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Physicians discuss the risks of smoking with their patients, but seldom offer practical cessation support.

Keto J, Jokelainen J, Timonen M, Linden K, Ylisaukko-oja T - Subst Abuse Treat Prev Policy (2015)

Bottom Line: The respondents were more active in discussing smoking with their patients than in offering practical cessation help.Physicians offer their patients practical cessation support relatively infrequently.Secondary care physicians should acknowledge the authority they pose toward smoking patients.

View Article: PubMed Central - PubMed

Affiliation: Department of General Medicine, Faculty of Medicine, University of Oulu, P.O. Box 5000, FIN-90014, Oulu, Finland. jaana.keto@helsinki.fi.

ABSTRACT

Background: Our aim was to study the smoking cessation-related 1) attitudes & experiences and 2) consultation practices of Finnish physicians and to determine if there is a relationship between the two.

Methods: An online survey on smoking cessation was sent to 39 % of all Finnish physicians, with emphasis on physicians working in fields relevant to smoking cessation. A total of 1141 physicians (response rate 15 %) responded to the online survey, 53 % of whom were employed in primary health care. A total of 1066 respondents were eligible for the analysis. The questionnaire included questions on the physician's own smoking status, their attitudes and experiences on smoking cessation, and the implementation of smoking cessation in clinical practice. Two sub-scales concerning smoking-related consultation activities were constructed: one for conversation, and another for practical actions.

Results: The most common consultation activities (respondents who reported doing the following actions "nearly always") were asking how much the patient smokes (65 %), marking smoking status in patient records (58 %) and recommending quitting to the patient (55 %). The least common activity was prescribing withdrawal medication (4 %). Primary care physicians were more active than those working in secondary health care in nearly all activities mapped. A positive attitude and experiences on smoking cessation were associated with actively offering withdrawal support. Those who were familiar with the local treatment guidelines for tobacco addiction were 30 % more active in offering practical cessation help to their patient. The respondents were more active in discussing smoking with their patients than in offering practical cessation help.

Conclusion: Physicians offer their patients practical cessation support relatively infrequently. Practical cessation calls for continuous education of physicians about the nature of tobacco and nicotine addiction, the role of smoking as a risk factor for various diseases, and the practical measures needed for smoking cessation. Secondary care physicians should acknowledge the authority they pose toward smoking patients.

No MeSH data available.


Related in: MedlinePlus

The effect of positive attitudes and experiences on smoking cessation activity. The increase in smoking cessation activity of physicians who agree with the claims presented compared to those who disagree. The baseline (0 %) is the activity level of physicians who disagree with the claims. For instance, those who are familiar with the local treatment guidelines for tobacco addiction are 30 % more active in offering practical cessation help to their patient. p < 0.005 (Mann–Whitney U-test) for all items, n = 1066
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Fig3: The effect of positive attitudes and experiences on smoking cessation activity. The increase in smoking cessation activity of physicians who agree with the claims presented compared to those who disagree. The baseline (0 %) is the activity level of physicians who disagree with the claims. For instance, those who are familiar with the local treatment guidelines for tobacco addiction are 30 % more active in offering practical cessation help to their patient. p < 0.005 (Mann–Whitney U-test) for all items, n = 1066

Mentions: The relationship between 1) smoking cessation related attitudes and experiences and 2) consultation activity is presented in Table 2. A statistically significant positive association was seen with all attitude claims presented (MW-U, Z- and p-values in Table 2) (Fig. 3). The strongest association was observed between the respondents’ consultation activity and their evaluation of their own withdrawal skills. Physicians who found their skills sufficient for giving withdrawal aid were more active measured on both the conversation scale (+20 %) and the practical actions scale (+60 %) than those who considered their skills insufficient. The same applied to being familiar with the local treatment guidelines for tobacco addiction (+14 % more active on conversation and +29 % more active on practical actions scale).Table 2


Physicians discuss the risks of smoking with their patients, but seldom offer practical cessation support.

Keto J, Jokelainen J, Timonen M, Linden K, Ylisaukko-oja T - Subst Abuse Treat Prev Policy (2015)

The effect of positive attitudes and experiences on smoking cessation activity. The increase in smoking cessation activity of physicians who agree with the claims presented compared to those who disagree. The baseline (0 %) is the activity level of physicians who disagree with the claims. For instance, those who are familiar with the local treatment guidelines for tobacco addiction are 30 % more active in offering practical cessation help to their patient. p < 0.005 (Mann–Whitney U-test) for all items, n = 1066
© Copyright Policy - OpenAccess
Related In: Results  -  Collection

License 1 - License 2
Show All Figures
getmorefigures.php?uid=PMC4630922&req=5

Fig3: The effect of positive attitudes and experiences on smoking cessation activity. The increase in smoking cessation activity of physicians who agree with the claims presented compared to those who disagree. The baseline (0 %) is the activity level of physicians who disagree with the claims. For instance, those who are familiar with the local treatment guidelines for tobacco addiction are 30 % more active in offering practical cessation help to their patient. p < 0.005 (Mann–Whitney U-test) for all items, n = 1066
Mentions: The relationship between 1) smoking cessation related attitudes and experiences and 2) consultation activity is presented in Table 2. A statistically significant positive association was seen with all attitude claims presented (MW-U, Z- and p-values in Table 2) (Fig. 3). The strongest association was observed between the respondents’ consultation activity and their evaluation of their own withdrawal skills. Physicians who found their skills sufficient for giving withdrawal aid were more active measured on both the conversation scale (+20 %) and the practical actions scale (+60 %) than those who considered their skills insufficient. The same applied to being familiar with the local treatment guidelines for tobacco addiction (+14 % more active on conversation and +29 % more active on practical actions scale).Table 2

Bottom Line: The respondents were more active in discussing smoking with their patients than in offering practical cessation help.Physicians offer their patients practical cessation support relatively infrequently.Secondary care physicians should acknowledge the authority they pose toward smoking patients.

View Article: PubMed Central - PubMed

Affiliation: Department of General Medicine, Faculty of Medicine, University of Oulu, P.O. Box 5000, FIN-90014, Oulu, Finland. jaana.keto@helsinki.fi.

ABSTRACT

Background: Our aim was to study the smoking cessation-related 1) attitudes & experiences and 2) consultation practices of Finnish physicians and to determine if there is a relationship between the two.

Methods: An online survey on smoking cessation was sent to 39 % of all Finnish physicians, with emphasis on physicians working in fields relevant to smoking cessation. A total of 1141 physicians (response rate 15 %) responded to the online survey, 53 % of whom were employed in primary health care. A total of 1066 respondents were eligible for the analysis. The questionnaire included questions on the physician's own smoking status, their attitudes and experiences on smoking cessation, and the implementation of smoking cessation in clinical practice. Two sub-scales concerning smoking-related consultation activities were constructed: one for conversation, and another for practical actions.

Results: The most common consultation activities (respondents who reported doing the following actions "nearly always") were asking how much the patient smokes (65 %), marking smoking status in patient records (58 %) and recommending quitting to the patient (55 %). The least common activity was prescribing withdrawal medication (4 %). Primary care physicians were more active than those working in secondary health care in nearly all activities mapped. A positive attitude and experiences on smoking cessation were associated with actively offering withdrawal support. Those who were familiar with the local treatment guidelines for tobacco addiction were 30 % more active in offering practical cessation help to their patient. The respondents were more active in discussing smoking with their patients than in offering practical cessation help.

Conclusion: Physicians offer their patients practical cessation support relatively infrequently. Practical cessation calls for continuous education of physicians about the nature of tobacco and nicotine addiction, the role of smoking as a risk factor for various diseases, and the practical measures needed for smoking cessation. Secondary care physicians should acknowledge the authority they pose toward smoking patients.

No MeSH data available.


Related in: MedlinePlus