The Perceptions and Practices of Pediatricians: Tobacco Intervention

Zapka, Jane G.; Fletcher, Kenneth E.; Pbert, Lori; Druker, Susan; Ockene, Judith K.; Chen, Liping

doi:10.1542/peds.103.5.e65

Cited by 90 publications

(82 citation statements)

References 47 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Dentists who believed that they were successful in helping patients quit were three times more likely to advise patients to quit (Albert et al, 2005). Zapka et al (1999) found that pediatricians who believed that counseling was effective were more likely to report counseling. In another study, HHC nurses who believed that their counseling would be effective at helping their patients quit were significantly more likely to recommend the use of nicotine replacement, and spent more time counseling patients (Borrelli et al, 2001).…”

Section: Introductionmentioning

confidence: 95%

“…Self-efficacy to counsel smokers is associated with increased tobacco counseling among physicians (Cabana et al, 2004;Frank, Winkleby, Altman, Rockhill, & Fortmann, 1991;Goldstein et al, 1997;Zapka et al, 1999) and nurses (Borrelli et al, 2001). One cross-sectional study of HHC nurses found that, for every one-point increase in self-efficacy, there was a 30% increase in the odds that nurses would counsel their patients who smoked (Borrelli et al, 2001).…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Is provider training effective? Changes in attitudes towards smoking cessation counseling and counseling behaviors of home health care nurses

Borrelli

Lee

Novak

2008

Preventive Medicine

View full text Add to dashboard Cite

Objective-We prospectively examined whether training home health care nurses is associated with changes in attitudes towards smoking cessation counseling and counseling behaviors.Methods-We trained 98 home health care nurses to deliver cessation counseling to their patients. Measures were administered at pre-training, post-training, and six months later. This was part of a larger study conducted in Providence, RI, USA (1998-2002.Results-Compared with pre-training, at post-training, nurses reported significantly higher levels of self-efficacy to counsel, positive outcome expectations, optimism that patients would follow their advice, perceived worth of smoking counseling, perceived importance of quitting smoking, and perceived organizational support. These training effects were maintained six-months later. Between the end of training and the six-month follow-up, nurses reported significant increases in their perceived effectiveness to counsel smokers and confidence to encourage behavior change. Compared with pre-training, at six month follow-up, nurses were significantly more likely to ask about smoking status, assess readiness to quit, advise to quit, assist with quitting, and arrange follow-up. Nurses spent significantly more time counseling smokers at 6 months than at pre-training, and were less likely to selectively counsel.Conclusions-Brief training facilitates both short-and long-term changes in nurse attitudes and behaviors regarding smoking cessation counseling.

show abstract

Section: Introductionmentioning

confidence: 95%

Section: Introductionmentioning

confidence: 99%

Is provider training effective? Changes in attitudes towards smoking cessation counseling and counseling behaviors of home health care nurses

Borrelli

Lee

Novak

2008

Preventive Medicine

View full text Add to dashboard Cite

show abstract

“…Reasons for not addressing tobacco include lack of time and competing priorities, questions concerning reimbursement and treatment efficacy, and lack of preparation and training (Zapka, et al, 1999). The latter is consistent with calls for training medical students and residents in tobacco prevention and control (Fiore, et al, 2004).…”

Section: Introductionmentioning

confidence: 79%

“…While the American Academy of Pediatrics (1998;2001;2005) urges pediatricians to address tobacco, surveys of pediatricians (Hymowitz, 1995;Zapka, et al, 1999;Perez-Stabile, et al, 2001;Bonolllo, et al, 2002;Marlarcher, et al, 2002;Tanski, et al, 2003;Kaplan, et al, 2004), residents (Kenney, et al, 1988;Hymowitz, et al, 2004), patients (Alfano, et al, 2002;Sims, et al, 2004;Hymowitz, et al, 2005a), and parents (Frankowski and Secker-Walker, 1994;Sharif, et al, 2003;Winickoff, et al, 2003a;Hymowitz, et al, 2005b) show that many pediatricians are not meeting the tobacco challenge. Like many other physicians, (e.g., Ferketich, et al, 2006), pediatricians are more likely to ask about tobacco use and exposure and advise change than to provide assistance for modifying behavior (cf.…”

Section: Introductionmentioning

confidence: 99%

“…When pediatricians and residents receive appropriate training, they become more confident in their ability to intervene on tobacco (Zapka, at al., 1999;Cabana, et al, 2004), more skillful in their approach (Lustig, et al, 2001;, and more effective in their impact (Hymowitz, et al, 2001b;Winickoff, et al, 2003b). In view of the need for pediatricians to play a leadership role in the anti-tobacco arena, it is important to develop and evaluate programs for training pediatric residents to address tobacco and to provide resources that may be used by programs throughout the country.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

The pediatric residency training on tobacco project: Four-year resident outcome findings

Hymowitz

Schwab

Haddock

et al. 2007

Preventive Medicine

View full text Add to dashboard Cite

Objective-To evaluate the efficacy of a special program for training pediatric residents to address tobacco.Method-In a study conducted at the New Jersey Medical School, sixteen pediatric residencytraining programs in the New York/New Jersey metropolitan area were assigned randomly to either special or standard training conditions. All of the residents were invited to take part in the training. Only second and third-year residents participated in data collection activities (baseline and followup tobacco surveys and objective structured clinical examinations [OSCEs]). Baseline data were collected in the spring of 2001, and follow-up data were collected annually through the spring of 2005.Special training consisted of a hybrid website/CD-ROM training program on tobacco, a seminar series, companion intervention material, and clinic mobilization. Standard training residents participated in the seminar series and utilized standard educational and self-help material Results-The percent of residents in special training, but of not those in standard training, who provided assistance for modifying environmental tobacco smoke, preventing use, and helping patients and parents stop smoking increased significantly from baseline to year 4 of training, as did the percent who felt prepared to address tobacco. Performance on the OSCEs was consistent with survey outcomes, as special training residents revealed mastery of key interviewing and intervention skills. Publisher's Disclaimer: This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final citable form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain. NIH Public Access

show abstract

Delivery of Smoking Prevention and Cessation Services to Adolescents

Klein

Levine²,

Allan³

2001

Arch Pediatr Adolesc Med

View full text Add to dashboard Cite

show abstract

The Perceptions and Practices of Pediatricians: Tobacco Intervention

Abstract: Pediatricians are missing opportunities to help their patients to stop smoking and to prevent smoking initiation. Pediatricians are intervening least frequently with parents who smoke. Practices should be tailored to the specific target group.

Cited by 90 publications

References 47 publications

Is provider training effective? Changes in attitudes towards smoking cessation counseling and counseling behaviors of home health care nurses

Is provider training effective? Changes in attitudes towards smoking cessation counseling and counseling behaviors of home health care nurses

The pediatric residency training on tobacco project: Four-year resident outcome findings

Delivery of Smoking Prevention and Cessation Services to Adolescents

Contact Info

Product

Resources

About