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Related Experiment Videos

Enhancing smoking cessation rates in primary care.

W C Wadland1, B Stöffelmayr, E Berger

  • 1Department of Family Practice, Michigan State University, East Lansing, USA. wadland@pilot.msu.edu

The Journal of Family Practice
|September 25, 1999
PubMed
Summary

Primary care nurses and telephone counselors effectively deliver smoking cessation counseling. Both practice-based and community-based approaches showed similar quit rates, highlighting the value of trained professionals in aiding smokers to quit.

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Area of Science:

  • Public Health
  • Behavioral Science
  • Clinical Medicine

Background:

  • The Agency for Health Care Policy and Research (AHCPR) guidelines emphasize physician-led smoking cessation interventions.
  • Physician adoption of smoking cessation guidelines remains suboptimal despite recognized importance.
  • This study aimed to compare practice-based versus community-based smoking cessation counseling.

Purpose of the Study:

  • To evaluate the comparative effectiveness of two distinct smoking cessation counseling strategies.
  • To assess the impact of practice-based versus community-based counseling on smoking cessation rates.
  • To determine the feasibility of training healthcare professionals in smoking cessation interventions.

Main Methods:

  • Two counseling approaches were compared: practice-based (office nurses, telephone counselors) and community-based (telephone counselors only).

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  • Both approaches included 1 recruitment and 6 computer-assisted counseling sessions.
  • Study involved 487 smokers across 4 practices in mid-Michigan, with physicians trained in brief advice.

    • Main Results:

    • Six-month quit rates were comparable: 35% for practice-based and 36% for community-based counseling.
    • Higher quit rates were observed in participants completing at least 4 counseling sessions.
    • Sixty-two percent of participants received free nicotine replacement therapy.

    Conclusions:

    • Nurses and counselors can be effectively trained to deliver relapse-prevention counseling in primary care settings.
    • Both office-based and telephone-delivered counseling methods demonstrated increased smoking cessation rates.
    • The study supports the integration of trained professionals in delivering smoking cessation support.