Smoking Cessation Interventions in Primary Healthcare Settings

ObjectiveThis 12-month study in a primary healthcare network aimed to assess the effectiveness of usual smoking cessation advice compared with personalised information about the spirometry results.DesignRandomised, parallel, controlled, multicentre clinical trial.SettingThis study involved 12 primary healthcare centres (Tarragona, Spain).ParticipantsActive smokers aged 35–70 years, without known respiratory disease. Each participant received brief smoking cessation advice along with a spirometry assessment. Participants with normal results were randomised to the intervention group (IG), including detailed spirometry information at baseline and 6-month follow-up or control group (CG), which was simply informed that their spirometry values were within normal parameters.Main outcomeProlonged abstinence (12 months) validated by expired-CO testing.ResultsSpirometry was normal in 571 patients in 571 patients (45.9% male), 286 allocated to IG and 285 to CG. Baseline characteristics were comparable between the groups. Mean age was 49.8 (SD ±7.78) years and mean cumulative smoking exposure was 29.2 (±18.7) pack-years. Prolonged abstinence was 5.6% (16/286) in the IG, compared with 2.1% (6/285) in the CG (p=0.03); the cumulative abstinence curve was favourable in the IG (HR 1.98; 95% CI 1.29 to 3.04).ConclusionsIn active smokers without known respiratory disease, brief advice plus detailed spirometry information doubled prolonged abstinence rates, compared with brief advice alone, in 12-month follow-up, suggesting a more effective intervention to achieve smoking cessation in primary healthcare.Trial registration numberNCT01194596.

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The Adoption of Electronic Health Records in Primary Healthcare Settings

CIN: Computers, Informatics, Nursing ◽

10.1097/cin.0000000000000755 ◽

2021 ◽

Vol Publish Ahead of Print ◽

Author(s):

Ahmad Tubaishat

Keyword(s):

Electronic Health Records ◽

Primary Healthcare ◽

Health Records ◽

Healthcare Settings ◽

Electronic Health

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What drives adoption of a computerised, multifaceted quality improvement intervention for cardiovascular disease management in primary healthcare settings? A mixed methods analysis using normalisation process theory

Implementation Science ◽

10.1186/s13012-018-0830-x ◽

2018 ◽

Vol 13 (1) ◽

Cited By ~ 5

Author(s):

Bindu Patel ◽

Tim Usherwood ◽

Mark Harris ◽

Anushka Patel ◽

Kathryn Panaretto ◽

...

Keyword(s):

Cardiovascular Disease ◽

Quality Improvement ◽

Mixed Methods ◽

Disease Management ◽

Primary Healthcare ◽

Process Theory ◽

Normalisation Process Theory ◽

Quality Improvement Intervention ◽

Healthcare Settings ◽

Improvement Intervention

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Willingness to Stop Smoking: A Cross-Sectional Study of a Primary Healthcare Center Visitors’ in an Urban Area of Alexandria in Egypt

10.31219/osf.io/enyxw ◽

2020 ◽

Author(s):

Rehab A. Rayan

Keyword(s):

Smoking Cessation ◽

Urban Area ◽

Primary Healthcare ◽

Health Hazard ◽

Single Point ◽

Cross Sectional Study ◽

P Value ◽

Sectional Study ◽

Cross Sectional ◽

Stop Smoking

For improving accomplished attempts to stop smoking, it is necessary to learn about the qualities of individuals who can willingly stop smoking. This study seeks to discover the willingness degree and associated determinants to stop smoking between adult visitors of a primary healthcare centre in an urban area of Alexandria in Egypt. In this single point and descriptive cross-sectional study, a semi-structured questionnaire was distributed to a sample of 53 adults aged ≥18 years in May 2019. Descriptive statistical analyses were conducted to evaluate the determinants influencing the willingness to stop smoking. Of the 53 respondents (with a mean age of 38.7 years old), 41.5% of them were males. Almost 18.9% of the respondents were ongoing smokers (36.4% of males and 6.5% of females), though 83.7% of those smokers were willing to stop smoking. The number of male smokers was significantly greater than female smokers (Pearson Chi-Square = 7.52, p-value = 0.006). Determinants, which can favourably influence the willingness to stop smoking, were believing that smoking is a health risk to them (100%) and the others around (94.3%). A bulk of participants (56.6%) doubted the need for nicotine supplements to help in smoking cessation. Smoker respondents were willing to stop smoking. Understanding that smoking is a health hazard for both smokers and the others around can motivate smoking cessation. Relying on nicotine supplements alone might not add favourably to a strong smoking cessation decision. Tailoring campaigns to raise awareness about smoking health hazards’ would support and sustain smoking cessation.

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