The effects of a short-term physician training on smoking cessation in a university pulmonary department

Bauer, Anna Marika; Brenner, Lorena; Moser, Julia; Trudzinski, Franziska; Köllner, Volker; Bals, Robert

doi:10.3205/000282

Cited by 4 publications

(3 citation statements)

References 49 publications

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“…After participating in an ambulatory teaching script with a small group session, 100% rated their curriculum as adequate ( 52 ). Another small study ( n = 24 pulmonary physicians) in Germany demonstrated that a 2-hour tobacco treatment training resulted in improved 6-month tobacco abstinence rates among patients ( 53 ). Most studies evaluated intermediate outcomes, such as self-assessed comfort with counseling and/or medications.…”

Section: Resultsmentioning

confidence: 99%

Education for Tobacco Use Disorder Treatment: Current State, Evidence, and Unmet Needs

Melzer,

Reese,

Mascarhenas

et al. 2023

ATS Scholar

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Background Tobacco use is undertreated in the medical setting. One driver may be inadequate tobacco use disorder treatment (TUDT) training for clinicians in specialties treating tobacco-dependent patients. Objective We sought to evaluate the current state of TUDT training for diverse professionals and how these skills are assessed in credentialing exams. Methods We performed a focused review of current educational practices, evidence-based strategies, and accreditation exam contents focused on TUDT. Results Among medical students, participants in reviewed studies reported anywhere from 45 minutes to 3 hours of TUDT training throughout their 4-year programs, most often in the form of didactic sessions. Similarly, little TUDT training was reported at the post-graduate (residency, fellowship, continuing medical education) levels, and reported training was typically delivered as time-based (expected hours of instruction) rather than competency-based (demonstration of mastery) learning. Multiple studies evaluated effective TUDT curricula at varied stages of training. More effective curricula incorporated longitudinal sessions and active learning, such as standardized patient encounters or proctored patient visits. Knowledge of TUDT is minimally evaluated on certification exams. For example, the American Board of Internal Medicine blueprint lists TUDT as <2% of one subtopic on both the internal medicine and pulmonary exams. Conclusion TUDT training for most clinicians is minimal, does not assess competency, and is minimally evaluated on certification exams. Effective, evidence-based TUDT training incorporating active learning should be integrated into medical education at all levels, with attention paid to inclusion on subsequent certifying exams.

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Section: Resultsmentioning

confidence: 99%

Education for Tobacco Use Disorder Treatment: Current State, Evidence, and Unmet Needs

Melzer,

Reese,

Mascarhenas

et al. 2023

ATS Scholar

View full text Add to dashboard Cite

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“…Telephone and face-to-face conversations provide the respondents the opportunity to dispense with the myth about the impossibility of quitting smoking, relieve obsessive thoughts, and overcome the desire for a cigarette. Physicians must take care not to increase patients’ existing fear of surgery with advice and behaviour because it is known that anxiety increases the desire for cigarettes [ 47 , 48 ]. In such circumstances, the physician, with his/her expertise and behaviour, must be a constant support and authority to the former smoker in order to lead him/her out of the labyrinth of smoking addiction [ 49 ].…”

Section: Discussionmentioning

confidence: 99%

Intensive Intervention on Smoking Cessation in Patients Undergoing Elective Surgery: The Role of Family Physicians

Domić,

Pilipović-Broćeta,

Grabež

et al. 2024

Medicina

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Background and Objectives: The aim of this study was to determine the role of physicians in the intensive intervention and education regarding the smoking cessation of patients undergoing elective surgery under general anaesthesia. Materials and Methods: A randomised prospective study was conducted in family physicians’ clinics in which smokers of both sexes, aged 21–65 years, without cognitive impairments, and who were not addicted to psychoactive substances voluntarily participated. Four weeks preoperatively, 120 smokers were randomised into two equal groups; the intervention group (IG) underwent an intervention for the purpose of smoking cessation and the control group (CG) underwent no intervention. Biochemical tests were performed in order to determine the smoking status of the participants in the phase of randomisation, one week preoperatively, as well as 40, 120, and 180 days and 12 months postoperatively. The examinees of the IG talked to the physician five times and received 140 telephone messages, leaflets, and motivational letters along with the pharmacotherapy, while the participants in the CG received little or no advice on smoking cessation. Results: The results of this study confirmed a significant influence of the intervention and education on the smoking abstinence in the IG compared to the CG (p < 0.001). The smokers in the IG had 7.31 (95% CI: 2.32–23.04) times greater odds of abstinence upon the 12-month follow-up than the smokers in the CG. The smokers in the IG who did not stop smoking had a lower degree of dependence and smoked fewer cigarettes (p < 0.0001) compared to those in the CG, as well as a multiple times higher prevalence of short- and long-term abstinence. Conclusions: It can be concluded that the intensive intervention and education can motivate patients preparing for elective surgery to stop smoking in the short- and long term.

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“… 18 In‐depth discussions and incentivisation are also recommended to create a positive attitude towards adherence support. 35 , 36 …”

Section: Discussionmentioning

confidence: 99%

Attitudes and practices of health care providers towards improving adherence to smoking cessation medications in Australia: A descriptive study

Mersha

Eftekhari

Kennedy

et al. 2022

Health Prom J of Aust

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Issue AddressedAdherence to smoking cessation medications is low and predicts the success of quit attempts. Health care providers (HCPs) role in delivering smoking cessation support is crucial. HCPs support to improve adherence to smoking cessation medication has not been evaluated in Australia. This study describes the attitudes and practices of HCPs in Australia towards adherence to smoking cessation medications (nicotine replacement therapies, varenicline and bupropion) and intervention options.MethodsA descriptive cross‐sectional study was conducted using a convenience sample of 70 HCPs in Australia. Participants were recruited through the social media platforms of professional societies in Australia. Data was collected in the periods between November 2020 and September 2021. Descriptive statistics were performed using SPSS statistical software version 27.0 and data was presented using proportions and percentages.ResultsThe majority of participants were doctors, nurses and midwives (82.8%). Almost two‐thirds of the participants (68.6%) self‐reported that they provided adequate adherence support to individuals taking smoking cessation medications. The majority of participants (87.1%) identified adherence support service as part of their professional role. Only 11.1% of the participants who did not believe supporting medication adherence to be their role reported providing adherence support. The main perceived barriers to adherence support are lack of skill, knowledge, time and resources. HCPs believed that providing additional counselling and monitoring of adherence can improve adherence rates.ConclusionsIn an online survey conducted in Australia, HCPs indicated multiple barriers to providing adherence support and intervention strategies that should be considered for smoking cessation programs. A higher proportion of participants who perceived adherence support as their professional role reported supporting adherence to smoking cessation medications.So What?Considerations should be given to improve HCPs attitudes and practices towards smoking cessation medications adherence support. Smoking cessation programs should consider the issue of adherence support. Further studies with a larger sample size across a broader range of HCPs are needed to extensively understand adherence service provision among HCPs in Australia.

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The effects of a short-term physician training on smoking cessation in a university pulmonary department

Cited by 4 publications

References 49 publications

Education for Tobacco Use Disorder Treatment: Current State, Evidence, and Unmet Needs

Education for Tobacco Use Disorder Treatment: Current State, Evidence, and Unmet Needs

Intensive Intervention on Smoking Cessation in Patients Undergoing Elective Surgery: The Role of Family Physicians

Attitudes and practices of health care providers towards improving adherence to smoking cessation medications in Australia: A descriptive study

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