Is provider training effective? Changes in attitudes towards smoking cessation counseling and counseling behaviors of home health care nurses

Borrelli, Belinda; Lee, Christina; Novak, Scott P.

doi:10.1016/j.ypmed.2007.09.001

Cited by 54 publications

(62 citation statements)

References 17 publications

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“…41 Studies show that training on the 5A’s as well as training in appropriate communication skills and patient-centered counseling methods such as motivational interviewing can improve smoking cessation. 42 Thus, providing training, tools and resources on how to effectively implement the 5A’s are needed. In addition, healthcare systems changes such as provider reminders and including the 5A’s in electronic medical records may help to facilitate delivery of these interventions and integration into routine prenatal care.…”

Section: Discussionmentioning

confidence: 99%

Smoking Patterns and Receipt of Cessation Services Among Pregnant Women in Argentina and Uruguay

Berrueta

Morello

Alemán³

et al. 2015

NICTOB

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Introduction The 5A’s (Ask, Advise, Assess, Assist, and Arrange) strategy, a best-practice approach for cessation counseling, has been widely implemented in high-income countries for pregnant women; however, no studies have evaluated implementation in middle-income countries. The study objectives were to assess smoking patterns and receipt of 5A’s among pregnant women in Buenos Aires, Argentina and Montevideo, Uruguay. Methods Data were collected through administered questionnaires to women at delivery hospitalizations during October 2011–May 2012. Eligible women attended one of 12 maternity hospitals or 21 associated prenatal care clinics. The questionnaire included demographic data, tobacco use/cessation behaviors, and receipt of the 5A’s. Self-reported cessation was verified with saliva cotinine. Results Overall, of 3400 pregnant women, 32.8% smoked at the beginning of pregnancy; 11.9% quit upon learning they were pregnant or later during pregnancy, and 20.9% smoked throughout pregnancy. Smoking prevalence varied by country with 16.1% and 26.7% who smoked throughout pregnancy in Argentina and Uruguay, respectively. Among pregnant smokers in Argentina, 23.8% reported that a provider asked them about smoking at more than one prenatal care visit; 18.5% were advised to quit; 5.3% were assessed for readiness to quit, 4.7% were provided assistance, and 0.7% reported follow-up was arranged. In Uruguay, those percentages were 36.3%, 27.9%, 5.4%, 5.6%, and 0.2%, respectively. Conclusions Approximately, one in six pregnant women smoked throughout pregnancy in Buenos Aires and one in four in Montevideo. However, a low percentage of smokers received any cessation assistance in both countries. Healthcare providers are not fully implementing the recommended 5A’s intervention to help pregnant women quit smoking.

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Section: Discussionmentioning

confidence: 99%

Smoking Patterns and Receipt of Cessation Services Among Pregnant Women in Argentina and Uruguay

Berrueta

Morello

Alemán³

et al. 2015

NICTOB

View full text Add to dashboard Cite

show abstract

“…Previous studies have established that doctors with healthy behaviors and adequate knowledge of preventive medicine are more motivated to work with their patients in this area and that their interventions are more credible and effective than those without healthy behaviors and adequate knowledge [14][15][16][17][18][19]. Therefore, emphasizing these aspects during medical training reduces the burden of non-communicable diseases [14][15][16][17][18][19][20][21]. Our study provides useful information on the factors associated with unhealthy practices and their relationship with preventive counseling attitudes in a developing country, where both the influence of tobacco companies and unhealthy behaviors are on the rise.…”

Section: Discussionmentioning

confidence: 99%

“…Several studies indicate that health professionals who have received training in preventive medicine tend to have healthier lifestyles and better attitudes toward preventive counseling [14,15]. Furthermore, studies have observed that counseling has a higher level of impact and effectiveness if the provider is a model of the messages transmitted to the patients [2,[16][17][18][19].…”

Section: Introductionmentioning

confidence: 99%

Attitude toward preventive counseling and healthy practices among medical students at a Colombian university

2015

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Unhealthy behaviors of medical students influence their attitudes toward preventive counseling. The burden of chronic diseases is continually growing in developing countries, emphasizing the need for the increased role of general practitioners in preventive counseling. The objective of this study was to describe the effect of medical training on the risk profiles and attitudes of medical students toward preventive counseling in a Colombian university. Students in their first and fifth years of training were surveyed using the "Healthy Doctor = Healthy Patient" questionnaire to assess counseling attitudes; personal practices, such as risky drinking, smoking, inadequate nutrition, and non-compliance with physical activity recommendations; and the university environment. The association among these components was estimated, as well as the effect of the university environment. Risky drinking and smoking decreased from first to fifth year (59.3% vs. 37.1%, P = 0.021 and 31.5% vs. 25.9%, P = 0.51, respectively), whereas inadequate nutrition and non-compliance with physical activity recommendations increased. Physical activity (PA) was associated with positive counseling attitude (ORs: nutrition 7.6; alcohol 5.2; PA 10.6). Areas governed by institutional policies that are emphasized in the curriculum positively affected student practices. PA promoted preventive counseling and healthy lifestyles most effectively. Universities should therefore strengthen their preventive medicine curricula and modify social determinants.

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“…The WHO recommends that all health professionals be trained to advise and help smokers stop smoking, and that education and training start at the undergraduate level and continue on through clinical training (WHO, 2001;WHO, 2003). Evidence from a range of health professional training programmes suggests that relatively brief training can have an impact (Borelli et al, 2008;Sheffer et al, 2009;Maynard et al, 2012). To provide further training for health professionals such as psychologists following the completion of formal university education, it may be important to explore flexible forms of delivery, such as tele-health, videoconferencing and on-line formats (Mitchell et al, 2008;Maynard et al, 2012).…”

Section: Discussionmentioning

confidence: 99%

Psychologists and Smoking Cessation Intervention: Unrealised Potential

et al. 2013

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S moking cessation interventions during routine clinical encounters by health professionals have the potential to reach smokers and facilitate cessation. Although psychologists might appear to be ideal providers of such interventions, international research suggests that their provision is limited. This paper reports the results of a survey conducted in NSW, Australia, of psychologists' (n = 72) smoking intervention practices, attitudes, and barriers to providing such care. Less than half of the respondents reported assessing smoking status for 'all or nearly all' of their clients. Across a range of smoking cessation intervention types, the most frequent response given indicated provision to 'none or almost none' of clients who smoked. Only 13% of respondents indicated even 'advising cessation' to 'all or nearly all' of their smoking clients. Barriers included concern about negative influence on the therapeutic relationship, inadequacy of training and lack of confidence to intervene. Respondents were less likely to provide intervention for smoking than for cannabis, methamphetamine 'ice', and alcohol. The study suggests that the potential of Australian psychologists to assist smokers to quit is not being realised, and that there is a need to address the barriers to care provision.

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Is provider training effective? Changes in attitudes towards smoking cessation counseling and counseling behaviors of home health care nurses

Cited by 54 publications

References 17 publications

Smoking Patterns and Receipt of Cessation Services Among Pregnant Women in Argentina and Uruguay

Smoking Patterns and Receipt of Cessation Services Among Pregnant Women in Argentina and Uruguay

Attitude toward preventive counseling and healthy practices among medical students at a Colombian university

Psychologists and Smoking Cessation Intervention: Unrealised Potential

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