What keeps healthcare professionals from advising their patients who smoke to quit? A large-scale cross-sectional study
Background Quit-advice provided by healthcare professionals effectively increases quit rates. Tobacco dependence treatment guidelines therefore recommend providing quit-advice to all patients who smoke (PWS), however, many healthcare professionals do not advise PWS to quit. This results in worse pa...
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
European Publishing
2018-03-01
|
| Series: | Tobacco Induced Diseases |
| Subjects: | |
| Online Access: | http://www.journalssystem.com/tid/What-keeps-healthcare-professionals-from-advising-their-patients-who-smoke-to-quit,83858,0,2.html |
| _version_ | 1830462184731181056 |
|---|---|
| author | Eline Meijer Rianne Van der Kleij Niels Chavannes |
| author_facet | Eline Meijer Rianne Van der Kleij Niels Chavannes |
| author_sort | Eline Meijer |
| collection | DOAJ |
| description | Background
Quit-advice provided
by healthcare professionals effectively increases quit rates. Tobacco dependence
treatment guidelines therefore recommend providing quit-advice to all patients who smoke
(PWS), however, many healthcare professionals do not advise PWS to quit. This results
in worse patient outcomes and higher healthcare costs. We examined determinants
of providing quit-advice among a large sample of healthcare professionals from
different fields, most of which have not been included in research on tobacco
discouragement before.
Methods
Online survey
among addiction specialists (n=13), anaesthesiologists (n=61), cardiologists
(n=23), dental hygienists (n=74), dentists (n=40), general practitioners (n=149),
internists (n=79), midwives (n=82), neurologists (n=29), ophthalmologist (n=25), paediatricians
(n=42), pulmonologists (n=121), surgeons (n=65), youth specialists (n=78) and
other physicians (n=74). Provision of quit-advice, and socio-cognitive determinants
of and environmental/patient barriers to using the Dutch Tobacco-dependence-guideline
were assessed (entire sample), as well as perceptions of smoking (subsample).
Results
Most participants
(27%) advised the majority of PWS to quit, but only 16% advised all of them to
quit and 18% advised none to quit (16% half, 24% minority). Midwives were most
likely to advise all PWS to quit (42%). Multivariate logistic regression analysis
(n=760) showed that providing quit-advice (to all/majority vs. half/minority/none
of PWS) was significantly associated with stronger intentions to use the guideline,
stronger role perceptions, and sufficient training in smoking-cessation-care. Those
who mentioned lack of reimbursement as a barrier to providing smoking-cessation-care
were more likely to provide quit-advice, possibly because particularly those
who are more involved in tobacco treatment experience reimbursement as a
barrier. Furthermore, participants who perceived continuing smokers to lack
willpower were less likely to provide quit-advice (n=446).
Conclusions
Quit-advice is
provided less often than recommended. This may be improved by training, and by making
healthcare professionals more aware of their role in tobacco discouragement,
and the role of addiction (vs. willpower) in continued smoking. |
| first_indexed | 2024-12-21T11:41:38Z |
| format | Article |
| id | doaj.art-a68086d6893e4e019dab3f23f17e404f |
| institution | Directory Open Access Journal |
| issn | 1617-9625 |
| language | English |
| last_indexed | 2024-12-21T11:41:38Z |
| publishDate | 2018-03-01 |
| publisher | European Publishing |
| record_format | Article |
| series | Tobacco Induced Diseases |
| spelling | doaj.art-a68086d6893e4e019dab3f23f17e404f2022-12-21T19:05:18ZengEuropean PublishingTobacco Induced Diseases1617-96252018-03-0116110.18332/tid/8385883858What keeps healthcare professionals from advising their patients who smoke to quit? A large-scale cross-sectional studyEline Meijer0Rianne Van der Kleij1Niels Chavannes2Leiden University Medical Center, Public Health and Primary Care, NetherlandsLeiden University Medical Center, Public Health and Primary Care, NetherlandsLeiden University Medical Center, Public Health and Primary Care, NetherlandsBackground Quit-advice provided by healthcare professionals effectively increases quit rates. Tobacco dependence treatment guidelines therefore recommend providing quit-advice to all patients who smoke (PWS), however, many healthcare professionals do not advise PWS to quit. This results in worse patient outcomes and higher healthcare costs. We examined determinants of providing quit-advice among a large sample of healthcare professionals from different fields, most of which have not been included in research on tobacco discouragement before. Methods Online survey among addiction specialists (n=13), anaesthesiologists (n=61), cardiologists (n=23), dental hygienists (n=74), dentists (n=40), general practitioners (n=149), internists (n=79), midwives (n=82), neurologists (n=29), ophthalmologist (n=25), paediatricians (n=42), pulmonologists (n=121), surgeons (n=65), youth specialists (n=78) and other physicians (n=74). Provision of quit-advice, and socio-cognitive determinants of and environmental/patient barriers to using the Dutch Tobacco-dependence-guideline were assessed (entire sample), as well as perceptions of smoking (subsample). Results Most participants (27%) advised the majority of PWS to quit, but only 16% advised all of them to quit and 18% advised none to quit (16% half, 24% minority). Midwives were most likely to advise all PWS to quit (42%). Multivariate logistic regression analysis (n=760) showed that providing quit-advice (to all/majority vs. half/minority/none of PWS) was significantly associated with stronger intentions to use the guideline, stronger role perceptions, and sufficient training in smoking-cessation-care. Those who mentioned lack of reimbursement as a barrier to providing smoking-cessation-care were more likely to provide quit-advice, possibly because particularly those who are more involved in tobacco treatment experience reimbursement as a barrier. Furthermore, participants who perceived continuing smokers to lack willpower were less likely to provide quit-advice (n=446). Conclusions Quit-advice is provided less often than recommended. This may be improved by training, and by making healthcare professionals more aware of their role in tobacco discouragement, and the role of addiction (vs. willpower) in continued smoking.http://www.journalssystem.com/tid/What-keeps-healthcare-professionals-from-advising-their-patients-who-smoke-to-quit,83858,0,2.htmlWCTOH |
| spellingShingle | Eline Meijer Rianne Van der Kleij Niels Chavannes What keeps healthcare professionals from advising their patients who smoke to quit? A large-scale cross-sectional study Tobacco Induced Diseases WCTOH |
| title | What keeps healthcare professionals from advising their patients who smoke to quit? A large-scale cross-sectional study |
| title_full | What keeps healthcare professionals from advising their patients who smoke to quit? A large-scale cross-sectional study |
| title_fullStr | What keeps healthcare professionals from advising their patients who smoke to quit? A large-scale cross-sectional study |
| title_full_unstemmed | What keeps healthcare professionals from advising their patients who smoke to quit? A large-scale cross-sectional study |
| title_short | What keeps healthcare professionals from advising their patients who smoke to quit? A large-scale cross-sectional study |
| title_sort | what keeps healthcare professionals from advising their patients who smoke to quit a large scale cross sectional study |
| topic | WCTOH |
| url | http://www.journalssystem.com/tid/What-keeps-healthcare-professionals-from-advising-their-patients-who-smoke-to-quit,83858,0,2.html |
| work_keys_str_mv | AT elinemeijer whatkeepshealthcareprofessionalsfromadvisingtheirpatientswhosmoketoquitalargescalecrosssectionalstudy AT riannevanderkleij whatkeepshealthcareprofessionalsfromadvisingtheirpatientswhosmoketoquitalargescalecrosssectionalstudy AT nielschavannes whatkeepshealthcareprofessionalsfromadvisingtheirpatientswhosmoketoquitalargescalecrosssectionalstudy |