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Can Quit Practice: a comprehensive smoking cessation programme for the general practice team.
Deborah McLeod1, Elizabeth Cornford, Susan Pullon
1Department of General Practice, Wellington School of Medicine and Health Sciences, Wellington South, New Zealand. dmcleod@wnmeds.ac.nz
The New Zealand Medical Journal
|April 22, 2005
Summary
The Can Quit Practice Programme successfully integrated smoking cessation support into general practices. This initiative achieved sustained quit rates, demonstrating its effectiveness in primary healthcare settings.
Area of Science:
- Public Health
- Primary Care Medicine
- Behavioral Science
Background:
- Smoking remains a significant public health concern, necessitating effective interventions within primary care.
- General practices are well-positioned to deliver smoking cessation support due to their accessibility.
- Existing smoking cessation programs often require enhancement for sustainable integration into routine practice.
Purpose of the Study:
- To develop, implement, and evaluate a comprehensive training and support program for smoking cessation in general practice.
- To assess the feasibility and effectiveness of the Can Quit Practice Programme.
- To identify key components for successful implementation of smoking cessation services in primary care.
Main Methods:
- The Can Quit Practice Programme utilized brief interventions by general practitioners (GPs) or practice nurses (PNs), followed by systematic support from trained PNs (quit advisors).
- The program incorporated flexible implementation strategies, ongoing support, and problem-solving sessions.
- A mixed-methods evaluation approach (qualitative and quantitative) was employed to determine quit rates and assess program delivery efficacy.
Main Results:
- The Can Quit Practice Programme achieved quit rates of 25.9% at 3 months, 22.4% at 6 months, and 20.0% at 9 months among 85 enrolled smokers.
- Key factors for successful implementation included an autonomous role for PNs, efficient practice procedures, sufficient consultation time, and adequate health promotion funding.
- The program demonstrated successful participant engagement and sustained smoking cessation support.
Conclusions:
- Smoking cessation programs can be effectively implemented and sustained within general practices.
- Integrating smoking cessation services into primary healthcare is a viable and effective strategy.
- The Can Quit Practice Programme provides a model for enhancing smoking cessation support in primary care settings.