TY - JOUR
T1 - Efficacy of a brief intervention to improve emergency physicians smoking cessation counseling skills, knowledge, and attitudes
AU - Bernstein, Steven L.
AU - Boudreaux, Edwin D.
AU - Cabral, Lisa
AU - Cydulka, Rita K.
AU - Schwegman, David
AU - Larkin, Gregory L.
AU - Adams, Annette L.
AU - McCullough, Lynne B.
AU - Rhodes, Karin V.
N1 - Funding Information:
ABSTRACT. The objective of this study was to test whether a brief educational/administrative intervention could increase tobacco counseling by emergency physicians (EPs). Pre-/post-study at eight emergency departments (EDs) with residency programs were carried out. EPs received a 1-hour lecture on the health effects of smoking and strategies to counsel patients. After the lecture, cards promoting a national smokers’ quitline were placed in EDs, to be distributed by providers. Providers completed pre-/ post-intervention questionnaires. Patients were interviewed pre-/post-intervention to assess provider behavior. Two hundred eighty-seven EPs were enrolled. Post-intervention, providers were more likely to consider tobacco counseling part of their role, and felt more confident in counseling. Data from 1168 patient interviews and chart reviews showed that, post-intervention, providers were more likely to ask Steven L. Bernstein is affiliated with Albert Einstein College of Medicine, Albert Einstein Cancer Center, and Montefiore Medical Center, Bronx, New York, USA. Edwin D. Boudreaux is affiliated with the University of Medicine and Dentistry of New Jersey, Camden, New Jersey, USA. Lisa Cabral is affiliated with the Albert Einstein College of Medicine, and the Montefiore Medical Center, Bronx, New York, USA. Rita K. Cydulka is affiliated with the MetroHealth Medical Center, Cleveland, Ohio, USA. David Schwegman is affiliated with Emory University, Atlanta, Georgia, USA. Gregory L. Larkin is affiliated with University of Texas Southwestern Medical Center, Dallas, Texas, USA. Annette L. Adams is affiliated with Oregon Health & Science University, Portland, Oregon, USA. Lynne B. McCullough is affiliated with University of California, Los Angeles, Los Angeles, California, USA. Karin V. Rhodes is affiliated with University of Pennsylvania, Philadelphia, Pennsylvania, USA. Address correspondence to: Steven L. Bernstein, MD, Section of Emergency Medicine, Yale University School of Medicine, 464 Congress Avenue, Suite 260, New Haven, CT 06519 USA (E-mail: [email protected]). The authors wish to thank Steven A. Schroeder, MD, for his vision, guidance, and leadership throughout this project, as well as Arthur L. Kellermann, MD, MPH, Robert A. Lowe, MD, MPH, Michael Menchine, MD, Marilyn Bromley, and the many research assistants at each site. This project was supported by a grant from the Smoking Cessation Leadership Center of the Robert Wood Johnson Foundation to the American College of Emergency Physicians.
PY - 2009/4
Y1 - 2009/4
N2 - The objective of this study was to test whether a brief educational/administrative intervention could increase tobacco counseling by emergency physicians (EPs). Pre-/post-study at eight emergency departments (EDs) with residency programs were carried out. EPs received a 1-hour lecture on the health effects of smoking and strategies to counsel patients. After the lecture, cards promoting a national smokers' quitline were placed in EDs, to be distributed by providers. Providers completed pre-/ post-intervention questionnaires. Patients were interviewed pre-/post-intervention to assess provider behavior. Two hundred eighty-seven EPs were enrolled. Post-intervention, providers were more likely to consider tobacco counseling part of their role, and felt more confident in counseling. Data from 1168 patient interviews and chart reviews showed that, post-intervention, providers were more likely to ask patients about smoking, make a referral, and document smoking counseling. Post-intervention, 30% of smokers were given a Quitline referral card. An educational intervention improved ED-based tobacco interventions. Controlled trials are needed to establish these results' durability.
AB - The objective of this study was to test whether a brief educational/administrative intervention could increase tobacco counseling by emergency physicians (EPs). Pre-/post-study at eight emergency departments (EDs) with residency programs were carried out. EPs received a 1-hour lecture on the health effects of smoking and strategies to counsel patients. After the lecture, cards promoting a national smokers' quitline were placed in EDs, to be distributed by providers. Providers completed pre-/ post-intervention questionnaires. Patients were interviewed pre-/post-intervention to assess provider behavior. Two hundred eighty-seven EPs were enrolled. Post-intervention, providers were more likely to consider tobacco counseling part of their role, and felt more confident in counseling. Data from 1168 patient interviews and chart reviews showed that, post-intervention, providers were more likely to ask patients about smoking, make a referral, and document smoking counseling. Post-intervention, 30% of smokers were given a Quitline referral card. An educational intervention improved ED-based tobacco interventions. Controlled trials are needed to establish these results' durability.
KW - Emergency Department
KW - Smoking Cessation
KW - Tobacco Control
UR - https://www.scopus.com/pages/publications/67649231365
UR - https://www.scopus.com/pages/publications/67649231365#tab=citedBy
U2 - 10.1080/08897070902802117
DO - 10.1080/08897070902802117
M3 - Article
C2 - 19347755
AN - SCOPUS:67649231365
SN - 0889-7077
VL - 30
SP - 158
EP - 181
JO - Substance Abuse
JF - Substance Abuse
IS - 2
ER -
SDG 3 Good Health and Well-being