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Smoking cessation knowledge, attitude and practices among tuberculosis physicians: A qualitative study
Arusyak Harutyunyan1, Armine Abrahamyan1, Zaruhi Grigoryan1
1Turpanjian School of Public Health, American University of Armenia, Yerevan, Armenia.
Tobacco Prevention & Cessation
|January 7, 2021
Summary
Tuberculosis (TB) physicians have limited knowledge and skills regarding smoking cessation, impacting patient outcomes. Formalizing tobacco dependence treatment within TB care is crucial for improving smoking cessation practices.
Area of Science:
- Public Health
- Medical Education
- Tobacco Control
Background:
- Smoking cessation interventions are effective within tuberculosis (TB) care.
- Integrating smoking cessation into TB care improves cessation rates and patient outcomes.
Purpose of the Study:
- To assess TB physicians' knowledge, attitude, and practices (KAP) regarding smoking cessation.
- To identify barriers and facilitators for implementing smoking cessation interventions in TB care.
Main Methods:
- Qualitative study involving 21 TB physicians.
- Directed deductive content analysis of KAP.
- Analysis of physician practices using the ABC approach (Ask, Brief advice, Cessation support).
Main Results:
- Physicians recognize the importance of smoking cessation for TB treatment and relapse prevention.
- Barriers include perceived drug interactions, side effects, and reluctance towards pharmacotherapy.
- Physicians ask about smoking and offer brief advice, but cessation support is limited by knowledge gaps and lack of formal algorithms.
Conclusions:
- TB physicians demonstrate limited knowledge, attitude, and practices regarding smoking cessation.
- Targeted interventions to enhance physician knowledge and skills are necessary.
- Formalizing tobacco dependence treatment within TB care is essential for improving cessation practices in Armenia.
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