Experiences of tobacco cessation including a prescription approach among patients in Swedish primary health care with a focus on socioeconomically disadvantaged areas

Leppänen, Anne; Ekblad, Solvig; Tomson, Tanja

doi:10.1371/journal.pone.0240411

Cited by 5 publications

(19 citation statements)

References 35 publications

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“…Thirteen studies were identified from the search as being fully eligible for inclusion (24)(25)(26)(27)(28)(29)(30)(31)(32)(33)(34)(35)(36) after the initial database search identified 4931 publications (Figure 1). The main reasons for excluding publications were that the article; i) did not describe an appropriate behavior change tool or ii) did not involve a family doctor.…”

Section: Resultsmentioning

confidence: 99%

“…Study designs included quantitative randomised controlled trials (24-28) (n=5), non-randomised experimental (30-32) (n=3), mixed methods (29,33,34) (24-27, 29, 32, 34) and other intervention groups (27,28). Pre/post studies used within-group baseline measures as a comparator (24,31,34), and three studies had no comparator (30,35,36). Most studies were conducted between 2014 and 2020 (n=10) (24,25,(27)(28)(29)(30)(31)(32)(33)36), and in the United States (n=8) (25, 26, 28-31, 33, 34) and Australia (n=3) (24,27,35) The studies ranged in sample size from n=8 (36) to n=520 (29).…”

Section: Characteristics Of Included Studiesmentioning

confidence: 99%

“…Pre/post studies used within-group baseline measures as a comparator (24,31,34), and three studies had no comparator (30,35,36). Most studies were conducted between 2014 and 2020 (n=10) (24,25,(27)(28)(29)(30)(31)(32)(33)36), and in the United States (n=8) (25, 26, 28-31, 33, 34) and Australia (n=3) (24,27,35) The studies ranged in sample size from n=8 (36) to n=520 (29).…”

Section: Characteristics Of Included Studiesmentioning

confidence: 99%

“…The characteristics of priority groups involved in the studies included: First Nations peoples (24,27,35); immigrants and those with low English skills or low health literacy skills (26,34); low income and/or socio-economic status (25,26,(28)(29)(30)32); multimorbidity (25), rural locality (33), and young people with chronic disease (29)(30)(31)34). Patient participants tended to be purposefully selected and recruited into studies based on known characteristics, such as smoking (24,36), pregnancy (24,26), and weight status (29,30).…”

Section: Characteristics Of Included Studiesmentioning

confidence: 99%

“…The behaviors were targeted singularly (e.g. smoking) (36), or as a collective (e.g. behaviors contributing to obesity) (25,(29)(30)(31)34).…”

Section: Description Of Tools Aimed At Changing Behaviorsmentioning

confidence: 99%

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Effectiveness, feasibility, and acceptability of behaviour change tools used by family doctors: a global systematic review

et al. 2022

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Background: Priority patients include people from low-income, rural or, culturally and linguistically diverse communities, and First Nations people. Aim: This systematic review describes the effectiveness, feasibility, and acceptability of behavior change tools that have been tested by family doctors working with priority patients. Design: Systematic Review Methods: Five databases were searched for studies published from 2000-2021, of any design, that tested the effectiveness or feasibility of tangible, publicly available behavior change tools used by family doctors working with priority patients. The methodological quality of each study was appraised using the Mixed Methods Appraisal Tool. Results: Thirteen of 4931 studies screened met the eligibility criteria, describing 12 tools. The health-related behaviors targeted included smoking, diet and/or physical activity, alcohol and/or drug use and suicidal ideation. Six tools had an online/web/app-based focused, and the remaining six tools utilised only printed materials and/or in-person training. The effectiveness of the tools was assessed in 11 studies using diverse methods, with promising results for enabling behavior change. The nine studies that assessed feasibility found that the tools were easy to use and enhanced the perceived quality of care. Conclusion: Many of the identified behavior change tools were demonstrated to be effective at facilitating change in a target behavior and/or feasible for use in practice. The tools varied across factors such as the mode of delivery and the way the tool was intended to influence behavior. There is clear opportunity to build upon existing tools to enable family doctors to assist priority patients towards healthier lifestyles.

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Section: Resultsmentioning

confidence: 99%

Section: Characteristics Of Included Studiesmentioning

confidence: 99%

Section: Characteristics Of Included Studiesmentioning

confidence: 99%

Section: Characteristics Of Included Studiesmentioning

confidence: 99%

“…The behaviors were targeted singularly (e.g. smoking) (36), or as a collective (e.g. behaviors contributing to obesity) (25,(29)(30)(31)34).…”

Section: Description Of Tools Aimed At Changing Behaviorsmentioning

confidence: 99%

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Effectiveness, feasibility, and acceptability of behaviour change tools used by family doctors: a global systematic review

et al. 2022

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Should Nicotine Replacement Therapy be Provided Free of Charge? A Cost-Utility Analysis in Sweden

Gebreslassie

Galanti

Feldman

et al. 2023

Nicotine and Tobacco Research

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Introduction Treatment with nicotine replacement therapy (NRT) during an attempt to quit smoking increases the likelihood of success by about 55%. However, out of pocket payment for NRT can hinder its use. This study aims therefore to assess the cost-effectiveness of subsidizing NRT in Sweden. Methods A homogeneous cohort-based Markov model was used to assess the lifetime costs and effects of subsidized NRT from a payer and societal perspective. Data to populate the model were retrieved from the literature, and selected parameters were varied in deterministic and probabilistic sensitivity analyses to assess robustness of model outputs. Costs are presented in USD, year 2021. Results A 12-week treatment with NRT was estimated to cost USD 632 (474– 790) per person. From a societal perspective, subsidized NRT was a cost-saving alternative in 98.5% of the simulations. NRT is cost-saving across all ages, but the health and economic gains are somewhat larger among younger smokers from a societal perspective. When a payer perspective was used, the incremental cost-effectiveness ratio (ICER) was estimated at 14 480 (11 721 – 18 515) USD per QALY which was cost-effective at a willingness to pay of 50 000 USD per QALY in 100 % of the simulations. Results were robust with realistic changes in the inputs during scenario and sensitivity analyses. Conclusion Subsidizing NRT is potentially a cost-saving smoking cessation strategy from a societal perspective and cost-effective from a payer perspective.

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Practice Current

et al. 2023

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People who continue to smoke after ischemic stroke and transient ischemic attack (TIA) are at increased risk for subsequent stroke and cardiovascular events. Although effective smoking cessation strategies exist, smoking rates after stroke remain high. Through case-based discussions with 3 international vascular neurology panelists, this article seeks to explore practice patterns and barriers to smoking cessation for patients with stroke/TIA. We sought to answer these questions: What are the barriers to using smoking cessation interventions for patients with stroke/TIA? Which interventions are most used for hospitalized patients with stroke/TIA? Which interventions are most used for patients who continue smoking during follow-up? Our synthesis of panelists' commentaries is complemented by the preliminary results of an online survey posed to global readership. Together, the interviews and survey results identify practice variability and barriers to smoking cessation after stroke/TIA, suggesting that there is substantial need for research and standardization.

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Experiences of tobacco cessation including a prescription approach among patients in Swedish primary health care with a focus on socioeconomically disadvantaged areas

Cited by 5 publications

References 35 publications

Effectiveness, feasibility, and acceptability of behaviour change tools used by family doctors: a global systematic review

Effectiveness, feasibility, and acceptability of behaviour change tools used by family doctors: a global systematic review

Should Nicotine Replacement Therapy be Provided Free of Charge? A Cost-Utility Analysis in Sweden

Practice Current

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