The experience of general practitioners with Very Brief Advice in the treatment of tobacco addiction.
Journal
NPJ primary care respiratory medicine
ISSN: 2055-1010
Titre abrégé: NPJ Prim Care Respir Med
Pays: England
ID NLM: 101631999
Informations de publication
Date de publication:
23 09 2020
23 09 2020
Historique:
received:
30
01
2020
accepted:
25
08
2020
entrez:
24
9
2020
pubmed:
25
9
2020
medline:
2
9
2021
Statut:
epublish
Résumé
Although tobacco smoking is the world's most important preventable cause of many chronic diseases (including COPD and asthma) and premature death, many physicians do not routinely apply smoking cessation in the daily health care of their patients. Two widely felt important concerns of physicians are that smoking cessation as part of a treatment is time-consuming and may jeopardize their relationship with patients. Very Brief Advice (VBA) is a non-confrontational method, which could assist general practitioners (GPs) as a simple, quick first step in getting patients to stop smoking. In this study, we investigated the opinions and experiences of GPs with VBA in their routine care in two rounds of telephone interviews with 19 GPs. The interviews were recorded and transcribed and subsequently analysed with NVivo12. We observed that the GPs had a very positive experience with using VBA. They found the method to be efficient as to the time involved, patient-friendly and easy to implement.
Identifiants
pubmed: 32968065
doi: 10.1038/s41533-020-00200-0
pii: 10.1038/s41533-020-00200-0
pmc: PMC7511299
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
40Références
West, R. Tobacco smoking: Health impact, prevalence, correlates and interventions. Psychol. Health 32, 1018–1036 (2017).
doi: 10.1080/08870446.2017.1325890
pmcid: 28553727
van Schayck, C. P. et al. Treating tobacco dependence: guidance for primary care on life-saving interventions. Position statement of the IPCRG. npj Prim. Care Respir. Med. 27, 38 (2017).
Bryant, J. et al. Missed opportunities: general practitioner identification of their patients’ smoking status. BMC Fam. Pract. 16, 8 (2015).
doi: 10.1186/s12875-015-0228-7
pmcid: 25649312
van Eerd, E. A. M. et al. Why do physicians lack engagement with smoking cessation treatment in their COPD patients? A multinational qualitative study. npj Prim. Care Respir. Med. 27, 41 (2017).
doi: 10.1038/s41533-017-0038-6
pmcid: 28646217
Bar-Zeev, Y., Skelton, E., Bonevski, B., Gruppetta, M. & Gould, G. S. Overcoming challenges to treating tobacco use during pregnancy - a qualitative study of Australian general practitioners barriers. BMC Pregnancy Childbirth 19, 61 (2019).
doi: 10.1186/s12884-019-2208-8
pmcid: 30732568
Stead, L. F. et al. Physician advice for smoking cessation. Cochrane Database Syst. Rev. 5, Cd000165 (2013).
Wu, L. et al. Very brief physician advice and supplemental proactive telephone calls to promote smoking reduction and cessation in Chinese male smokers with no intention to quit: a randomized trial. Addiction 112, 2032–2040 (2017).
doi: 10.1111/add.13908
pmcid: 28623848
Wang, M. P. et al. Intervention with brief cessation advice plus active referral for proactively recruited community smokers: a pragmatic cluster randomized clinical trial. JAMA Intern. Med. 177, 1790–1797 (2017).
doi: 10.1001/jamainternmed.2017.5793
pmcid: 29059277
Omole, O. B., Ngobale, K. N. & Ayo-Yusuf, O. A. Missed opportunities for tobacco use screening and brief cessation advice in South African primary health care: a cross-sectional study. BMC Fam. Pract. 11, 94 (2010).
doi: 10.1186/1471-2296-11-94
pmcid: 21114839
van Rossem, C. et al. Effectiveness of intensive practice nurse counselling versus brief general practitioner advice, both combined with varenicline, for smoking cessation: a randomized pragmatic trial in primary care. Addiction 112, 2237–2247 (2017).
doi: 10.1111/add.13927
pmcid: 28667826
Risor, M. B. et al. The complexity of managing COPD exacerbations: a grounded theory study of European general practice. BMJ Open 3, e003861 (2013).
doi: 10.1136/bmjopen-2013-003861
pmcid: 24319274
Moser, A. & Korstjens, I. Series: Practical guidance to qualitative research. Part 3: Sampling, data collection and analysis. Eur. J. Gen. Pract. 24, 9–18 (2018).
doi: 10.1080/13814788.2017.1375091
pmcid: 29199486
Elo, S. & Kyngas, H. The qualitative content analysis process. J. Adv. Nurs. 62, 107–115 (2008).
doi: 10.1111/j.1365-2648.2007.04569.x
pmcid: 18352969
Krippendorff, K. In International Encyclopedia of Communication (eds Barnouw, E., Gerbner, G., Schramm, W., Worth, T. L. & Gross, L.) 403–407 (Oxford University Press, New York, NY, 1989).