scholarly journals A National Survey of Community Pharmacists on Smoking Cessation Services in Thailand

Pharmacy ◽  
2018 ◽  
Vol 6 (3) ◽  
pp. 101 ◽  
Author(s):  
Surarong Chinwong ◽  
Dujrudee Chinwong
Keyword(s):  
Smoking Cessation ◽  
Community Pharmacists ◽  
Cross Sectional Study ◽  
Postal Questionnaire ◽  
Pharmaceutical Product ◽  
Perceived Barriers ◽  
Cross Sectional ◽  
Smoking Cessation Services ◽  
First Time

Providing smoking cessation services is one role of community pharmacists in Thailand. This cross-sectional study aimed to investigate activities and barriers related to smoking cessation services provided in community pharmacies in Thailand, as well as to compare these activities and barriers between those pharmacists providing and those not providing smoking cessation services. A postal questionnaire was conducted to collect information from community pharmacists across Thailand. In all, 413 valid responses were received from 5235 questionnaires, giving a 7.9% response rate. Of the 413 respondents, 152 (37%) pharmacists provided smoking cessation services in their pharmacy. The activities of smoking cessation services varied. Time for counseling each smoker varied, a mean of 15.1 ± 10.9 min (range 1–60) per person for the first time, and 8.9 ± 6.7 min (range 1–30) for each follow-up visit. Community pharmacists, providing smoking cessation services, were more likely to have pharmacist assistants, be a member of the Thai Pharmacy Network for Tobacco Control, and have more than 1 pharmacist on duty. The most dispensed pharmaceutical product for smoking cessation was nicotine gum. Their most perceived barriers were being unable to follow-up and inadequate staff. In conclusion, only a minority of community pharmacists in Thailand are engaged in smoking cessation activities, even though some perceived barriers existed.

Determination of the Problems Experienced by Patients Post-Thyroidectomy

2017 ◽  
Vol 28 (5) ◽  
pp. 615-635
Author(s):  
Semra Atasayar ◽  
Sevil Guler Demir
Keyword(s):  
Postoperative Period ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Telephone Interviews ◽  
Two Stages ◽  
First Time ◽  
Benign Thyroid

This descriptive, cross-sectional study investigated problems experienced by patients after undergoing a thyroidectomy. The study included 60 first-time, post-thyroidectomy patients diagnosed with benign thyroid disease from a university hospital’s general surgery clinic in Ankara, Turkey. The data were collected in two stages: interviews with patients on the first day following surgery and postoperative follow-up telephone interviews in each of the first 4 weeks following surgery. The follow-ups revealed that patients principally experienced varying degrees of pain and difficulties in connection with work and recreation, communication, body image, and movement, for up to 4 weeks after surgery. These results showed that patients were particularly prone to problems on the first day and during the first week of the postoperative period; therefore, patients should be provided with follow-up telephone interviews to facilitate easier recovery and to help them overcome any problems experienced during the postoperative period.

Elimination of second-hand smoke (SHS) exposure after a lung or head and neck (HN) cancer diagnosis and subsequent patient smoking cessation.

2016 ◽  
Vol 34 (3_suppl) ◽  
pp. 183-183 ◽  
Author(s):  
Lawson Eng ◽  
Devon Alton ◽  
Yuyao Song ◽  
Delaram Farzanfar ◽  
Olivia Krys ◽  
...  
Keyword(s):  
Smoking Cessation ◽  
Cohort Study ◽  
Cancer Patients ◽  
Cancer Diagnosis ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Quit Smoking ◽  
Shs Exposure

183 Background: Exposure to SHS after a cancer diagnosis is associated with continued smoking in lung and HN cancer patients (PMID: 24419133, 23765604). However, smoking is a social activity. We evaluated whether elimination of SHS exposure around and after a diagnosis of lung or HN cancer is associated with smoking cessation in the cancer patient. Methods: Lung and HN cancer patients from Princess Margaret Cancer Centre (2006-12) completed questionnaires at diagnosis and follow-up (median 2 years apart) that assessed smoking history and SHS exposures (cohort study). Multivariate logistic regression analysis evaluated the association of elimination of SHS exposure after a diagnosis of cancer with subsequent smoking cessation, adjusted for significant covariates. A cross-sectional study (2014-15) of 183 lung and HN smoking patients assessed consistency in associations and interest in SHS cessation programs. Results: For the cohort study, 261/731 lung and 145/450 HN cancer patients smoked at diagnosis; subsequent quit rates were 69% and 50% respectively. 91% of lung and 94% of HN cancer patients were exposed to SHS at diagnosis while only 40% (lung) and 62% (HN) were exposed at follow-up. Elimination of SHS exposure was associated with smoking cessation in lung (aOR = 4.76, 95% CI [2.56-9.09], P< 0.001), HN (aOR = 5.00 [1.61-14.29], P< 0.001), and combined cancers (aOR = 5.00 [3.03-8.33], P< 0.001). The cross-sectional study has similar cessation and SHS exposure rates and a similar association for elimination of SHS with smoking cessation (aOR = 3.42 [1.16-10.10], P= 0.03). However when asked directly, only 26% of patients quit smoking with another individual and 13% of patients exposed to SHS had at least 1 interested party in joining a SHS cessation program. Conclusions: Elimination of SHS exposure around patients is significantly associated with smoking cessation in lung and HN cancer patients, but few patients quit smoking together with others around them, despite the ‘teachable moment’ with a cancer diagnosis. Clinicians should encourage patients and their household/friends to quit smoking together to improve cessation rates in cancer patients and those around them.

Cancer health promotion in Ghana: A survey of community pharmacists’ perception and barriers

2020 ◽  
Vol 26 (6) ◽  
pp. 1361-1368
Author(s):  
Kofi B Mensah ◽  
Frasia Oosthuizen ◽  
Varsha Bangalee
Keyword(s):  
Health Promotion ◽  
Community Pharmacists ◽  
Daily Practice ◽  
Cross Sectional Study ◽  
Perceived Barriers ◽  
Sectional Study ◽  
Positive Perception ◽  
Educational Materials ◽  
Cross Sectional

Available data indicate that cancer has emerged as an important cause of morbidity and mortality in Ghana. Globally, one of the interventions aimed at disease prevention is through health promotion. To our knowledge, there are no published reports examining the practices of community pharmacists towards cancer health promotion in Ghana. This study was set to examine the perception and perceived barriers of community pharmacists in the provision of cancer health promotion services in Ghana. Methods A cross-sectional study was conducted using electronic questionnaire to assess the perception and perceived barriers of Ghanaian community pharmacists towards provision of cancer health promotion. Key findings The majority of community pharmacists (77.30%) believe that cancer health promotion is an important part of their daily practice. The survey participants were more likely to have a positive perception of the role of the pharmacist if they were older, male, Christian, or had completed the PharmD program ( p < 0.05 for all parameters). Lack of cancer educational materials (69%) was the major perceived barrier in providing cancer health promotion services. Conclusion Ghanaian community pharmacists recognise to play an important role in the provision of cancer health promotion service.

scholarly journals Barriers to Implementing a Pharmacist-Run Immunization Service, as Perceived by community Pharmacists in a Middle Eastern Country: A cross sectional web-based survey

2021 ◽  
Author(s):  
Dalal Youssef ◽  
Linda Abou Abbas ◽  
Hamad Hassan
Keyword(s):  
Online Survey ◽  
Middle Eastern ◽  
Community Pharmacists ◽  
Working Hours ◽  
Cross Sectional Study ◽  
Perceived Barriers ◽  
Previous Experience ◽  
Cross Sectional ◽  
Immunization Service ◽  
Immunization Services

Abstract Background: Several barriers to instigating a pharmacist-run immunization program existed. This survey aims to identify the barriers perceived by Lebanese community pharmacists (CPs) to implementing such a program and the association of these barriers with their willingness to provide immunization services.Methods:A cross-sectional study using an online survey was conducted over the period of time extending between the 1st of November and the end of December 2020 among Lebanese community pharmacists. The questionnaire included information on their socio-demographic characteristics, willingness to vaccinate and the perceived barriers to the run of immunization service. Statistical analyses were performed using SPSS version 24.0. Two logistic regression were conducted, one to identify factors associated with pharmacists high perception of barriers and another one to determine the predictors of the pharmacist’s willingness to vaccinate.Results:Out of the 412 surveyed community pharmacists, 67.48% of them were willing to expand their practice scope to include immunization. The main perceived barriers were the conflict with other professionals, liability, and reimbursements concerns, time for professional development and lack of knowledge of adverse events after immunization. Our results showed that females were more likely to perceive barriers than males (aOR=2.460, 95% CI (1.876:6.909)). However, pharmacists reporting previous experience in immunization (aOR=0.250, 95% CI (0.170:0.586)), working in urban area (aOR=0.451, 95% CI (0.199:0.926)) and having extensive working hours (aOR=0.244, 95% CI (0.05:1.2)) were less likely to perceive barriers. Female pharmacists were less willing to vaccinate (aOR=0.211, 95% CI (0.116:0.383)). However, having less than 40 years old (aOR=2.518, 95% CI (1.236:5.130)), having large experience ((aOR=1.78, 95% CI (1.087 to 2.993)) or previous experience in immunization (aOR=1.702, 95% CI (1.092 to 3.141)), being pharmacy owner (aOR=1.504, 95% CI (1.098:2.103)) and working more than 24 hours per week (aOR=2.622, 95% CI (1.447:4.752) were positively associated to the willingness to vaccinate. Pharmacists who perceived reimbursement (aOR=0.449 with 95% CI (0.264-0.765)), lack of pharmacy space (aOR=0.410 with 95% CI (0.158-1.060)), sharp safety (aOR=0.298 with 95% CI (0.146-0.609)) and insufficient staff (aOR=0.388 with 95% CI (0.190-0.794)) as barriers were less likely to implement pharmacy-run immunization.Conclusion:Addressing the identified barriers driving pharmacist’s lower willingness to vaccinate would be required to fully harness the potential of pharmacists as vaccinators.

scholarly journals Dietary Inflammatory Index (DII®) and Lung Function in Adults from Ten European Countries – Evidence from the GA2LEN Follow-Up Survey

2020 ◽  
Vol 4 (Supplement_2) ◽  
pp. 1393-1393 ◽  
Author(s):  
Francisca de Castro Mendes ◽  
Sumaiyya Thawer ◽  
Nitin Shivappa ◽  
James R Hebert ◽  
Peter G J Burney ◽  
...  
Keyword(s):  
Lung Function ◽  
Airway Obstruction ◽  
Smoking Status ◽  
Cross Sectional Study ◽  
Postal Questionnaire ◽  
P Value ◽  
Dietary Inflammatory Index ◽  
Cross Sectional ◽  
Inflammatory Index

Abstract Objectives To investigate the association between Dietary Inflammatory Index (DII®) and lung function in European adults. Methods The study sample was drawn from the Global Allergy and Asthma Network of Excellence (GA2LEN) screening survey, in which 55,000 adults aged 15 to 75 years answered a postal questionnaire on respiratory symptoms. A stratified random sample was obtained for follow-up. A cross-sectional study was conducted in this sample (n = 3241), which included ascertainment of dietary intake and measures of lung function. Participants completed the internationally validated GA2LEN food frequency questionnaire (FFQ), which enquired about usual intake of 245 food items. The dietary inflammatory index (DII®) was derived to ascertain the inflammatory potential of the diet (minimum and maximum reference range −8.87 to 7.98; i.e., the higher the score the more pro-inflammatory the diet). Participants performed post-bronchodilator spirometry, from which forced vital capacity (FVC), the ratio between the forced exhaled volume in 1 second (FEV1) and FVC (FEV1/FVC), FVC below lower limit of normal (FVC &lt; LLN; (restriction)) and FEV1/FVC &lt; LLN (airway obstruction) were calculated. Exposures and lung function outcomes were weighted to obtain estimated population parameters. Potential confounders included age, sex, height, body mass index, smoking status, country, education and employment. Adjusted regressions were used to investigate the associations between DII and respiratory outcomes. Results The mean age of participants was 48 years (SD ± 15.1), and the median DII was −1.53 (IQR difference 3.5). In the fully adjusted models, a one-unit increase in DII score was statistically significantly associated with a lower FEV1/FVC (β-coefficient −0.46, 95% CI −0.80, −0.12; P-value = 0.008) and with airway obstruction (odds ratio [OR] 1.17, 95% CI 1.03, 1.34; P-value = 0.018]. There was no association with the other lung function outcomes. Conclusions A more pro-inflammatory diet was associated with greater airway obstruction amongst European adults. Funding Sources FCM is funded by The Fulbright Commission and by the Fundação para a Ciência e Tecnologia (SFRH/BD/144,563/2019). This work was conducted as part of The GA2LEN Working Group WP1.2 Epi & Clinical Studies. GA2LEN was funded by the EU Framework Programme for Research, contract No FOOD-CT-2004–506,378.

scholarly journals Regaining Versus Not Regaining Function Following Hip Fracture—A Descriptive Study

Geriatrics ◽  
2019 ◽  
Vol 4 (1) ◽  
pp. 21
Author(s):  
Caspar Hansen ◽  
Dorte Melgaard
Keyword(s):  
Hip Fracture ◽  
Cross Sectional Study ◽  
Group Differences ◽  
Cross Sectional ◽  
Specific Level ◽  
Fracture Function ◽  
Cas A ◽  
First Time

The aim of this study was to study the prevalence of patients who did not regain pre-fracture basic mobility status (PF-BMS) at a task-specific level at discharge with 6-month follow-up. Furthermore, the objective was to make a comparative description between patients who did and did not regain PF-BMS measured with the Cumulated Ambulation Score (CAS). A cross-sectional study with follow-up at discharge and 6 months was performed from June 2015 to November 2017. Inclusion criteria: all patients ≥65 years admitted with first-time hip fracture. In all, 235 patients were included in the analyses at discharge (76% female, median age 85 (83–87)) and 59 patients at 6 months (48% female, median age 82 (75–88)). At discharge, getting in/out of bed had the highest prevalence of non-regained ability. At 6 months this was the case for getting in/out of bed and walking. At discharge, significant between-group differences were found regarding age, pre-fracture function (PFF), dementia, pre-fracture residence (PFR), comorbidity, and length of stay (LOS). At follow-up, significant differences in PFF, PFR, discharge destination (DD) and residence at 3 months after discharge (RES-3) were found. Getting in/out of bed was the most difficult task to regain both during admission and long term.

scholarly journals SHadow Under the Lamp (SHUL): Smoking behavior of the health professionals

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
M A Rahman ◽  
A W Susanto ◽  
A A Quarashi ◽  
A Raymond ◽  
F F Taufik ◽  
...  
Keyword(s):  
Smoking Cessation ◽  
Health Professionals ◽  
Smoking Behavior ◽  
Cross Sectional Study ◽  
Online Questionnaire ◽  
Cross Sectional ◽  
Mortality And Morbidity ◽  
Quit Smoking ◽  
Waking Up

Abstract Background Smoking cessation is the best option a health professional can offer to the patients for averting the preventable causes of mortality and morbidity. Purpose To determine smoking behavior, preferred cessation methods, and attitudes towards smoking cessation amongst health professionals. Methods The cross-sectional study, conducted in six countries, included doctors and nurses working at different hospital settings. Participants responded anonymously to an online questionnaire. Results Among 1109 participants, 36% were from Saudi Arabia, 14% from Nepal, 14% from Indonesia, 12% from Australia, 12% from Jordan, and 12% from Pakistan. Mean age was 33 years, 61% were females and 58% were nurses. One in eight (12%) was daily smoker. Among current smokers, 42% smoked 2-9 cigarettes/day, and 26% had their first cigarette within 5-30 minutes after waking up. Half of the smokers perceived it as 'very important' to quit smoking, 30% had tried to quit in the last six months, and 31% preferred to have a group quit program with the same health professionals. Only 17% had formal training on smoking cessation, but 57% were interested to receive one. Half of the participants said they (53%) 'always' asked patients if they smoked, but 89% said they advised to quit, 76% said they assessed intention to quit, 28% said they assisted by providing materials on cessation, and 33% said they arranged follow up for cessation. Compared to current smokers, never smokers were more likely to 'always' ask patients if they smoked (78% vs. 22%, p = 0.044, ORs 1.39, 95%CIs 1.01-1.91), assist smokers by setting quit dates (74% vs. 26%, p = 0.039, ORs 1.54, 95%CIs 1.03-2.29), arrange follow up (77% vs. 23%, p = 0.044, ORs 1.40, 95%CIs 1.01-1.94). Conclusions Health professionals reported moderately good behavior around advice to smokers, but it is much worse among current smokers. Health professionals who smoke should be both encouraged to quit and to better support their patients to do so. Key messages Smoking cessation support for patients was not good among health professionals, who were smokers. Health professionals need to quit smoking in order to provide better cessation support for patients.

scholarly journals A Cross-Sectional Study of Happiness and Smoking Cessation Among Parents

2015 ◽  
Vol 12 (1) ◽  
pp. 6-14 ◽  
Author(s):  
Jeremy E. Drehmer ◽  
Bethany Hipple ◽  
Deborah J. Ossip ◽  
Emara Nabi-Burza ◽  
Jonathan P. Winickoff
Keyword(s):  
Smoking Cessation ◽  
Secondhand Smoke ◽  
Cross Sectional Study ◽  
Evidence Based ◽  
Sectional Study ◽  
Cross Sectional ◽  
Factors Associated ◽  
Quit Smoking ◽  
Quitting Smoking

Introduction:Smoking cessation among adults is associated with increased happiness. This association has not been measured in parents, a subset of adults who face uniquely stressful and challenging circumstances that can affect happiness.Aims:The aim of this study was to determine if parental smoking cessation is associated with increased happiness and to identify characteristics of parental quitters who experience increased happiness.Methods:A total of 1,355 parents completed a 12-month follow-up interview from a U.S. national trial, Clinical Effort Against Secondhand Smoke Exposure (CEASE). Multivariable logistic regression examined if level of happiness was independently associated with quitting smoking and identified characteristics associated with feeling happier after quitting smoking.Results/Findings:Parents’ level of happiness was independently associated with quitting smoking (aOR = 1.60, 95% CI = 1.42–1.79). Factors associated with increased happiness among quitters include engaging in evidence-based cessation assistance (aOR = 2.69, 95% CI = 1.16–6.26), and adopting strictly enforced smoke-free home (aOR = 2.55, 95% CI = 1.19–5.48) and car (aOR = 3.85, 95% CI = 1.94–7.63) policies. Additionally, parents who believed that being a smoker got in the way of being a parent (aOR = 5.37, 95% CI = 2.61–11.07) and who believed that thirdhand smoke is harmful to children (aOR = 3.28, 95% CI = 1.16–9.28) were more likely to report feeling happier after quitting.Conclusions:Parents who quit smoking reported being happier than parents who did not quit. Though prospective studies can clarify what factors cause an increase in happiness, letting paediatricians know that most parents who smoke report being happier when quitting may facilitate communication with parents around cessation.

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