Promoting smoking cessation in the healthcare environment: 10 years later.

American Journal of Preventive Medicine (Impact Factor: 4.28). 10/2006; 31(3):269-72. DOI: 10.1016/j.amepre.2006.05.003
Source: PubMed
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    2010 edited by ANTIGONA TROFOR, 01/2010; Editura Tehnopress Iasi., ISBN: 978-973-702-768-9
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    ABSTRACT: Smoking remains the leading cause of preventable death in the United States. Although healthcare workers play a key role in helping patients quit smoking, the degree to which they provide help varies. This study assesses the extent to which smokers report that their healthcare worker advised and assisted them with quitting based on their level of readiness to make a change. The 2006 Hawaii Adult Tobacco Survey asked questions regarding smoking status and if advice and assistance with quitting was given from a healthcare worker. Percentages for reporting healthcare worker's advice and assistance were compared among the three levels of motivational readiness using the chi-square test of association for 331 current, everyday smokers (56% women; 38% in the age group of 45-54 years). Most smokers are given advice to quit smoking. However, only about half of those motivated to quit are given assistance to do so. Most smokers across all motivation levels received advice to quit smoking with no significant difference between levels of readiness to quit. Less than half of smokers received any type of assistance with quitting smoking, with higher motivated smokers significantly receiving more assistance with cessation medication or nicotine replacement therapy and setting a quit date. This is a call to action for healthcare workers to address smoking with every patient. Adjustments to protocols for addressing smoking cessation and readiness to quit may be warranted.
    Journal of Addictions Nursing 04/2014; 25(2):81-86. DOI:10.1097/JAN.0000000000000025 · 0.34 Impact Factor
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    ABSTRACT: Abstract Purpose . To provide a snapshot of provider-based complementary and alternative medicine (pbCAM) use among adult smokers and assess the opportunity for these providers to deliver tobacco cessation interventions. Design . Cross-sectional analysis of data from the 2002 and 2007 National Health Interview Surveys. Setting . Nationally representative sample. Subjects . A total of 54,437 (31,044 from 2002; 23,393 from 2007) adults 18 years and older. Measures . The analysis focuses on 10 types of pbCAM, including acupuncture, Ayurveda, biofeedback, chelation therapy, chiropractic care, energy therapy, folk medicine, hypnosis, massage, and naturopathy. Analysis . The proportions of current smokers using any pbCAM as well as specific types of pbCAM in 2002 and 2007 are compared using SAS SURVEYLOGISTIC. Results . Between 2002 and 2007, the percentage of recent users of any pbCAM therapy increased from 12.5% to 15.4% (p = .001). The largest increases occurred in massage, chiropractic, and acupuncture. Despite a decrease in the national average of current smokers (22.0% to 19.4%; p = .001), proportions of smokers within specific pbCAM disciplines remained consistent. Conclusion . Complementary and alternative medicine (CAM) practitioners, particularly those in chiropractic, acupuncture, and massage, represent new cohorts in the health care community to promote tobacco cessation. There is an opportunity to provide brief tobacco intervention training to CAM practitioners and engage them in public health efforts to reduce the burden of tobacco use in the United States.
    American journal of health promotion: AJHP 12/2013; 29(2). DOI:10.4278/ajhp.121116-QUAN-559 · 2.37 Impact Factor