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NAQC Newsroom: Research

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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