A survey of oral and maxillofacial surgeons' tobacco-use–related knowledge, attitudes and intervention behaviors

Crews, Karen M.; Sheffer, Christine E.; Payne, Thomas J.; Applegate, Bradford W.; Martin, Andrew C.; Sutton, Trey

doi:10.14219/jada.archive.2008.0106

Cited by 30 publications

(71 citation statements)

References 20 publications

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“…12, 20,23 Non-whites perceived treatment to be more effective and, being more familiar with the treatment and referral programs, they were more likely to arrange for follow-up and refer to treatment programs. Younger physicians saw the effects of tobacco use on their patients more frequently, were more confident in their ability to assist patients quit, and perceived treatment to be more effective.…”

Section: Discussionmentioning

confidence: 99%

“…Women, younger practitioners, and those who do not use tobacco are more likely to provide assistance. 12, 20 Barriers include lack of motivation, knowledge, confidence, and counseling skills. 21, 22 Physicians with formal training in treating tobacco dependence are more likely to provide assistance than those without training and physicians who are familiar with treatment services are more likely to refer than those who are not.…”

Section: Introductionmentioning

confidence: 99%

“…21, 22 Physicians with formal training in treating tobacco dependence are more likely to provide assistance than those without training and physicians who are familiar with treatment services are more likely to refer than those who are not. 20, 23–27 Paying for performance of specific tobacco intervention services is also associated with significant increases in the frequency of physician tobacco-related interventions. 28 However, it is unknown whether these and other factors function similarly when a high proportion of the patient population is of lower SES and clearly in greater need of the preventative services.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Tobacco Intervention Practices of Primary Care Physicians Treating Lower Socioeconomic Status Patients

Sheffer

Brackman

Anders

et al. 2012

The American Journal of the Medical Sciences

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Tobacco use greatly contributes to overall socioeconomic health disparities and physicians are a major source of information about effective methods for tobacco cessation. This study examined the tobacco intervention practices of primary care physicians in Arkansas who treat a high proportion of lower SES patients. Greater than 70% of respondents’ patients were covered by Medicaid and/or Medicare or paid for primary care services without health insurance. Although physicians were highly motivated and considered cessation to be very important, 74% had no training of any kind in the treatment of tobacco dependence and familiarity with the free treatment services in Arkansas was low. Younger and non-white physicians and physicians with any type of training in treating tobacco dependence reported more positive attitudes, more frequent intervention behaviors, and more familiarity with treatment services. More frequently seeing the effects of tobacco use on the health of patients as well as increased knowledge, preparedness, and perceived effectiveness of treatments was related to a higher frequency of providing cessation assistance. More frequently seeing the effects of tobacco use on patients, as well as increased familiarity with treatment services was related to a higher frequency of referring patients to treatment services. These findings suggest that training experiences that increase physician awareness of the multiplicity of consequences of tobacco use as well as increase knowledge, preparedness, perceived effectiveness of treatments, and familiarity with treatment services will increase the frequency with which physicians assist and refer this important patient population.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Tobacco Intervention Practices of Primary Care Physicians Treating Lower Socioeconomic Status Patients

Sheffer

Brackman

Anders

et al. 2012

The American Journal of the Medical Sciences

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“…However, various reports in the scientific literature indicate that one of the common barriers for dental professionals providing tobacco use cessation support is the reported lack of education at the undergraduate education level. 9,10 There clearly needs to be a paradigm change in education techniques related to tobacco education. In this study we explore current levels of education offered by European dental schools in providing health advice on tobacco use to dental patients.…”

Section: Introductionmentioning

confidence: 99%

Curriculum survey on tobacco education in European dental schools

et al. 2012

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“…7 However, researchers report limited adoption of the Public Health Service recommendations by health care providers. 6,[8][9][10] Lawvere et al 10 noted that although physician assistants (PAs) recognized a need to provide cessation counseling, many lacked the confidence to provide this service. Enhanced training could provide increased confidence, ultimately yielding an improved intervention.…”

Section: Introductionmentioning

confidence: 99%

Assessing the Current Status of Tobacco Dependence Education Curricula in US Physician Assistant Programs

Kelly¹,

Davis²,

DiCocco³

2011

The Journal of Physician Assistant Education

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MSPurpose: Tobacco use continues to be the single most preventable cause of death and disease in the United States. A paradigm shift is needed in physician assistant (PA) education to address tobacco dependence as a chronic, relapsing disease requiring patient education, counseling, treatment, and follow-up. Methods: A national study was conducted to assess the existing tobacco dependence education currently offered in US PA programs. An established tobacco dependence curriculum survey was revised and mailed to the 141 accredited PA programs in the United States during the 2008-2009 academic year. The survey asked respondents to report the following with regard to tobacco dependence education content in their PA program: (1) Perceived self-efficacy and barriers; (2) Medical topics covered and minutes spent; (3) Evaluation of students' competency level; (4) Tobacco courses, topics, and resources used; and (5) Level of tobacco-cessation competency expected upon graduation. Results: A total of 79 surveys were returned (56% response rate). Though, on average, over 827 minutes (14 hours) were devoted to tobacco dependence education curriculum, most minutes (223 minutes) were spent on the health effects of tobacco use, with only 42 minutes spent on cessation counseling, 55 minutes on medications, and 13 minutes on integrating tobacco-cessation into clinical practice. Conclusions: PA educators have the unique opportunity to affect tobacco-related morbidity and mortality. The present study demonstrates that PA instructors are more than adequately teaching students about tobacco use. However, it is not clear if students are being adequately taught how to assist patients to quit using tobacco.

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A survey of oral and maxillofacial surgeons' tobacco-use–related knowledge, attitudes and intervention behaviors

Cited by 30 publications

References 20 publications

Tobacco Intervention Practices of Primary Care Physicians Treating Lower Socioeconomic Status Patients

Tobacco Intervention Practices of Primary Care Physicians Treating Lower Socioeconomic Status Patients

Curriculum survey on tobacco education in European dental schools

Assessing the Current Status of Tobacco Dependence Education Curricula in US Physician Assistant Programs

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