Training physicians in counseling about smoking cessation. A randomized trial of the "Quit for Life" program
- PMID: 2930094
- DOI: 10.7326/0003-4819-110-8-640
Training physicians in counseling about smoking cessation. A randomized trial of the "Quit for Life" program
Abstract
Study objective: To test whether physicians who receive a continuing education program ("Quit for Life") about how to counsel smokers to quit would counsel smokers more effectively and have higher rates of long-term smoking cessation among their patients who smoke.
Design: Randomized trial with blinded assessment of principal outcomes.
Setting: Four health maintenance organization medical centers in northern California.
Subjects: Eighty-one internists assigned by blinded randomization to receive training (40) or serve as controls (41). Consecutive samples of smokers visiting each physician (mean, 25.6 patients per experimental and 25.2 per control physician).
Interventions: Internists received 3 hours of training about how to help smokers quit. Physicians and their office staff also were given self-help booklets to distribute free to smokers and were urged to use a system of stickers on charts to remind physicians to counsel smokers about quitting.
Measurements and main results: On the basis of telephone interviews with patients after visiting the physician, we determined that internists who attended the Quit for Life program discussed smoking with more patients who smoked, spent more time counseling them about smoking, helped more patients set dates to quit smoking, gave out more self-help booklets, and made more follow-up appointments to discuss smoking than did internists in the control group. One year later, the rate of biochemically confirmed, long-term (greater than or equal to 9 months) abstinence from smoking was 1% higher among all patients of trained internists than among patients of controls (95% CI, -0.1% to +2.3%), and 2.2% (+0.2% to +4.3%) higher among the patients who most wanted to quit smoking.
Conclusions: This continuing education program substantially changed the way physicians counseled smokers. As a result, a few more patients who wanted to quit smoking achieved long-term abstinence.
Similar articles
-
Training physicians about smoking cessation: a controlled trial in private practice.J Gen Intern Med. 1989 Nov-Dec;4(6):482-9. doi: 10.1007/BF02599545. J Gen Intern Med. 1989. PMID: 2685206 Clinical Trial.
-
Staff involvement and special follow-up time increase physicians' counseling about smoking cessation: a controlled trial.Am J Public Health. 1991 Jul;81(7):899-901. doi: 10.2105/ajph.81.7.899. Am J Public Health. 1991. PMID: 2053669 Free PMC article. Clinical Trial.
-
Quitting smoking: reasons for quitting and predictors of cessation among medical patients.J Gen Intern Med. 1992 Jul-Aug;7(4):398-404. doi: 10.1007/BF02599155. J Gen Intern Med. 1992. PMID: 1506945
-
Physician-delivered interventions for smoking cessation: strategies for increasing effectiveness.Prev Med. 1987 Sep;16(5):723-37. doi: 10.1016/0091-7435(87)90054-5. Prev Med. 1987. PMID: 3317393 Review.
-
Stage-based interventions for smoking cessation.Cochrane Database Syst Rev. 2010 Nov 10;(11):CD004492. doi: 10.1002/14651858.CD004492.pub4. Cochrane Database Syst Rev. 2010. PMID: 21069681 Review.
Cited by
-
Strategies to improve smoking cessation rates in primary care.Cochrane Database Syst Rev. 2021 Sep 6;9(9):CD011556. doi: 10.1002/14651858.CD011556.pub2. Cochrane Database Syst Rev. 2021. PMID: 34693994 Free PMC article. Review.
-
Continuing education meetings and workshops: effects on professional practice and healthcare outcomes.Cochrane Database Syst Rev. 2021 Sep 15;9(9):CD003030. doi: 10.1002/14651858.CD003030.pub3. Cochrane Database Syst Rev. 2021. PMID: 34523128 Free PMC article. Review.
-
Perceived barriers of tobacco dependence treatment: a mixed-methods study among primary healthcare physicians in Armenia.Prim Health Care Res Dev. 2019 Jan;20:e17. doi: 10.1017/S1463423618000828. Epub 2018 Nov 13. Prim Health Care Res Dev. 2019. PMID: 30421696 Free PMC article.
-
System change interventions for smoking cessation.Cochrane Database Syst Rev. 2017 Feb 10;2(2):CD010742. doi: 10.1002/14651858.CD010742.pub2. Cochrane Database Syst Rev. 2017. PMID: 28185257 Free PMC article. Review.
-
Smoking-Related Attitudes and Knowledge Among Medical Students and Recent Graduates in Argentina: A Cross-Sectional Study.J Gen Intern Med. 2017 May;32(5):549-555. doi: 10.1007/s11606-016-3890-0. Epub 2016 Oct 11. J Gen Intern Med. 2017. PMID: 27730488 Free PMC article.
Publication types
MeSH terms
Grants and funding
LinkOut - more resources
Full Text Sources
Research Materials