TY - JOUR
T1 - Making time for tobacco cessation counseling
AU - Jaén, Carlos Roberto
AU - Crabtree, Benjamin F.
AU - Zyzanski, Stephen J.
AU - Goodwin, Meredith A.
AU - Stange, Kurt C.
N1 - Copyright:
Copyright 2007 Elsevier B.V., All rights reserved.
PY - 1998/5
Y1 - 1998/5
N2 - Background. The objective of this study was to examine the incidence, targeting, and time demands of tobacco cessation advice by community family physicians. Methods. Research nurses directly observed 2 days of outpatient visits to 138 family physicians in northeast Ohio. Smoking status was identified by patient questionnaire. Visit characteristics were determined from direct observation and billing data. Visits by smokers with and without smoking cessation advice were compared. Results. The incidence of tobacco cessation advice was highest during wellness visits (55% vs 22% for illness visits; P < .001). Smokers seen for a tobacco-related chronic illness were more likely to receive advice than those seen for a chronic problem not related to tobacco (32% vs 17%; P=.05). The average duration of advice was less than 1 1/4 minutes. There were no significant differences in the duration of advice across different types of visits. Conclusions. Physicians are providing brief, targeted interventions for smoking cessation in family practices. The findings support the feasibility of implementing a brief intervention with all smokers seen during office visits.
AB - Background. The objective of this study was to examine the incidence, targeting, and time demands of tobacco cessation advice by community family physicians. Methods. Research nurses directly observed 2 days of outpatient visits to 138 family physicians in northeast Ohio. Smoking status was identified by patient questionnaire. Visit characteristics were determined from direct observation and billing data. Visits by smokers with and without smoking cessation advice were compared. Results. The incidence of tobacco cessation advice was highest during wellness visits (55% vs 22% for illness visits; P < .001). Smokers seen for a tobacco-related chronic illness were more likely to receive advice than those seen for a chronic problem not related to tobacco (32% vs 17%; P=.05). The average duration of advice was less than 1 1/4 minutes. There were no significant differences in the duration of advice across different types of visits. Conclusions. Physicians are providing brief, targeted interventions for smoking cessation in family practices. The findings support the feasibility of implementing a brief intervention with all smokers seen during office visits.
KW - Physician's practice patterns
KW - Physicians, family
KW - Primary health care
KW - Smoking cessation
KW - Tobacco smoke pollution
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M3 - Article
C2 - 9598001
AN - SCOPUS:2642690671
VL - 46
SP - 425
EP - 428
JO - Journal of Family Practice
JF - Journal of Family Practice
SN - 0094-3509
IS - 5
ER -