Implementation strategies to increase smoking cessation treatment provision in primary care: a systematic review of observational studies

Tildy, Bernadett E.; McNeill, Ann; Perman-Howe, Parvati Rose; Brose, Leonie S.

doi:10.1186/s12875-023-01981-2

Cited by 7 publications

(3 citation statements)

References 63 publications

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“…Regarding barriers and facilitators (RQ3), the most frequently reported barriers were "available resources," "knowledge and beliefs about the intervention," and "patient needs and resources" in clinical settings. These barriers were consistent with previous studies that reported time limitations, low priority, lack of knowledge among healthcare professionals, and providers' perception that patients were not interested in smoking cessation as barriers to primary care [103,104], including a scoping review in South Asian regions [105]. The most frequently reported facilitator was "relative priority."…”

Section: Discussionsupporting

confidence: 87%

Smoking cessation interventions and implementations across multiple settings in Japan: A scoping review and supplemental survey

Nagasawa¹,

Saito²,

Odawara³

et al. 2023

Preprint

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Background: Smoking is the leading risk factor for death worldwide. In Japan, although several evidence-based interventions (EBIs) for smoking cessation have been disseminated or adopted, there is a gap between scientific evidence and the actual implementation. This scoping review aimed to describe the knowledge gaps in local-level smoking cessation interventions in Japan, their implementation outcomes, implementation barriers and facilitators, and the use of implementation strategies.Methods: This study comprised two approaches: (1) a comprehensive scoping review of primary and grey literature, and (2) a supplemental survey of organizations in the grey literature. For the scoping review, we included original studies or reports on smoking cessation interventions targeting adults aged 18 years and older, or providers of cessation support at various settings (community, workplace, school, and clinical settings) in Japan. The extracted data included basic characteristics, intervention categories, implementation outcomes, factors influencing implementation, and implementation strategies for each intervention. Responses to the supplemental survey were extracted same used for the scoping review. To gain a deeper understanding, semi-structured interviews were conducted with some of the organizations in the survey.Results: A total of 600 interventions with 691 intervention components, based on EBIs in the 2020 U.S. Surgeon General Report, from 498 articles were included in the data extraction; 32 of the 88 organizations responded to the survey. Regarding the overall knowledge about smoking cessation intervention components, behavioral counseling and cessation medication in clinical settings were mostly reported (34.7%). Implementation outcomes were measured in 18 articles (3.0%) and penetration was mostly reported. Regarding influential factors, “available resources,” and “knowledge and beliefs about the intervention” for barriers, and “relative priority” for facilitators were mostly reported. Implementation strategies were measured in 29 articles (4.8%), and “Train and educate stakeholders” was mostly reported.Conclusions: Most EBIs reported in the Japanese literature included smoking cessation treatments in clinical settings. While a few articles focused on the implementation indicators in Japan, significant knowledge and experience were extracted from the grey literature, especially in the workplace and community settings. Future research should focus more on implementation to reduce the knowledge gap regarding smoking cessation interventions.

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Section: Discussionsupporting

confidence: 87%

Smoking cessation interventions and implementations across multiple settings in Japan: A scoping review and supplemental survey

Nagasawa¹,

Saito²,

Odawara³

et al. 2023

Preprint

View full text Add to dashboard Cite

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“…We know from the implementation research field that facilitation and effective implementation strategies are often needed to succeed with implementation long-term ( 33 , 34 ). Several strategies can be found that support health care practitioners to perform smoking cessation activities and cue their behavior in the “right” direction.…”

Section: Discussionmentioning

confidence: 99%

Implementing smoking cessation in routine primary care—a qualitative study

Dannapfel,

Bendtsen,

Bendtsen

et al. 2023

Front. Health Serv.

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BackgroundThe use of digital tools has been proposed as a solution to some of the challenges of providing preventative services in primary care. Although there is a general acceptance among patients to use digital self-help tools to quit smoking, and healthcare organizations are increasingly urged to incorporate these tools in clinical practice, it is unclear how and for whom these innovations can be incorporated into clinical practice.ObjectivesTo explore health care professionals' perceptions about smoking cessation practice in routine primary care and the use of digital tools in this work.MethodsA qualitative study with nine in-depth telephone interviews with health care professionals working in primary care in Sweden. Convenience sampling and snowball technique was used as recruitment strategy. Informants included registered, district and auxiliary nurses as well as behavioral therapists. All informants were female, between 43 and 57 years old and experience of working with smoking cessation in primary care and possibility to recommend digital interventions to smokers.ResultsInformants described smoking cessation practice in primary care as (i) identifying smoking patients, (ii) pursuing standardized routines for smoking cessation practice and (iii) keeping smoking cessation practice on the agenda. Digital tools were described by informants to be used in different ways: (i) replicating practice, (ii) complementing practice and (iii) enabling access to health care practitioners. Finally, the analysis showed that patients' expectations and behaviors contributed to how and when smoking cessation practice was conducted, including the use of digital tools.ConclusionsImplementing smoking cessation practice in primary care in Sweden encompass continuous work of reaching smoking patients, building buy-in among peers and keeping tobacco on the practice agenda. Digital interventions are used to replicate, complement and enabling access to care. The findings suggest that poor continuity of staff and negative attitudes towards preventative work may challenge smoking cessation practice. However, societal changes in the awareness of the health risks of tobacco use including shifting social norms regarding the acceptance of smoking may contribute to a normalization of speaking about smoking in primary care practice. Increased knowledge is needed on how, and for whom digital tools can be incorporated in clinical practice.

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“…To provide sound advice on smoking cessation, HCPs must be knowledgeable and possess the right attitude, which is crucial to giving meaningful advice. In a recent systematic review, Tildy et al ( 2023 ) found that a lack of knowledge among health providers and inadequate messaging about cessation support options are significant barriers to successful smoking cessation interventions (Tildy et al 2023 ). This finding assesses HCPs’ knowledge, attitudes and practices (KAP) on smoking cessation interventions.…”

Section: Introductionmentioning

confidence: 99%

Healthcare providers’ knowledge, attitudes and practices on smoking cessation intervention in the Northern Cape

Muza,

Egenasi,

Steinberg

et al. 2024

Health SA Gesondheid

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Background: Clinicians are crucial in encouraging smokers to quit through behavioural or pharmacological smoking cessation interventions. Smokers quit better with professional help. The level of healthcare providers’ (HCPs) knowledge, attitudes and counselling skills related to effective smoking cessation support in the study area remains uncertain.Aim: The study aimed to determine HCPs’ knowledge, attitudes and practices (KAP) on smoking cessation intervention strategies in the Sol Plaatje district, Northern Cape.Setting: Sol Plaatje’s 13 district municipality clinics, Kimberley, Northern Cape.Method: A descriptive, cross-sectional analytical study involving healthcare workers in the above setting.Results: A total of 165 HCPs, including medical officers, professional nurses, enrolled nurses and assistant-enrolled nurses working in primary healthcare clinics, were invited to participate in the study, with 156 completing the questionnaires. About 53.9% had no knowledge of South African tobacco smoking cessation guidelines, while 87.2% knew the importance of counselling patients about smoking and its impact on quitting. The majority of them did not know the medicines recommended for tobacco treatment in South Africa. About 89.7% expressed that smoking cessation counselling is an important part of their jobs. However, less than half indicated that they make follow-up arrangements for those attempting to quit.Conclusion: The study revealed gaps in KAP regarding smoking cessation among the respondents, necessitating the need for continuing education on the existing smoking cessation guidelines among these HCPs.Contribution: The results of this study will help to improve smoking cessation intervention knowledge among health providers.

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Implementation strategies to increase smoking cessation treatment provision in primary care: a systematic review of observational studies

Cited by 7 publications

References 63 publications

Smoking cessation interventions and implementations across multiple settings in Japan: A scoping review and supplemental survey

Smoking cessation interventions and implementations across multiple settings in Japan: A scoping review and supplemental survey

Implementing smoking cessation in routine primary care—a qualitative study

Healthcare providers’ knowledge, attitudes and practices on smoking cessation intervention in the Northern Cape

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