conclusions Based on significant variation between younger and older smokers’ perceptions of tobacco addiction and use of communication technologies, it appears reasonable to stratify the content and platform of health messaging by the target age-group.

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The Effect of Systematic Clinical Interventions with Cigarette Smokers on Quit Status and the Rates of Smoking-Related Primary Care Office Visits

Cited by 26 publications

References 13 publications

Telephone care co-ordination for tobacco cessation: randomised trials testing proactive versus reactive models

Telephone care co-ordination for tobacco cessation: randomised trials testing proactive versus reactive models

Patient-reported recall of smoking cessation interventions from a health professional

Formative Evaluation of a Practice-Based Smoking Cessation Program for Diverse Populations

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