Feasibility of a primary care patient decision aid for smoking cessation with information about e-cigarettes
Decision aids can promote shared decision making and behavior change and may be effective in helping patients quit smoking. Patients are increasingly using e-cigarettes for smoking cessation; however, little is known about the impact of including e-cigarette information in smoking cessation decision...
| Main Authors: | , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2022-04-01
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| Series: | Preventive Medicine Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2211335522000523 |
| _version_ | 1811311063352737792 |
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| author | Jennifer H. LeLaurin James F. Thrasher Scott M. Strayer John Malaty Christy Kollath-Cattano Maribeth Williams Oliver T. Nguyen Allie M. Kellner James M. Smith Ramzi G. Salloum |
| author_facet | Jennifer H. LeLaurin James F. Thrasher Scott M. Strayer John Malaty Christy Kollath-Cattano Maribeth Williams Oliver T. Nguyen Allie M. Kellner James M. Smith Ramzi G. Salloum |
| author_sort | Jennifer H. LeLaurin |
| collection | DOAJ |
| description | Decision aids can promote shared decision making and behavior change and may be effective in helping patients quit smoking. Patients are increasingly using e-cigarettes for smoking cessation; however, little is known about the impact of including e-cigarette information in smoking cessation decision aids. Our objective was to assess the feasibility and acceptability of a smoking cessation decision aid including e-cigarette information. This study was conducted at one family medicine clinic in the United States. We used a pre-post design. In Phase I, the decision aid presented information about approved cessation methods. In Phase II, current e-cigarette users and patients with no intention of quitting received additional information on switching to e-cigarettes. We assessed the impact of the decision aids on quit attempts and abstinence, confidence and readiness to quit, confidence and readiness to switch to e-cigarettes, and patient satisfaction. We enrolled 60 patients in each phase (N = 120). Patients reported higher confidence and readiness to quit after viewing the decision aids and consulting with their physician (p < 0.01). Patients reported the decision aid helped prepare them to make a decision about quitting smoking and expressed satisfaction with the decision aid and clinician consultation. We did not observe an impact of including e-cigarette information. Smoking cessation decision aids are acceptable to patients and may promote behavior change. Future studies should explore the impact of providing patients e-cigarette information using larger sample sizes and rigorous designs. Further research is needed to identify strategies to promote shared decision-making regarding e-cigarettes. |
| first_indexed | 2024-04-13T10:11:14Z |
| format | Article |
| id | doaj.art-dad9e20184174d529c6cb6d5d5b04437 |
| institution | Directory Open Access Journal |
| issn | 2211-3355 |
| language | English |
| last_indexed | 2024-04-13T10:11:14Z |
| publishDate | 2022-04-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Preventive Medicine Reports |
| spelling | doaj.art-dad9e20184174d529c6cb6d5d5b044372022-12-22T02:50:56ZengElsevierPreventive Medicine Reports2211-33552022-04-0126101745Feasibility of a primary care patient decision aid for smoking cessation with information about e-cigarettesJennifer H. LeLaurin0James F. Thrasher1Scott M. Strayer2John Malaty3Christy Kollath-Cattano4Maribeth Williams5Oliver T. Nguyen6Allie M. Kellner7James M. Smith8Ramzi G. Salloum9Department of Health Outcomes and Biomedical Informatics, College of Medicine, University of Florida, Gainesville, FL, USADepartment of Health Promotion, Education, and Behavior, Arnold School of Public Health, University of South Carolina, Columbia, SC, USADepartment of Family Medicine and Population Health, School of Medicine, Virginia Commonwealth University, Richmond, VA, USADepartment of Community Health and Family Medicine, College of Medicine, University of Florida, Gainesville, FL, USADepartment of Health and Human Performance, College of Charleston, Charleston, SC, USADepartment of Community Health and Family Medicine, College of Medicine, University of Florida, Gainesville, FL, USADepartment of Health Outcomes and Biomedical Informatics, College of Medicine, University of Florida, Gainesville, FL, USADepartment of Health Outcomes and Biomedical Informatics, College of Medicine, University of Florida, Gainesville, FL, USADivision of General Internal Medicine, College of Medicine, University of Florida, Gainesville, FL, USADepartment of Health Outcomes and Biomedical Informatics, College of Medicine, University of Florida, Gainesville, FL, USA; Corresponding author at: Department of Health Outcomes and Biomedical Informatics, P.O. Box 100177, Gainesville, FL 32610-0177, USA.Decision aids can promote shared decision making and behavior change and may be effective in helping patients quit smoking. Patients are increasingly using e-cigarettes for smoking cessation; however, little is known about the impact of including e-cigarette information in smoking cessation decision aids. Our objective was to assess the feasibility and acceptability of a smoking cessation decision aid including e-cigarette information. This study was conducted at one family medicine clinic in the United States. We used a pre-post design. In Phase I, the decision aid presented information about approved cessation methods. In Phase II, current e-cigarette users and patients with no intention of quitting received additional information on switching to e-cigarettes. We assessed the impact of the decision aids on quit attempts and abstinence, confidence and readiness to quit, confidence and readiness to switch to e-cigarettes, and patient satisfaction. We enrolled 60 patients in each phase (N = 120). Patients reported higher confidence and readiness to quit after viewing the decision aids and consulting with their physician (p < 0.01). Patients reported the decision aid helped prepare them to make a decision about quitting smoking and expressed satisfaction with the decision aid and clinician consultation. We did not observe an impact of including e-cigarette information. Smoking cessation decision aids are acceptable to patients and may promote behavior change. Future studies should explore the impact of providing patients e-cigarette information using larger sample sizes and rigorous designs. Further research is needed to identify strategies to promote shared decision-making regarding e-cigarettes.http://www.sciencedirect.com/science/article/pii/S2211335522000523E-cigarettesVapingShared decision-makingDecision aids |
| spellingShingle | Jennifer H. LeLaurin James F. Thrasher Scott M. Strayer John Malaty Christy Kollath-Cattano Maribeth Williams Oliver T. Nguyen Allie M. Kellner James M. Smith Ramzi G. Salloum Feasibility of a primary care patient decision aid for smoking cessation with information about e-cigarettes Preventive Medicine Reports E-cigarettes Vaping Shared decision-making Decision aids |
| title | Feasibility of a primary care patient decision aid for smoking cessation with information about e-cigarettes |
| title_full | Feasibility of a primary care patient decision aid for smoking cessation with information about e-cigarettes |
| title_fullStr | Feasibility of a primary care patient decision aid for smoking cessation with information about e-cigarettes |
| title_full_unstemmed | Feasibility of a primary care patient decision aid for smoking cessation with information about e-cigarettes |
| title_short | Feasibility of a primary care patient decision aid for smoking cessation with information about e-cigarettes |
| title_sort | feasibility of a primary care patient decision aid for smoking cessation with information about e cigarettes |
| topic | E-cigarettes Vaping Shared decision-making Decision aids |
| url | http://www.sciencedirect.com/science/article/pii/S2211335522000523 |
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