Health care practitioners' motivation for tobacco-dependence counseling
Health care practitioners' motivation for tobacco-dependence counseling
复制标题
DOI：
10.1093/her/cyf042
复制
发表时间：
2003-10-01
影响因子：
2.4
通讯作者：
Deci, EL
中科院分区：
文献类型：
--
作者：
Williams, GC;Levesque, C;Deci, EL
尽管有强有力的证据表明咨询会增加戒烟率并降低患者死亡率，但从业者提供的戒烟咨询发生率很低。在一项初步研究中，1060名纽约州的医生完成了一项关于使用卫生保健政策和研究机构（AHCPR）指南的调查，感知自主权和感知咨询能力，感知保险公司的自主支持，以及咨询障碍。综合考虑，感知的自主性，感知的能力和感知的自主性支持预测的时间专门咨询和使用的AHCPR指南。对参加戒烟研讨会的220名医疗保健从业人员进行的主要纵向研究预测了从业人员感知的自主性和感知的咨询能力的变化，这些变化是他们经历研讨会讲师作为戒烟支持者的程度的函数。反过来，感知自主性的变化预测了咨询时间的变化和AHCPR指南使用的变化。
Smoking cessation counseling by practitioners occurs at low rates in spite of strong evidence that counseling increases quit rates and reduces patient mortality. In a preliminary study, 1060 New York State physicians completed a survey concerning use of the Agency for Health Care Policy and Research (AHCPR) Guidelines, perceived autonomy and perceived competence for counseling, perceived autonomy support from insurers, and barriers to counseling. Considered together, perceived autonomy, perceived competence and perceived autonomy support predicted time devoted to counseling and use of the AHCPR guidelines. The primary, longitudinal study of 220 health care practitioners who attended a smoking cessation workshop predicted change in the practitioners' perceived autonomy and perceived competence for counseling as a function of the degree to which they experienced the workshop instructor as autonomy-supportive. In turn, change in perceived autonomy predicted change in time spent counseling and change in use of the AHCPR guidelines.