Brief opportunistic smoking cessation interventions: a systematic review and meta‐analysis to compare advice to quit and offer of assistance

Aveyard, Paul; Begh, Rachna; Parsons, Andrew J.; West, Robert

doi:10.1111/j.1360-0443.2011.03770.x

Cited by 328 publications

(292 citation statements)

References 47 publications

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“…First, the aim was to reorient doctors away from advising patients to stop smoking and towards offering help to achieve this, in line with evidence that says offering help is more effective than advice and with the development of a national training programme to support health professionals to deliver very brief advice to quit. 17,18 Second, it aimed at improving prevention by extending care to smokers who had yet to develop smoking-related conditions. The change in the QOF appears to have been partly successful in meeting both aims.…”

Section: Discussion Summarymentioning

confidence: 99%

Provision of smoking cessation support in UK primary care: impact of the 2012 QOF revision

Szatkowski

Aveyard

2015

Br J Gen Pract

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BackgroundBefore 2012, UK GPs were paid only to offer cessation advice to smokers and only to those with smoking-related disease, a minority of all smokers. From 2012, GPs are now paid to offer all smokers referral for behavioural support and medication to assist cessation at least once every 2 years. AimTo quantify the impact of this new recommendation and payment on indicators of smoking cessation activity. Design and settingInterrupted time series analysis of data from general practices in England contributing data to The Health Improvement Network (THIN). MethodData were extracted on monthly rates of recorded delivery of smoking cessation advice, referral to NHS Stop Smoking Services, and prescription of smoking cessation medications, among an average of 3.3 million patients aged >16 years registered each month in THIN. ARIMA models were used to quantify changes in rates of cessation activity after the 2012 Quality and Outcomes Framework (QOF) revision compared with beforehand.

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Section: Discussion Summarymentioning

confidence: 99%

Provision of smoking cessation support in UK primary care: impact of the 2012 QOF revision

Szatkowski

Aveyard

2015

Br J Gen Pract

Self Cite

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“…Enhancing self-efficacy may lead to more quit attempts, but these attempts also need to be of a 'better quality' in order to give people the best chances to successfully quit. In the general population, it has been shown that providing practical assistance, such as offering NRT, has a significant influence on cessation outcomes (Aveyard et al 2012).…”

Section: Dangers Of Quitting and Treatmentmentioning

confidence: 99%

Getting over the shock: taking action on Indigenous maternal smoking

Gould

Cadet‐James

Clough

2016

Aust. J. Prim. Health

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Abstract.Smoking rates are slow to decline among pregnant Indigenous women. One in two pregnant Indigenous Australian women is a tobacco smoker compared with one in eight in the non-Indigenous population. The National Close the Gap strategy ambitiously aims to reduce Indigenous smoking prevalence to half by 2018, but this goal is unlikely to be achieved. Evidence is growing to better inform targeted strategies for Indigenous pregnant women based on national and international studies. It is proposed to be an appropriate time to refine translational approaches for anti-tobacco messages and cessation support in this population, rather than waiting for further empirical research before making these essential changes. Systemic barriers to Indigenous pregnant women receiving equitable primary health care have been identified, are remediable, and urgently require addressing. These barriers include: (1) lack of subsidised access to suitable oral forms of nicotine replacement therapy; (2) lack of clinician training in the complex area of management of maternal Indigenous smoking; and (3) lack of targeted health promotion programs addressing the psychosocial challenges that Indigenous women face. In the interim, translational strategies to target tobacco control and cessation in pregnant Indigenous women need to be based on current evidence.

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“…brief advice from health professionals can significantly increase the quit rate (Aveyard et al, 2012;Amemori et al, 2013). A study in the United Kingdom showed that most smokers thought that information about health risks of ETS to children, and advice from health professionals would be helpful to reduce children's rate of passive smoking in their homes (Alwan et al, 2010).…”

mentioning

confidence: 99%

Passive Smoking and Attitudes towards Tobacco Control Programs among Iranian Dental Students

Keshavarz

Jafari

Khami³

et al. 2013

Asian Pacific Journal of Cancer Prevention

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Brief opportunistic smoking cessation interventions: a systematic review and meta‐analysis to compare advice to quit and offer of assistance

Abstract: Physicians may be more effective in promoting attempts to stop smoking by offering assistance to all smokers than by advising smokers to quit and offering assistance only to those who express an interest in doing so.

Cited by 328 publications

References 47 publications

Provision of smoking cessation support in UK primary care: impact of the 2012 QOF revision

Provision of smoking cessation support in UK primary care: impact of the 2012 QOF revision

Getting over the shock: taking action on Indigenous maternal smoking

Passive Smoking and Attitudes towards Tobacco Control Programs among Iranian Dental Students

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