Best Practices for Smoking Cessation Interventions in Primary Care

McIvor, Andrew; Kayser, John William; Assaad, Jean-Marc; Brosky, Gerry; Demarest, Penny; Desmarais, Philippe; Hampson, Christine; Khara, Milan; Pathammavong, Ratsamy; Weinberg, Robert S.

doi:10.1155/2009/412385

Cited by 38 publications

(43 citation statements)

References 18 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Relative to an EBP, research utilization, and knowledge transformation processes approach (thematic area 1), activities in the field of tobacco cessation have included critically appraising and synthesizing the research evidence concerning effective strategies for tobacco cessation87, 88, developing and distributing evidence-based guidelines for clinical intervention89-91, devising an interdisciplinary tobacco cessation protocol for inpatients92, refining the measurement of clinical outcomes of smoking cessation programs93, and developing curricula for health-professional education94, 95. Such knowledge synthesis efforts are fundamental in bridging from late translation to dissemination and adoption63.…”

Section: Results and Analysismentioning

confidence: 99%

A thematic analysis of theoretical models for translational science in nursing: Mapping the field

Mitchell

Fisher²,

Hastings³

et al. 2010

Nursing Outlook

112

113

View full text Add to dashboard Cite

Background The quantity and diversity of conceptual models in translational science may complicate rather than advance the use of theory. Purpose This paper offers a comparative thematic analysis of the models available to inform knowledge development, transfer, and utilization. Method Literature searches identified 47 models for knowledge translation. Four thematic areas emerged: (1) evidence-based practice and knowledge transformation processes; (2) strategic change to promote adoption of new knowledge; (3) knowledge exchange and synthesis for application and inquiry; (4) designing and interpreting dissemination research. Discussion This analysis distinguishes the contributions made by leaders and researchers at each phase in the process of discovery, development, and service delivery. It also informs the selection of models to guide activities in knowledge translation. Conclusions A flexible theoretical stance is essential to simultaneously develop new knowledge and accelerate the translation of that knowledge into practice behaviors and programs of care that support optimal patient outcomes.

show abstract

Section: Results and Analysismentioning

confidence: 99%

A thematic analysis of theoretical models for translational science in nursing: Mapping the field

Mitchell

Fisher²,

Hastings³

et al. 2010

Nursing Outlook

112

113

View full text Add to dashboard Cite

show abstract

“…From the clinical viewpoint and on the basis of the Finnish and other smoking cessation guidelines, varenicline use is not limited to the heavily dependent quitters [8, 9, 11]. There is evidence that the level of baseline nicotine dependence had no effect of the efficacy of varenicline in comparison to placebo [32].…”

Section: Discussionmentioning

confidence: 99%

Characteristics of first-time varenicline users – A cross-sectional study in Finnish quitters

Tervonen

Turunen²,

Baker

et al. 2017

BMC Public Health

View full text Add to dashboard Cite

BackgroundVarenicline is an efficacious medicine for smoking cessation (SC) but little is known about the characteristics of varenicline users. This study examined the characteristics of first-time (naïve) varenicline users in Finland and compared those who had previously used SC pharmacotherapy to those who were trying SC pharmacotherapy for the first time.MethodsA cross-sectional survey was conducted in Finnish community pharmacies between February 2014 and January 2015. Pharmacy customers purchasing a varenicline starter package for the first time ever were asked to complete a questionnaire or to participate in a structured interview conducted by the pharmacist (identical questions). The questionnaire included questions about demographic characteristics, smoking habits, previous cessation attempts and factors associated with varenicline use.ResultsAltogether 98 people completed the survey. The majority were daily smokers (96%, n = 94), with a history of over 10 years of regular smoking (94%, n = 92), and a strong/very strong nicotine dependence (67%, n = 66). Half of the participants (54%, n = 53) were trying a SC pharmacotherapy for the first time. Demographic characteristics and smoking habits were similar between first-time and previous users of SC medications (p > 0.05). Health centers (42%, n = 41) and occupational health care clinics (37%, n = 36) were the most common sources of varenicline prescriptions. The majority of participants received the prescription for varenicline after mentioning their desire for quitting to a physician (70%, n = 69).ConclusionsConsidering the relatively large proportion of SC naïve medicine users among new users of varenicline, smokers who have previously been reluctant to quit smoking, to use other pharmacological SC interventions, or perhaps unaware of these options may be interested in attempting cessation with varenicline. Most participants made the initiative to discuss their smoking with the physician, which led to varenicline prescribing. This suggests that physicians may not satisfactorily recognize their patients’ nicotine dependence and desire to quit, and they should more actively support patients’ smoking cessation.

show abstract

“…1,2,19 (The acronym MPOWER is derived from "Monitor tobacco use and prevention policies; Protect people from tobacco smoke; Offer help to quit tobacco use; Warn about the dangers of tobacco; Enforce bans on tobacco advertising, promo- tion and sponsorship; Raise taxes on tobacco.") In our study, 18.2% of all patients screened reported current use of tobacco products.…”

Section: Discussionmentioning

confidence: 99%

“…1 Primary care practice is an important setting for intervening with smokers and assisting with cessation. 1,2 In North America, an estimated 70%-80% of tobacco users will visit a primary care provider at least once annually; similar rates are reported internationally. [3][4][5][6] These visits represent an opportunity to identify the smoking status of patients, offer advice to quit and brief motivational interventions, and support cessation.…”

mentioning

confidence: 83%

Profile of tobacco users identified in primary care practice and predictors of readiness to quit: a cross-sectional survey

et al. 2016

View full text Add to dashboard Cite

Background:The aim of this study was to document the prevalence of tobacco use and describe the characteristics of tobacco users identified in primary care practices. Methods:We conducted a cross-sectional survey in 49 primary care practices in the province of Ontario. Consecutive patients were screened for smoking status at the time of their clinic appointment. Patients reporting current tobacco use completed a survey, which documented sociodemographic and smoking-related characteristics. Multilevel modelling was used to examine predictors of readiness to quit smoking and the presence of anxiety and/or depression.Results: A total of 56 592 patients were screened, and 5245 tobacco users participated in the survey. Prevalence of tobacco use was 18.2% and varied significantly across practices (range 12.4%-36.1%). Of the respondents, 46.3% reported current anxiety and/or depression, and 61.3% reported smoking within the first 30 minutes of waking. A total of 41.1% of respondents reported they were ready to quit smoking in the next 6 months, and 30.1% reported readiness to quit in the next 30 days. Readiness to quit was positively associated with higher self-efficacy, male sex, presence of chronic obstructive pulmonary disease and more years of tobacco use. The presence of anxiety and/or depression was associated with lower cessation self-efficacy and time to first cigarette within 30 minutes of waking, but did not predict readiness to quit.Interpretation: Tobacco users identified in primary care practices reported high rates of nicotine dependence and anxiety and/or depression, but also high rates of readiness to quit. Study findings support the need to tailor interventions to address the needs of tobacco users identified in primary care settings. Abstract Research CMAJ OPEN E42CMAJ OPEN, 4(1) Methods Design and settingData collection activities occurred in a sample of 49 primary care practices in the province of Ontario. An invitation to participate in the study was sent to all family health teams (n = 90) from 6 health regions in Ontario (Champlain Local Health Integration Network [LHIN], South East LHIN, Central East LHIN, Waterloo Wellington LHIN, Mississauga Halton LHIN and Erie St. Clair LHIN). A telephone call was also placed by a member of the project team to confirm receipt and answer any questions about study participation. From each participating primary care practice, a crosssectional sample of patients who used tobacco completed the study survey. Sources of dataIn each primary care practice, consecutive patients scheduled for an annual examination or nonurgent appointment were screened for eligibility upon check-in to the clinic. A research assistant was located in primary care practice waiting rooms and was responsible for screening all patients for eligibility and for all data collection activities. Patients were eligible to participate if they met the following criteria: (1) a current smoker (≥ 1 cigarette per day in past 7 days); (2) 18 years of age or older; (3) had a scheduled appointment with a ...

show abstract

Best Practices for Smoking Cessation Interventions in Primary Care

Cited by 38 publications

References 18 publications

A thematic analysis of theoretical models for translational science in nursing: Mapping the field

A thematic analysis of theoretical models for translational science in nursing: Mapping the field

Characteristics of first-time varenicline users – A cross-sectional study in Finnish quitters

Profile of tobacco users identified in primary care practice and predictors of readiness to quit: a cross-sectional survey

Contact Info

Product

Resources

About