Improving Smoking Cessation Counseling Using a Point-of-Care Health Intervention Tool (IT): From the Virginia Practice Support and Research Network (VaPSRN) Public Deposited

http://ir.library.oregonstate.edu/concern/defaults/9019s3342

This is the publisher’s final pdf. The published article can be found at:  http://www.jabfm.org/.

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  • Purpose: Primary care practices are an ideal setting for reducing national smoking rates because >70% of smokers visit their physician annually, yet smoking cessation counseling is inconsistently delivered to patients. We designed and created a novel software program for handheld computers and hypothesized that it would improve clinicians' ability to provide patient-tailored smoking cessation counseling at the point of care. Methods: A handheld computer software program was created based on smoking cessation guidelines and an adaptation of widely accepted behavioral change theories. The tool was evaluated using a validated before/after survey to measure physician smoking cessation counseling behaviors, knowledge, and comfort/self-efficacy. Results: Participants included 17 physicians (mean age, 41 years; 71% male; 5 resident physicians) from a practice-based research network. After 4 months of use in direct patient care, physicians were more likely to advise patients to stop smoking (P = .049) and reported an increase in use of the “5 As” (P = .03). Improved self-efficacy in counseling patients regarding smoking cessation (P = .006) was seen, as was increased comfort in providing follow-up to patients (P = .04). Conclusions: Use of a handheld computer software tool improved smoking cessation counseling among physicians and shows promise for translating evidence about smoking cessation counseling into practice and educational settings.
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  • Strayer, S. M., Heim, S. W., Rollins, L. K., Bovbjerg, M. L., Nadkarni, M., Waters, D. B., . . . Schorling, J. B. (2013). Improving smoking cessation counseling using a point-of-care health intervention tool (IT): From the virginia practice support and research network (VaPSRN). Journal of the American Board of Family Medicine : JABFM, 26(2), 116
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  • description.provenance : Approved for entry into archive by Deanne Bruner(deanne.bruner@oregonstate.edu) on 2013-03-25T20:38:20Z (GMT) No. of bitstreams: 1 BovbjergMaritPublicHealthHumanSciencesImprovingSmokingCessation.pdf: 1059300 bytes, checksum: a907526ffbef3e0d61b32be7d2e0b191 (MD5)
  • description.provenance : Submitted by Deanne Bruner (deanne.bruner@oregonstate.edu) on 2013-03-25T20:37:20Z No. of bitstreams: 1 BovbjergMaritPublicHealthHumanSciencesImprovingSmokingCessation.pdf: 1059300 bytes, checksum: a907526ffbef3e0d61b32be7d2e0b191 (MD5)
  • description.provenance : Made available in DSpace on 2013-03-25T20:38:20Z (GMT). No. of bitstreams: 1 BovbjergMaritPublicHealthHumanSciencesImprovingSmokingCessation.pdf: 1059300 bytes, checksum: a907526ffbef3e0d61b32be7d2e0b191 (MD5) Previous issue date: 2013-03

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