Smoking Cessation Counseling in Family Medicine: Changing Patient Perceptions.
Wednesday, February 12, 2014
Posted by: Natalia Gromov
J
Prim Care Community Health. 2014 Jan 8. [Epub ahead of print]
Smoking Cessation
Counseling in Family Medicine: Changing Patient Perceptions.
Johns TL, Metzger K,
Lawrence E
This study aimed to determine if a provider visual cue improves patient
perception that smoking cessation counseling occurred. METHODS: This was a
quasi-experimental intervention study with a pre-post test design. The
intervention was a quitline reference card attached to the billing form as a
prompt for providers to address smoking cessation. The patient survey included
6 elements, each assigned 1 point. The outcomes were the mean survey summary
score preintervention compared to postintervention and the distribution of
individual elements. RESULTS: Preintervention, 40 patients who smoke cigarettes
completed the survey; 46 patients were enrolled postintervention. The groups
were similar, with no significant differences in age, gender, or
race/ethnicity. Mean survey summary scores pre- and postintervention were 4.1
and 5.1, respectively (P < .05). Compared with preintervention, more
patients perceived the recommendation for a smoking cessation course
postintervention (40% vs 83%, P < .05). No significant differences in
perceptions of other counseling elements were found. CONCLUSIONS: Providing a
visual cue such as a quitline card is an effective and inexpensive means of
prompting a provider to discuss smoking cessation and can be easily integrated
into practice.
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