Self-reported smoking cessation activities among Swiss primary care physicians.

Détails

Ressource 1Télécharger: BIB_C381327C30DE.P001.pdf (203.25 [Ko])
Etat: Public
Version: de l'auteur
ID Serval
serval:BIB_C381327C30DE
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
Self-reported smoking cessation activities among Swiss primary care physicians.
Périodique
BMC family practice
Auteur(s)
Jacot Sadowski I., Ruffieux C., Cornuz J.
ISSN
1471-2296[electronic]
Statut éditorial
Publié
Date de publication
2009
Peer-reviewed
Oui
Volume
10
Pages
art. 22 [p. 1-6]
Langue
anglais
Notes
Publication types: JOURNAL ARTICLE
Résumé
ABSTRACT: BACKGROUND: Individual counselling, pharmacotherapy, and group therapy are evidence-based interventions that help patients stop smoking. Acupuncture, hypnosis, and relaxation have no demonstrated efficacy on smoking cessation, whereas self-help material may only have a small benefit. The purpose of this study is to assess physicians' current clinical practice regarding smokers motivated to stop smoking. METHODS: The survey included 3385 Swiss primary care physicians. Self-reported use of nine smoking cessation interventions was scored. One point was given for each positive answer about practicing interventions with demonstrated efficacy, i.e. nicotine replacement therapy, bupropion, counselling, group therapy, and smoking cessation specialist. No points were given for the recommendation of acupuncture, hypnosis, relaxation, and self-help material. Multivariable logistic analysis was performed to identify factors associated with a good practice score, defined as >1. RESULTS: The response rate was 55%. Respondents were predominately over the age of 40 years (88%), male (79%), and resided in urban areas (74%). Seventeen percent reported being smokers. Most of the physicians prescribed nicotine replacement therapy (84%), bupropion (65%), or provided counselling (70%). A minority of physicians recommended acupuncture (26%), hypnosis (8%), relaxation (7%), or self-help material (24%). A good practice score was obtained by 85% of respondents. Having attended a smoking cessation training program was the only significant predictor of a good practice score (odds ratio: 6.24 , 95% CI 1.95-20.04). CONCLUSION: The majority of respondents practice recommended smoking cessation interventions. However, there is room for improvement and implementing an evidence-based smoking cessation-training program could provide additional benefit.
Mots-clé
Adult, Female, Humans, Male, Middle Aged, Multivariate Analysis, Physician's Practice Patterns/statistics & numerical data, Physicians, Family/statistics & numerical data, Smoking Cessation/methods, Switzerland
Pubmed
Open Access
Oui
Création de la notice
09/04/2009 15:06
Dernière modification de la notice
20/08/2019 16:38
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