A survey of smoking cessation knowledge, training, and practice among U.S. army general medical officers

Hepburn, Matthew J.; Johnson, Jodi; Ward, John A.; Longfield, Jenice N.

doi:10.1016/s0749-3797(00)00123-9

Cited by 14 publications

(7 citation statements)

References 19 publications

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“…Ferry, Grissino, and Runfola (1999) found that 70% of medical schools did not require clinical training in smoking cessation techniques, and of those that did, only 20% used the AHRQ guidelines. Health care providers with formal smoking cessation training are more likely to routinely counsel and refer patients for smoking cessation services (Hepburn, Johnson, Ward, & Longfield, 2000;Prochazka, Koziol-McLain, Tomlinson, & Lowenstein, 1995).…”

Section: Discussionmentioning

confidence: 99%

Nurses' knowledge about the risk of light cigarettes and other tobacco "harm reduction" strategies

Borrelli

Novak

2007

CNTR

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Light and ultra-light cigarettes are associated with little or no risk reduction versus regular cigarettes, but the majority of smokers believe they are safer. We evaluated whether nurses believe that certain products (light and ultra-light cigarettes, reduced-tar cigarettes, nicotine replacement), cigarette design features (filters, no additives), and smoking behaviors (smoking reduction) reduce health risks among their patients. Nurses (N = 178; 93% female, 10% smokers) completed questionnaires before mandatory training in smoking cessation counseling. Among respondents, 25% believed that light and ultra-light cigarettes are equal in tar to regular cigarettes, 55% believed that two light cigarettes are equal in tar to one regular cigarette, and 51% believed that three or more ultra-light cigarettes are equal to one regular cigarette. Further, 40% believed that light and ultra-light cigarettes are less dangerous; younger nurses (<41 years old) were more likely to believe this than older nurses (p<.05). A total of 14% of nurses would recommend light and ultra-light cigarettes to help patients reduce health risks, 15% said that cigars are less harmful than cigarettes, 41% said that additive-free cigarettes are less dangerous, and 81% said that cutting down to 5 cigarettes/day improves health. Nurses had misperceptions about nicotine replacement: 60% believed that nicotine causes cancer, 72% believed that nicotine patches could cause heart attacks, and 40% and 15% believed that a prescription is needed for the nicotine patch or gum, respectively. Among nurses, smokers were more likely than nonsmokers to believe that smoking risks are exaggerated (p<.05). Nurse misinformation could lead to inaccurate recommendations and failure to capitalize on the teachable moment provided by the medical encounter.

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Section: Discussionmentioning

confidence: 99%

Nurses' knowledge about the risk of light cigarettes and other tobacco "harm reduction" strategies

Borrelli

Novak

2007

CNTR

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“…Previous researchers found that training health care students about TCC during their formative years of education is effective when compared to students who did not receive education. [19][20][21][22][23] Specifically, Seim and Verhoye and Hepburn et al found an increase in assisting patients to quit when the students were trained as compared to untrained students. 20,21 Findings from this study suggest that dental hygienists with TCC education during their formative years of education do not provide counseling activities to a high percentage (81-100 percent) of all patients.…”

Section: Discussionmentioning

confidence: 99%

“…[19][20][21][22][23] Specifically, Seim and Verhoye and Hepburn et al found an increase in assisting patients to quit when the students were trained as compared to untrained students. 20,21 Findings from this study suggest that dental hygienists with TCC education during their formative years of education do not provide counseling activities to a high percentage (81-100 percent) of all patients. In particular, the activities of asking about tobacco use, assisting to quit, and arranging followup were being performed by 5.9 percent or less of the dental hygienists.…”

Section: Discussionmentioning

confidence: 99%

Promotion of Tobacco Cessation Through Dental Hygiene Education: A Pilot Study

Monson

Engeswick

2005

Journal of Dental Education

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The purposes of this pilot study were as follows: 1) to determine the percentage and frequency of dental hygiene graduates who were providing tobacco cessation counseling (TCC) activities, after receiving TCC training during their formative years of education; 2) to identify the graduates' stages of change using the transtheoretical model regarding TCC; and 3) to identify factors influencing the delivery of TCC. A convenience sample of fifty-one Minnesota State University, Mankato (MSU) dental hygiene graduates were surveyed in this study. Wilcoxen signed rank tests were used to analyze the relationship between counseling actions and dental hygienists' stage of change in four TCC activities: asking, advising, assisting, and arranging follow-up. Pros and cons affecting the delivery of TCC were also examined. Findings indicate that dental hygienists who received TCC education during their training do not provide cessation counseling to a high percentage of their patients even though they believe in the value of such activity. However, dental hygienists are more likely to provide TCC to patients with periodontal disease than other dental patients. Conclusions: 1) addressing the potential frustration of the dental hygienist and coping methods when providing TCC during training may alleviate one of the barriers to TCC; 2) ready access to tobacco education materials may alleviate one of the barriers to TCC; and 3) emphasis during TCC training on providing education for all patients as part of health promotion, rather than just periodontal patients, may increase the overall counseling provided.

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“…This finding is consistent with the adult tobacco literature, which also found that, in comparison with patient reports, surveys of physicians usually indicated higher levels of assessing smoking status and providing smoking cessation advice and counseling. [67][68][69][70][71] It seems that a similar pattern of pediatric providers reporting greater intervention than patients is in effect for adolescents, with a significant percentage of adolescents either not receiving smoking prevention or cessation intervention or not recognizing or recalling receipt of intervention. The present study did not support fully previous research 46 that found that pediatricians were more likely to encourage children and adolescents not to start smoking than to intervene with those who already smoke.…”

Section: Discussionmentioning

confidence: 99%

Smoking Prevention and Cessation Intervention Delivery by Pediatric Providers, as Assessed With Patient Exit Interviews

Pbert

Fletcher²,

Flint

et al. 2006

Pediatrics

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A survey of smoking cessation knowledge, training, and practice among U.S. army general medical officers

Cited by 14 publications

References 19 publications

Nurses' knowledge about the risk of light cigarettes and other tobacco "harm reduction" strategies

Nurses' knowledge about the risk of light cigarettes and other tobacco "harm reduction" strategies

Promotion of Tobacco Cessation Through Dental Hygiene Education: A Pilot Study

Smoking Prevention and Cessation Intervention Delivery by Pediatric Providers, as Assessed With Patient Exit Interviews

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