Provision of smoking cessation counseling by general practitioners assisted by training and screening procedure

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• 作者：Sabina Ulbricht ; Christian Meyer ; Anja Schumann ; Hans-Jü ; rgen Rumpf ; Ulfert Hapke and Ulrich John
• 刊名：Patient Education and Counseling
• 出版年：2006
• 出版时间：October 2006
• 年：2006
• 卷：63
• 期：1-2
• 页码：232-238
• 全文大小：148 K

文摘

Objective

To examine which counseling behavior among GPs can be achieved after counseling training when organizational support is provided.

Methods

A random sample of 39 general practices was drawn, 34 took part. GPs received a pre-study assessment followed by a training session for smoking counseling. All patients showing up during a period of 1 week were asked about smoking status. Current smokers, aged 18–70 years were eligible (N = 551), 81.8 % participated. A documentation sheet, filled in by a study nurse transferred smoking-related information about patient to the GP. GPs were advised to fill in a post-counseling assessment for every patient. A post-study assessment with the GPs was conducted.

Results

Frequent barriers for smoking counseling were lack of time and the assumption that patients were not motivated to quit. The GP's documented smoking counseling in 96.0 % . The patients (87.8 % ) could be thoroughly counseled. Younger age of the GP, a high number of patients and the contemplation stage quitting smoking were predictors for realizing counseling. 79.3 % of the GPs assessed the procedure to be practicable.

Conclusions

Smoking counseling in the general practice is feasible.

Practice implication

Involving staff in the screening procedure may support counseling activity of the GP.