Efficacy of a Brief Intervention to Improve Emergency Physicians' Smoking Cessation Counseling Skills, Knowledge, and Attitudes
Efficacy of a Brief Intervention to Improve Emergency Physicians' Smoking Cessation Counseling Skills, Knowledge, and Attitudes
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DOI：
10.1080/08897070902802117
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发表时间：
2009-01-01
期刊：
影响因子：
3.5
通讯作者：
Rhodes, Karin V.
中科院分区：
文献类型：
--
作者：
Bernstein, Steven L.;Boudreaux, Edwin D.;Rhodes, Karin V.
这项研究的目的是测试短暂的教育/行政干预是否可以增加急诊医生(EP)对烟草的咨询。在8个有住院医师计划的急诊科(ED)进行了前后研究。EPS接受了一小时的关于吸烟对健康的影响和对患者进行咨询的策略的讲座。讲座结束后，宣传全国吸烟者戒烟热线的卡片被放置在EDS中，由供应商分发。提供者完成干预前/干预后问卷调查。在干预前后对患者进行访谈，以评估提供者的行为。共招募了287名环保人员。干预后，烟草咨询提供者更有可能将烟草咨询视为其角色的一部分，并对咨询更有信心。来自1168名患者访谈和图表审查的数据显示，干预后，提供者更有可能询问患者有关吸烟的问题，进行转介，并记录吸烟咨询。干预后，30%的吸烟者获得了Quitline转介卡。教育干预改善了以ED为基础的烟草干预。需要进行对照试验来确定这些结果的持久性。
The objective of this study was to test whether a brief educational/administrative intervention could increase tobacco counseling by emergency physicians (EPs). Pre-/post-study at eight emergency departments (EDs) with residency programs were carried out. EPs received a 1-hour lecture on the health effects of smoking and strategies to counsel patients. After the lecture, cards promoting a national smokers' quitline were placed in EDs, to be distributed by providers. Providers completed pre-/post-intervention questionnaires. Patients were interviewed pre-/post-intervention to assess provider behavior. Two hundred eighty-seven EPs were enrolled. Post-intervention, providers were more likely to consider tobacco counseling part of their role, and felt more confident in counseling. Data from 1168 patient interviews and chart reviews showed that, post-intervention, providers were more likely to ask patients about smoking, make a referral, and document smoking counseling. Post-intervention, 30% of smokers were given a Quitline referral card. An educational intervention improved ED-based tobacco interventions. Controlled trials are needed to establish these results' durability.