Quitting Smoking Among Adults — United States, 2000–2015

Babb, Stephen; Malarcher, Ann; Schauer, Gillian L.; Asman, Katherine; Jamal, Ahmed

doi:10.15585/mmwr.mm6552a1

Cited by 1,001 publications

(766 citation statements)

References 5 publications

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“…We successfully reached 32% of smokers and 55% of those reached continued to receive AVR messaging. While no control group was used in our design, our prior work with similar primary care practices (Mahoney et al, 2014) and national surveys suggest very low rates of quitting (e.g., ≤7%) (Babb, 2017). Data from the National Health Interview Survey indicated that in 2015 7.4% of smokers reported having quit smoking in the past year compared to 5.7% in 2000 (Babb, 2017).…”

Section: Discussionmentioning

confidence: 99%

Leveraging technology to promote smoking cessation in urban and rural primary care medical offices

Mahoney

Erwin

Twarozek

et al. 2018

Preventive Medicine

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We examined the use of automated voice recognition (AVR) messages targeting smokers from primary care practices located in underserved urban and rural communities to promote smoking cessation. We partnered with urban and rural primary care medical offices (n = 7) interested in offering this service to patients. Current smokers, 18 years and older, who had completed an office visit within the previous 12 months, from these sites were used to create a smoker's registry. Smokers were recruited within an eight county region of western New York State between June 2012 and August 2013. Participants were contacted over six month intervals using the AVR system. Among 5812 smokers accrued 1899 (32%) were reached through the AVR system and 55% (n = 1049) continued to receive calls. Smokers with race other than white or African American were less likely to be reached (OR = 0.71, 0.57–0.90), while smokers ages 40 and over were more likely to be reached. Females (OR = 0.78, 0.65–0.95) and persons over age 40 years were less likely to opt out, while rural smokers were more likely to opt out (OR = 3.84, 3.01–4.90). Among those receiving AVR calls, 30% reported smoke free (self-reported abstinence over a 24 h period) at last contact; smokers from rural areas were more likely to report being smoke free (OR = 1.41, 1.01–1.97). An AVR-based smoking cessation intervention provided added value beyond typical tobacco cessation efforts available in these primary care offices. This intervention required no additional clinical staff time and served to satisfy a component of patient center medical home requirements for practices.

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Section: Discussionmentioning

confidence: 99%

Leveraging technology to promote smoking cessation in urban and rural primary care medical offices

Mahoney

Erwin

Twarozek

et al. 2018

Preventive Medicine

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“…The analysis confirms other survey data showing that the large majority of U.S. adults who saw a health care professional in the past year report being asked about tobacco use, and about half of current smokers recall being advised to quit. 4 Clearly, clinicians could do a better job by advising all smokers to quit and doing so in a way that patients will not only hear but remember.…”

mentioning

confidence: 99%

“…The NSDUH did not ask smokers whether their clinicians had provided any assistance with quitting, but we know from other data that far fewer smokers actually use these evidence-based treatments during their quit attempts. 4 Other evidence indicates that clinicians' efforts rarely include specific assistance to help a smoker translate motivation to quit into practical effective actions. This is an important missed opportunity.…”

mentioning

confidence: 99%

Reducing Health Disparities by Tackling Tobacco Use

Rigotti

Kalkhoran

2017

J GEN INTERN MED

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“…Despite the evidence base in support of cessation medications, only 29%–38% of smokers who make a quit attempt use them [16, 17]. The most widely used cessation medication is nicotine replacement therapy (NRT), with over the counter NRT formulations (nicotine patch, gum, lozenge) offering the greatest potential for widespread population dissemination.…”

Section: Introductionmentioning

confidence: 99%

Nicotine replacement therapy sampling via primary care: Methods from a pragmatic cluster randomized clinical trial

Dahne

Wahlquist

Boatright

et al. 2018

Contemporary Clinical Trials

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Background: Primary care is the most important point of healthcare contact for smokers. Brief physician advice to quit, based on the 5As/AAR model, offers some efficacy but is inconsistently administered and has limited population impact. Nicotine replacement therapy (NRT) sampling, defined as provision of a brief NRT starter kit, when added to the 5As/AAR, is well-suited to primary care because it is simple, brief, and can be provided to all smokers. This article describes the design and methods of an ongoing comparative effectiveness trial testing standard care vs. standard care + NRT sampling within primary care. Methods: Smokers were recruited directly from primary care practices between July 2014 and December 2017 within an established network of South Carolina clinics. Interventions were delivered randomly by clinic personnel, and phone-based follow-ups were centrally coordinated by research staff to track outcomes through six months post-intervention. Primary study aims are to examine the impact of NRT sampling on smoking, inclusive of cessation, quit attempts, and uptake of evidence-based treatment. Results: Twenty-two clinics were recruited. Across clinics, patient census ranged from 985 to 10,957 and number of providers ranged from 1 to 63. Average patient age across clinics was 52.9 years and smoking prevalence across ranged from 10.6% to 28.5%. Conclusion: Improving the effectiveness and reach of brief interventions within primary care could have a considerable impact on population quit rates. We consider the advantages and disadvantages of key methodological decisions relevant to the design of future primary care-based cessation trials.

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Quitting Smoking Among Adults — United States, 2000–2015

Cited by 1,001 publications

References 5 publications

Leveraging technology to promote smoking cessation in urban and rural primary care medical offices

Leveraging technology to promote smoking cessation in urban and rural primary care medical offices

Reducing Health Disparities by Tackling Tobacco Use

Nicotine replacement therapy sampling via primary care: Methods from a pragmatic cluster randomized clinical trial

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