This Article  • References  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Citing articles on HighWire  • Citing articles on Web of Science (103)  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

A Population-Based Survey of Patients' Perceptions of Health Care Provider—Delivered Smoking Cessation Interventions

Michael G. Goldstein, MD; Raymond Niaura, PhD; Cynthia Willey-Lessne, PhD; Judy DePue, EdD, MPH; Cheryl Eaton, MA; William Rakowski, PhD; Catherine Dubé, EdD

Arch Intern Med. 1997;157(12):1313-1319.

Abstract
Objective
To examine associations between sociodemographic and psychological characteristics of smokers and delivery of 5 types of smoking cessation counseling interventions by physicians and office staff.

Methods
We used a telephone survey of a population-based sample of adult cigarette smokers (N=3037) who saw a physician in the last year. Primary outcomes included patients' report of whether a physician or other health care provider (1) talked about smoking, (2) advised them to quit, (3) offered help to quit, (4) arranged a follow-up contact, and (5) prescribed nicotine gum or other medication.

Results
Fifty-one percent of smokers were talked to about their smoking; 45.5% were advised to quit; 14.9% were offered help; 3% had a follow-up appointment arranged; and 8.5% were prescribed medication. In multivariate analyses, the most consistent predictors of receipt of almost all counseling behaviors were medical setting (private physician's office only > care in other settings), health status (fair or poor > good, very good, or excellent), more years of education, greater number of cigarettes smoked per day, stage of readiness to quit smoking (preparation > precontemplation), and greater reported benefits of smoking.

Conclusions
Physicians and other health care providers are not meeting the standards of smoking intervention outlined by the National Cancer Institute and the Agency for Health Care Policy and Research. Health care providers who intervene only with those patients who are ready to quit smoking are missing opportunities to provide effective smoking interventions to the majority of their patients. Interventions are also less likely to be provided to healthier and lighter smokers.

Arch Intern Med. 1997;157:1313-1319

Author Affiliations
From the Division of Behavioral and Preventive Medicine, Department of Psychiatry, The Miriam Hospital (Drs Goldstein, Niaura, and DePue) and Brown University School of Medicine (Drs Goldstein, Niaura, DePue, Rakowski, and Dubé and Ms Eaton), and Center for Alcohol and Addiction Studies, Brown University, Providence, RI (Drs Goldstein, Niaura, and Dubé and Ms Eaton), and College of Pharmacy, University ofRhode Island, Providence (Dr Willey-Lessne).

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?

THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Risk behaviours in HIV-positive men who have sex with men participating in an intervention in a primary care setting
Bachmann et al.
Int J STD AIDS 2009;20:607-612.
ABSTRACT | FULL TEXT  

A Randomized Trial of a Pay-for-Performance Program Targeting Clinician Referral to a State Tobacco Quitline
An et al.
Arch Intern Med 2008;168:1993-1999.
ABSTRACT | FULL TEXT  

Effect on Cessation Counseling of Documenting Smoking Status as a Routine Vital Sign: An ACORN Study
Rothemich et al.
Ann Fam Med 2008;6:60-68.
ABSTRACT | FULL TEXT  

Sociocultural factors associated with cigarette smoking among women in Brazilian worksites: a qualitative study
Scarinci et al.
HEALTH PROMOT INT 2007;22:146-154.
ABSTRACT | FULL TEXT  

Integrating smoking cessation into mental health care for post-traumatic stress disorder
McFall et al.
Clin Trials 2007;4:178-189.
ABSTRACT  

Knowing how to help tobacco users: Dentists' familiarity and compliance with the clinical practice guideline
Hu et al.
Journal of the American Dental Association 2006;137:170-179.
ABSTRACT | FULL TEXT  

What to Do With a Patient Who Smokes
Schroeder
JAMA 2005;294:482-487.
ABSTRACT | FULL TEXT  

Improving the Rates of Quitting Smoking for Veterans With Posttraumatic Stress Disorder
McFall et al.
Am. J. Psychiatry 2005;162:1311-1319.
ABSTRACT | FULL TEXT  

Smoking Cessation Services in U.S. Methadone Maintenance Facilities
Richter et al.
Psychiatr. Serv. 2004;55:1258-1264.
ABSTRACT | FULL TEXT  

Tobacco Dependence Curricula in Undergraduate Osteopathic Medical Education
Montalto et al.
JAOA: Journal of the American Osteopathic Association 2004;104:317-323.
ABSTRACT | FULL TEXT  

Use of Smoking Cessation Interventions and Aspirin for Secondary Prevention: Are There Racial Disparities?
Ambriz et al.
American Journal of Medical Quality 2004;19:166-171.
ABSTRACT  

Training Future Pharmacists at a Minority Educational Institution: Evaluation of the Rx for Change Tobacco Cessation Training Program
Suchanek Hudmon et al.
Cancer Epidemiol. Biomarkers Prev. 2004;13:477-481.
ABSTRACT | FULL TEXT  

Preventing 3 Million Premature Deaths and Helping 5 Million Smokers Quit: A National Action Plan for Tobacco Cessation
Fiore et al.
AJPH 2004;94:205-210.
ABSTRACT | FULL TEXT  

Is Making Smoking Status a Vital Sign Sufficient to Increase Cessation Support Actions in Clinical Practice?
Boyle and Solberg
Ann Fam Med 2004;2:22-25.
ABSTRACT | FULL TEXT  

Dissemination of the AHCPR clinical practice guideline in community health centres
DePue et al.
Tobacco Control 2002;11:329-335.
ABSTRACT | FULL TEXT  

Treating Tobacco Use and Dependence : An Evidence-Based Clinical Practice Guideline for Tobacco Cessation
Anderson et al.
Chest 2002;121:932-941.
ABSTRACT | FULL TEXT  

A smoking cessation telephone resource: feasibility and preliminary evidence on the effect on health care provider adherence to smoking cessation guidelines
Marcy et al.
Tobacco Control 2002;11:84-84.
FULL TEXT  

To Change or Not To Change: "Sounds Like You Have a Dilemma"
Levinson et al.
ANN INTERN MED 2001;135:386-391.
FULL TEXT  

Smoking cessation in heart failure: it is never too late
Lightwood et al.
J Am Coll Cardiol 2001;37:1683-1684.
FULL TEXT  

Patient recall versus physician documentation in report of smoking cessation counselling performed in the inpatient setting
Nicholson et al.
Tobacco Control 2000;9:382-388.
ABSTRACT | FULL TEXT  

Documentation for the Sake of Documentation? • Response
Grant et al.
Circulation 1999;100:1461-1461.
FULL TEXT  

Smoking by parents of asthmatic children
Kemm et al.
BMJ 1999;319:644-644.
FULL TEXT  

National Patterns in the Treatment of Smokers by Physicians
Thorndike et al.
JAMA 1998;279:604-608.
ABSTRACT | FULL TEXT  

Physicians Aren't Helping Smokers Quit
JWatch Women's Health 1997;1997:10-10.
FULL TEXT  

Patient Smoking Cessation Advice by Health Care Providers: The Role of Ethnicity, Socioeconomic Status, and Health
Houston et al.
AJPH 2005;95:1056-1061.
ABSTRACT | FULL TEXT