Comparisons of the smoking cessation counseling activities of six types of health professionals.

Comparisons of the smoking cessation counseling activities of six types of health professionals.
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六种类型的卫生专业人员的戒烟咨询活动的比较。

DOI:
10.1006/pmed.1994.1137
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发表时间:
1994
影响因子:
5.1
通讯作者:
Dana,GS
Dana,GS
中科院分区:
医学2区
文献类型:
--
作者:
Secker-Walker,RH;Solomon,LJ;Flynn,BS;Dana,GS

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背景本研究旨在评估和比较美国东北部四个县的初级保健医生、牙医、牙科医生、计划生育顾问、WIC顾问和社区心理健康顾问的戒烟咨询活动,以规划适当的教育计划。从州许可证委员会、诊所主任和电话簿中获得了四个研究县中每个群体的卫生专业人员名单。调查是通过邮件进行的,使用19个项目的工具,可以在2-4分钟内完成。这些专业群体之间的比较表明,医生,计划生育咨询师和WIC咨询师比心理健康咨询师,牙医和牙科医生更愿意提供戒烟建议。医生、计划生育顾问和WIC顾问也比其他三组更积极地为女性吸烟者提供戒烟建议。利用具体咨询活动的水平普遍较低。只有少数女性吸烟者采用了设定戒烟日期、安排随访和转介接受进一步援助的方法。对于每个组来说,可以提高这些卫生专业人员效率的教育干预机会是显而易见的。
Background. This study was designed to assess and compare the smoking cessation counseling activities of primary care physicians, dentists, dental hygienists, family planning counselors, WIC counselors, and community mental health counselors in four counties in the northeastern United States for planning appropriate education programs.Methods. Lists of the health professionals in each of these groups in the four study counties were obtained from state licensing boards, clinic directors, and telephone directories. Surveys were conducted by mail, using a 19-item instrument which could be completed in 2-4 min.Results. Comparisons among these professional groups showed that physicians, family planning counselors, and WIC counselors felt better prepared to provide cessation advice than did mental health counselors, dentists, and dental hygienists. Physicians, family planning counselors, and WIC counselors also were more active in providing smoking cessation advice to women smokers than were the other three groups. Levels of use of specific counseling activities were generally low. Setting a quit date, arranging for follow-up visits, and referral for further assistance were used for only a minority of women smokers.Conclusions. Opportunities for educational interventions that could increase these health professionals′ effectiveness were apparent for each of the groups.