scholarly journals Clinician factors associated with prescribing nicotine replacement therapy in pregnancy: A cross-sectional survey of Australian obstetricians and general practitioners

2017 ◽  
Vol 58 (3) ◽  
pp. 366-370 ◽  
Author(s):  
Yael Bar-Zeev ◽  
Billie Bonevski ◽  
Maree Gruppetta ◽  
Laura Twyman ◽  
Lou Atkins ◽  
...  
2013 ◽  
Vol 9 (1) ◽  
pp. 1-5 ◽  
Author(s):  
Emma Beard ◽  
Jamie Brown ◽  
Robert West

Objectives: Stopping smoking leads to greater happiness and life satisfaction. This raises the question as to whether harm reduction, i.e. smoking reduction (SR) and the use of Nicotine Replacement Therapy (NRT) for SR, might lead to a similar benefit. This is of importance, given that the National Institute of Clinical Excellence in the UK is due to release guidance on harm reduction in 2013.Design: Data were collected from 1,532 smokers involved in the Smoking Toolkit Study.Method: Participants were asked if they were cutting down and if they were using Nicotine Replacement Therapy (NRT). Smokers also rated happiness and life satisfaction.Results: There was no evidence of an association between SR or use of NRT for SR and either reported ‘happiness’ or ‘life satisfaction’. Nor was there an association between measures of ‘happiness’ or ‘life satisfaction’ and cigarette consumption.Conclusion: It appears that SR is not associated with mental health benefits. This suggests that complete cessation may be necessary for benefits to be incurred. Prospective studies are necessary to confirm these findings.


2020 ◽  
pp. 1-3
Author(s):  
Subodh Kumar ◽  
Prasanna Kumar Y S ◽  
Padma K Bhat ◽  
Karishma S. Halageri ◽  
Rajkumari Surbala Devi

TITLE: - Knowledge, Attitude and Perception of Post-graduates and Interns of a medical institution towards Nicotine Replacement Therapy: A cross-sectional survey in Bangalore city, Karnataka. AIMS & OBJECTIVE: The main objective of this survey was to assess knowledge, attitude and practices of post-graduates and interns of a medical institution towards nicotine replacement therapy and provide baseline data for future research towards nicotine replacement therapy. METHODOLOGY: A descriptive cross‑sectional survey was carried over a period of 3 months among 200 Post-graduates and Interns from Rajarajeswari Medical College & Hospital in Bangalore, Karnataka. Data was collected using a 24‑item closed ended self-administered questionnaire, subdivided into four (categories:-demographic details, assessment of nicotine replacement therapy (NRT) knowledge, assessment of attitude, assessment of practice and barriers. Data was subjected to statistical analysis). RESULT:-Among the 200 participants, 91.5% of the students had heard about NRT, 52% (n=104) of the participant knew about the different forms of delivering NRT. More than one half of the participants 67% (n=134) of the participants were not aware of the duration of use of nicotine replacement therapy (NRT)nearly 93.7% of the participant were unaware about the dosage of NRT. This was statistically significant as per obtained (p<0.001*).About 73.5% (n=145) of the participants were not aware about the side-effects of NRT. The attitude towards nicotine replacement therapy (NRT) should be included in the present academic curriculum is positive as 87% (n=174) responding it should include in the academic curriculum. This was statistically significant as per obtained (p<0.001*). CONCLUSION:- The results indicates that lack of detailed knowledge regarding nicotine replacement therapy (NRT) reduces the chance of practicing inspite of having a positive attitude among institutionally attached health practitioners. It is recommended to have training programme on tobacco cessation counselling among medical professions.


Author(s):  
Janet Petrosyan ◽  
Tina Tchalikian ◽  
Alicia O'Connor ◽  
Juliana Avakeretyan ◽  
Marina Dykhne

Background California State Board of Pharmacy passed Senate Bill 493 authorizing pharmacists to furnish self-administered hormonal contraceptives, nicotine replacement products, and naloxone. Although California Senate Bill 493 expanded pharmacists’ scope of practice, limited implementation persists. Objective The objectives of this study were to assess the implementation of pharmacists’ prescriptive authority to furnish hormonal contraceptives, naloxone, and NRT in California as allowed by the Board of Pharmacy and availability of these services to patients in order to facilitate the development of strategies to expand them. The objective of the first part was to investigate reported awareness and barriers to implementation of services, while the second part was to report actual implementation rates. Methods This was an IRB-approved two-part cross-sectional survey that explored factors that may be associated with the limited implementation of the expanded scope of practice services. Results The two-part study had a total of 389 respondents. In the first part of the study, there were a total of 84 respondents. The majority reported that they were aware that pharmacists have the authority to furnish hormonal contraceptives, naloxone, and NRT, but services were limited. In the second part of the study, there were a total of 305 respondents, each responding to questions addressing only one of the three services: hormonal contraceptives (104 respondents), naloxone (101 respondents), and NRT (100 respondents). Within those subgroups, 19% of the respondents stated they offer hormonal contraceptives, 10% offer NRT, and 84% offer naloxone. Conclusion The results of the two-part study suggested that pharmacists’ authority to furnish these services were limited, thus patients’ access to these services were also limited.


2019 ◽  
Vol 5 (2) ◽  
pp. 85
Author(s):  
Esti Rossa Larasati ◽  
Wita Saraswati ◽  
Henny Utami Setiawan ◽  
Silda Sabila Rahma ◽  
Agustina Gianina ◽  
...  

Pendahuluan: Merokok telah diketahui menjadi faktor resiko banyak penyakit dan kematian. Meskipun demikian, terdapat peningkatan prevalensi perokok berusia muda. Intervensi untuk meningkatkan angka berhenti merokok diharapkan efektif dilakukan. Desain intervensi tersebut dapat dipengaruhi oleh seberapa tinggi motivasi berhenti merokok. Tujuan: Penelitian ini dilakukan dengan tujuan untuk mengidentifikasi motivasi seseorang untuk berhenti merokok berdasarkan Transtheoretical Model (TTM), untuk menentukan hubungan faktor demografi dan pengetahuan rokok terhadap motivasi berhenti merokok, dan menemukan faktor-faktor yang membedakan motivasi untuk berhenti merokok. Metode: Penelitian ini dilakukan di sekitar kampus B Universitas Airlangga pada September 2018 menggunakan metode survei, rancangan studi cross-sectional dengan teknik accidental sampling. Responden dalam penelitian ini merupakan perokok berusia 17 - 25 tahun (n = 162). Hasil: Dari hasil analisis data diperoleh bahwa tingkat motivasi tertinggi terdapat pada tahap kontemplasi yaitu sebanyak 38,9% (62 responden). Tahap kontemplasi adalah tahap dimana seseorang masih berstatus sebagai perokok aktif, tetapi sudah berkeinginan untuk berhenti merokok dalam 6 bulan ke depan, sehingga masih memiliki kecenderungan untuk membatalkan keinginan berhenti merokok. Profil demografi, seperti uang saku, jumlah teman merokok dan keberadaan perokok di rumah responden tidak berpengaruh signifikan terhadap tingkat motivasi berhenti merokok. Pengetahuan dan intensitas merokok berpengaruh signifikan terhadap motivasi berhenti merokok. Terdapat korelasi antara pengeluaran untuk merokok dan jumlah batang rokok per hari dengan motivasi berhenti merokok (p = 0,000). Kesimpulan: Promosi kesehatan terkait berhenti merokok yang berfokus di kalangan remaja sangat perlu dilakukan. Intervensi yang dapat dilakukan untuk perokok pada tahap kontemplasi adalah mengadakan penyuluhan tentang bahaya merokok dan pemberian informasi adanya NRT (Nicotine Replacement Therapy).


Author(s):  
Gillian S. Gould ◽  
Alys Havard ◽  
Ling Li Lim ◽  
Ratika Kumar ◽  

The aim of this review of reviews was to collate the latest evidence from systematic reviews about the maternal and child health outcomes of being exposed to tobacco and nicotine during pregnancy; the effectiveness of interventions designed to reduce these exposures, and barriers to and facilitators of smoking cessation during pregnancy. Two databases were searched to obtain systematic reviews published from 2010 to 2019. Pertinent data from 76 articles were summarized using a narrative synthesis (PROSPERO reference: CRD42018085896). Exposure to smoke or tobacco in other forms during pregnancy is associated with an increased risk of obstetric complications and adverse health outcomes for children exposed in-utero. Counselling interventions are modestly effective, while incentive-based interventions appear to substantially increase smoking cessation. Nicotine replacement therapy is effective during pregnancy but the evidence is not conclusive. Predictors and barriers to smoking cessation in pregnancy are also discussed. Smoking during pregnancy poses substantial risk to mother’s and child’s health. Psychosocial interventions and nicotine replacement therapy (NRT) appear to be effective in helping pregnant women quit smoking. Barriers to smoking cessation must be identified and steps taken to eradicate them in order to reduce smoking among pregnant women. More research is needed on smoking cessation medications and e-cigarettes.


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