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Thursday, October 25, 2007 - 1:30 PM
Room M 100 A
Impact of Smoking Cessation Intervention by Multiple Health Professionals
Lawrence C. An, MD, University of Minnesota, Internal Medicine, lcan@umn.edu, Steven Foldes, PhD, steve_s_foldes@bluecrossmn.com, Nina Alesci, MPH, nina_alesci@bluecrossmn.com, Patricia Bland, MA, patricia_bland@bluecrossmn.com, Michael Davern, PhD, daver004@umn.edu, Barbara Schillo, PhD, bschillo@clearwaymn.org, Marc Manley, MD MPH, marc_manley@bluecrossmn.com. Learning Objectives: Identify tobacco treatment practice patterns for doctors, nurses, dentists and pharmacists, and the cessation benefits when multiple types of health care providers address tobacco use.
Methods: As part of the 2003 Minnesota Adult Tobacco Survey (n=8821), smokers (n=1723) reported whether medical doctors, nurses, dentists, pharmacists, or other health professionals asked about smoking, provided advice to quit, or offered assistance in quitting in the past year.
Results: Among past year smokers, 65% had visits with two or more types of health professionals but only 33% were asked about smoking, 20% were advised to quit, and 5% were offered assistance by more than one type of professional. Being asked about smoking by two or more types of professionals substantially increased the odds of recent quitting (OR=2.37, 95% CI 1.15-4.88). Being advised to quit by two or more types of professionals increased the odds that a smoker had made a quit attempt in the past year (OR=2.92, 95% CI 1.56-5.45) or was intending to quit in the next 6 months (OR=2.17, 95% CI 1.10-4.29).
Conclusions: Smoking cessation interventions by more than one type of health professional has the potential to substantially increase quitting and readiness to quit in the population.