scholarly journals Smoking cessation and counseling: A mixed methods study of pediatricians and parents

PLoS ONE ◽  
2021 ◽  
Vol 16 (2) ◽  
pp. e0246231
Author(s):  
Tregony Simoneau ◽  
Jessica P. Hollenbach ◽  
Christine R. Langton ◽  
Chia-Ling Kuo ◽  
Michelle M. Cloutier
Keyword(s):  
Smoking Cessation ◽  
Mixed Methods ◽  
Self Efficacy ◽  
Electronic Cigarettes ◽  
Smoking Behavior ◽  
Mixed Methods Study ◽  
Smoking Cessation Counseling ◽  
Convenience Sample ◽  
Quitting Smoking ◽  
Smoking Behaviors

Objective Pediatric providers play an important role in parental and youth smoking cessation. The goal of this study was to understand smoking cessation attitudes of parents and the behaviors, confidence and self-efficacy of pediatricians related to providing smoking cessation counseling to parents and youth. Methods A mixed methods study was conducted in a convenience sample of families (n = 1,549) and pediatric primary care clinicians (n = 95) in Connecticut using surveys and focus groups from April, 2016 to January, 2017. Results The smoking rate (cigarettes or electronic cigarettes) among all households surveyed was 21%. Interest in quitting smoking was high (71%) and did not differ based on smoking amount, duration, type of community of residence (urban, rural, etc), or race/ethnicity. For example, compared to participants who smoked for <10 years, those who smoked ≥20 years had a similar interest in quitting (OR = 1.12; 95% CI: 0.85–1.48). Ninety percent of clinicians surveyed asked parents about their smoking behavior at least annually but 36% offered no smoking cessation counseling services or referral. Clinicians almost always reported counseling youth about the dangers of nicotine and tobacco use (99%), were more confident about counseling youth than parents (p<0.01) and reported low self-efficacy about smoking cessation and prevention counseling of parents and youth. Ninety-three percent of clinicians opined that electronic cigarettes were equally or more dangerous than cigarettes but 34% never counseled youth about the dangers of electronic cigarettes. Conclusions Clinicians frequently screen parents about their smoking behaviors, but rarely provide smoking cessation counseling and express low confidence in this activity. Clinicians are more confident counseling youth than parents. Clinicians also recognize the dangers of electronic cigarettes, yet they infrequently counsel youth about these dangers.

The effects of physician-delivered brief smoking cessation on ACRIN/NLST participants’ smoking behaviors.

2013 ◽  
Vol 31 (15_suppl) ◽  
pp. 7525-7525
Author(s):  
Ilana F Gareen ◽  
Elyse R. Park ◽  
Jeremy Gorelick ◽  
Sandra Japuntich ◽  
Inga Tolin Lennes ◽  
...  
Keyword(s):  
Smoking Cessation ◽  
Lung Cancer Mortality ◽  
Relative Reduction ◽  
Smoking Cessation Counseling ◽  
Screening Guidelines ◽  
National Lung Screening Trial ◽  
Quitting Smoking ◽  
Smoking Behaviors ◽  
Lung Screening

7525 Background: The National Lung Screening Trial (NLST) demonstrated a 20% relative reduction in lung cancer mortality for current and former heavy smokers screened with low-dose CT vs. radiography. The NCCN and ACS recently released lung screening guidelines which promote smoking cessation counseling, but there is no information about the prevalence or effectiveness of brief physician-delivered smoking cessation interventions, such as the 5As (Ask, Advise, Assess, Assist, and Arrange follow-up) among lung screening patients. Methods: Among 8,878 NLST participants from 23 ACRIN sites who were smoking at enrollment, we conducted a longitudinal examination of the 1) rates and patterns of each reported 5A receipt and 2) association between each A and quitting. Using a case-control logistic regression, which matched participants according to trial arm; sociodemographic; medical; and smoking characteristics, we compared self-reported point-prevalence abstinence following 5A receipt. Results: Participants were 54% male, 90.6% white, and mean age 60.8 years. Receipt of 5As was consistent for the first 3 study years; rates of Ask (75%) and Advise (74%), exceeded rates of Assess (64%), Assist (58%), and Arrange follow-up (13%). Receipt of Ask, Advise, and Assess did not significantly increase the odds of a participant quitting smoking. Assist (cessation counseling, medication) increased the odds of quitting smoking by 22% (p=0.0002), and Arrange follow-up increased the odds of quitting by 20% (p=0.002). Older age and lower nicotine dependence were significantly associated with quitting, after accounting for the effectiveness of Assist (OR=1.34, CI: 1.16-1.55; OR== 0.95, CI: .93-.97) and Arrange follow-up (OR=1.34, CI: 1.16, 1.54; OR=.95, CI: .93-.97). Conclusions: Among high risk patients undergoing lung screening, Advice to quit was not associated with improved odds of smokers’ quitting. Assist and Arrange follow-up were associated with improved odds of smokers’ quitting, but unfortunately, rates of receipt of these As were low. Physician-delivered smoking cessation assistance and follow-up has the potential to enhance the effectiveness and cost effectiveness of lung screening. Clinical trial information: CDR0000257938.

scholarly journals Perceived barriers of tobacco dependence treatment: a mixed-methods study among primary healthcare physicians in Armenia

2018 ◽  
Vol 20 ◽  
Author(s):  
Arusyak Harutyunyan ◽  
Armine Abrahamyan ◽  
Varduhi Hayrumyan ◽  
Varduhi Petrosyan
Keyword(s):  
Smoking Cessation ◽  
Mixed Methods ◽  
Primary Healthcare ◽  
Quantitative Data ◽  
Tobacco Dependence ◽  
Mixed Methods Study ◽  
Perceived Barriers ◽  
Smoking Cessation Counseling ◽  
Tobacco Dependence Treatment ◽  
Smoking Cessation Services

AbstractBackgroundDespite compelling evidence that physicians play a prominent role in smoking cessation, most smokers do not receive the recommended smoking cessation counseling.AimTo identify perceived barriers that hinder primary healthcare physicians (PHPs) from providing smoking cessation treatment to patients in Armenia.MethodsA sequential exploratory mixed-methods study was conducted among PHPs from two Armenian cities (Yerevan and Gyumri). We implemented qualitative phase through focus group discussions (FGDs) using a semi-structured guide. For the subsequent quantitative phase, the data were collected through cross-sectional survey. A directed deductive content analysis technique was used to analyze the FGDs and questionnaires were analyzed descriptively. Following the data collection (March 2015–May 2016) and descriptive analysis, the qualitative and quantitative data sets were merged by drawing quantitative data onto qualitative categories.FindingsOverall, 23 PHPs participated in five FGDs and 108 participants completed the survey. Three main categories of barriers were identified: physician-based, patient-based, and system-based barriers. The main physicians-based barriers were insufficient knowledge and inadequate training on tobacco-dependence treatment. Lack of patients’ motivation to quit, poor compliance with the treatment, patients’ withdrawal symptoms were identified as patient-based disincentives. System-based barriers included lack of reimbursement for providing smoking cessation counseling, high price and low availability of smoking cessation medications. Most of the qualitative descriptions were confirmed by quantitative findings.ConclusionsTargeted interventions are needed to address barriers that limited PHPs’ involvement in providing smoking cessation services in Armenia. There is an urgent need to enhance PHPs’ knowledge and skills in delivering smoking cessation counseling, to increase patients’ demand for smoking cessation services, and to ensure availability and affordability of smoking cessation services in Armenia.

scholarly journals Smoking Behaviors Among Cancer Survivors: An Observational Clinical Study

2009 ◽  
Vol 5 (1) ◽  
pp. 6-9 ◽  
Author(s):  
Lola Burke ◽  
Lesley-Ann Miller ◽  
Ayman Saad ◽  
Jame Abraham
Keyword(s):  
Smoking Cessation ◽  
Clinical Study ◽  
Cancer Survivors ◽  
Cancer Treatment ◽  
Cancer Patients ◽  
Cancer Center ◽  
Smoking Cessation Counseling ◽  
Quit Smoking ◽  
Quitting Smoking ◽  
Smoking Behaviors

Purpose: Smoking is a well-recognized risk factor for several cancers including cancers of the lung, bladder, and head and neck. Studies have shown that smoking can adversely affect the outcomes of different modalities of cancer treatment. This study examines smoking behaviors among cancer survivors to collect information necessary to create successful smoking cessation interventions. Methods: For this observational clinical study, questionnaires were sent to 1,000 randomly selected patients diagnosed with cancer between 2003 and 2007 in one cancer center. Data were statistically analyzed to determine the likelihood of a patient quitting smoking after being diagnosed with cancer. Results: We received 187 responses from the 1,000 surveys sent (18.7%). Of these, 166 were usable for analysis. The mean age of respondents was 64 (± 13) years. Men were more likely than women to be past smokers (55% of men and 32% of women respectively, P = .003). Fifty-two percent of respondents reported having a history of smoking. However, only 20% of patients reported having been active smokers at the time they were diagnosed with cancer. Furthermore, only 44% of these reported having quit smoking after their diagnosis with cancer. Only 62% of all respondents reported that they had been informed of the dangers of smoking by their health care provider during cancer treatment. Conclusion: In our study sample, less than one half (44%) of smoking cancer patients quit smoking after their cancer diagnosis, and only 62% of smoking cancer patients received smoking cessation counseling from their physicians. Intervention programs are needed to help cancer survivors to quit smoking. Prospective clinical trials may help identify the ideal intervention for smoking cessation.

Beliefs, Practices, and Self-efficacy of US Physicians Regarding Smoking Cessation and Electronic Cigarettes: A National Survey

2016 ◽  
Vol 19 (2) ◽  
pp. 197-207 ◽  
Author(s):  
Andrew S. Nickels ◽  
David O. Warner ◽  
Sarah Michelle Jenkins ◽  
Jon Tilburt ◽  
J. Taylor Hays
Keyword(s):  
Smoking Cessation ◽  
National Survey ◽  
Self Efficacy ◽  
Electronic Cigarettes

scholarly journals Breast Cancer (BC) Is a Window of Opportunity for Smoking Cessation: Results of a Retrospective Analysis of 1234 BC Survivors in Follow-Up Consultation

Cancers ◽  
2021 ◽  
Vol 13 (10) ◽  
pp. 2423
Author(s):  
Marion Nicolas ◽  
Beatriz Grandal ◽  
Emma Dubost ◽  
Amyn Kassara ◽  
Julien Guerin ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Smoking Cessation ◽  
Smoking Status ◽  
Smoking Behavior ◽  
Negative Influence ◽  
Window Of Opportunity ◽  
Term Survival ◽  
Lower Alcohol ◽  
Smoking Behaviors

Breast cancer (BC) is the most commonly diagnosed type of cancer and the leading cause of cancer deaths in women. Smoking is the principal modifiable risk factor for cancers and has a negative influence on long-term survival. We conducted a retrospective study on consecutive BC survivors seen at follow-up consultations between 3 June and 30 October 2019 at Institut Curie, Paris, France. Smoking behaviors were evaluated prospectively via interviewer-administered questionnaires. The aim of this study was to describe smoking-related patient care at diagnosis and smoking cessation patterns in women with a history of BC. A total of 1234 patients were included in the study. Smoking status at diagnosis was missing from electronic health records in 32% of cases, including 13% of patients who smoke. Only 20% of the 197 patients currently smoking at diagnosis recalled having a discussion about smoking with a healthcare professional. Radiotherapists and surgeons were more likely to talk about complications than other practitioners. The main type of information provided was general advice to stop smoking (n = 110), followed by treatment complications (n = 48), while only five patients were referred to tobaccologists. Since diagnosis, 33% (n = 65) of the patients currently smoking had quit. Patients who quit had a lower alcohol consumption, but no other factor was associated with smoking cessation. The main motivation for tobacco withdrawal was the fear of BC relapse (63%). This study highlights room for improvement in the assessment of smoking behavior. Our data raise important perspectives for considering BC treatment and follow-up as a window of opportunity for smoking cessation.

Sources of math and science self-efficacy in rural Appalachia: A convergent mixed methods study

2019 ◽  
Vol 57 ◽  
pp. 32-53 ◽  
Author(s):  
Ellen L. Usher ◽  
Calah J. Ford ◽  
Caihong R. Li ◽  
Brianna L. Weidner
Keyword(s):  
Mixed Methods ◽  
Self Efficacy ◽  
Mixed Methods Study ◽  
Math And Science ◽  
Rural Appalachia

scholarly journals Self Efficacy: Performance Accomplishment dan Perilaku Merokok Remaja

2020 ◽  
Vol 5 (1) ◽  
pp. 78
Author(s):  
Wiwin Haryati ◽  
Asnawi Abdullah ◽  
Bakhtiar Bakhtiar
Keyword(s):  
Self Efficacy ◽  
Smoking Behavior ◽  
Sampling Technique ◽  
Total Sample ◽  
Observational Research ◽  
Bivariate Analysis ◽  
Chi Square ◽  
Smoking Behaviors ◽  
Aceh Province ◽  
Chi Square Test

Smoking behavior among teenagers has been increasing worldwide, triggering youth morbidity and mortality rates associated with smoking illnesses. Performance accomplishment, source of self-efficacy, has a significant influence on the high proportion of teenage smoking behavior. The purpose of this study was to assess the relationship between performance accomplishment and teenage smoking behaviors. The study was conducted on April 16 – 23, 2015 in Aceh Province, Indonesia.  Data were collected by disseminating a Likert scale questionnaire, consisting of general perceived self-efficacy, including performance accomplishment.  The population of this study were 4,856 students, with a total sample of 368 students from 13 senior high schools. The study employed an analytic observational research design with the stratified proportional random sampling technique. Bivariate analysis by Chi-square test was applied to examine the data, processed by using SPSS version 20.0. The results indicated that there were significant relationships between self-efficacy and teenage smoking behavior (p=0.0001) and between performance accomplishment and teenage smoking behavior (p=0.0001). This study concluded that performance accomplishment has been strongly associated with the smoking behavior among young adults.

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