Frequency of smoking cessation interventions from health care providers in Minnesota

Megan N. Whittet, Raymond G. Boyle, Jeong Kyu Lee, Ann W. St. Claire, Joanne D’Silva, Peter Rode, Ann M. Kinney

Center for Health Statistics, Minnesota Department of Health, St. Paul, USA.
Research Department, ClearWay MinnesotaSM, Minneapolis, USA.

DOI: 10.4236/ojpm.2012.22033                

Abstract

Objective: There is strong evidence supporting the impact of health care provider advice on patients’ smoking behavior. This paper examines adult smoker reports of health care provider smoking cessation interventions. Design: The 2010 Minnesota Adult Tobacco Survey (MATS) is a random digit dial telephone survey with 7057 Minnesota adults. Both landline and mobile telephone samples were included. These samples were combined and weighted to represent the population of adults in Minnesota. Results: Among adult Minnesotans, 16.1% were current smokers, 80.9% reported seeing a health care provider in the past 12 months and 80.2% of those adults were asked if they smoke. Among smokers who saw any provider in the past 12 months, 94.4% reported they were asked about smoking and 71.8% were advised not to smoke. In contrast, 43.9% of smokers received referrals from a health care provider and among those, 37.5% were recommended medications and 24.8% were referred to a quit smoking program. Conclusion: Given the large body of evidence supporting cessation interventions by health care providers, the increase in use of electronic medical records and the availability and success of evidence-based cessation programs, efforts to improve rates of identifying and treating each tobacco user are needed. Further research is needed to explore how cessation intervention responsibilities can be shared among the clinical team and integrated into ongoing clinical care.

Keywords

Smoking Cessation; Survey Research; Guideline; Health Care Provider

Conflicts of Interest

The authors declare no conflicts of interest.

References

[1]	US Department of Health and Human Services. (2010) How tobacco smoke causes disease: The biology and behavioral basis for smoking-attributable disease: A report of the Surgeon General. US Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health, Atlanta.
[2]	US Department of Health and Human Services. (2010) Vital health statistics, summary of health statistics for adults: National Health Interview Survey, 2009. DHHS Publication No. (PHS) 2011-1577. Series 10, No. 249.
[3]	Woods, S.S. and Jaén, C.R. (2010) Increasing consumer demand for tobacco treatments: Ten design recommendations for clinicians and healthcare systems. The American Journal of Preventive Medicine, 38, S385-S392. doi:10.1016/j.amepre.2009.12.003
[4]	Fiore, M., Jaen, C., Baker, T., et al. (2008) Treating tobacco use and dependence: 2008 update Clinical Practice Guideline. US Department of Health and Human Services. Public Health Service, Rockville.
[5]	Aveyard, P., Begh, R., Parsons, A. and West, R. (2011) Brief opportunistic smoking cessation interventions: A systematic review and meta-analysis to compare advice to quit and offer of assistance. Addiction, 107, 1066-1073. doi:10.1111/j.1360-0443.2011.03770.x
[6]	Davila, E.P., Zhao, W., Byrne, M., et al. (2009) Correlates of smoking quit attempts: Florida Tobacco Callback Survey, 2007. Tobacco Induced Diseases, 5, 10. doi:10.1186/1617-9625-5-10
[7]	Kreuter, M.W., Chheda, S.G. and Bull, F.C. (2000) How does physician advice influence patient behavior? Evidence for a priming effect. Archives of Family Medicine, 9, 426-433.
[8]	Quinn, V.P., Hollis, J.F., Smith, K.S., et al. (2009) Effec- tiveness of the 5-As tobacco cessation treatments in nine HMOs. The Journal of General Internal Medicine, 24, 149-154. doi:10.1007/s11606-008-0865-9
[9]	Chase, E.C., McMenamin, S.B. and Halpin, H.A. (2007) Medicaid provider delivery of the 5A's for smoking cessation counseling. Nicotine & Tobacco Research, 9, 1095-1101. doi:10.1080/14622200701666344
[10]	Houston, T.K., Scarinci, I.C., Person, S.D. and Greene, P.G. (2005) Patient smoking cessation advice by health care providers: the role of ethnicity, socioeconomic status, and health. American Journal of Public Health, 95, 1056-1061. doi:10.2105/AJPH.2004.039909
[11]	Hsiao, C-J., Hing, E., Socey, T. and Cai, B. (2011) Electronic health record systems and intent to apply for meaningful use incentives among office-based physician practices: United States, 2001-2011. NCHS Data Brief, No 79. National Center for Health Statistics, Hyattsville.
[12]	Centers for Disease Control and Prevention. (2011) Decrease in smoking pre-valence-Minnesota, 1999-2010. Morbidity and Mortality Weekly Report, 60, 138-141.
[13]	ClearWay MinnesotaSM. (2008) Creating a Healthier Minnesota: Progress in Reducing Tobacco Use. http://www.mnadulttobaccosurvey.org/
[14]	Centers for Disease Control and Prevention. (2011) Behavioral Risk Factor Surveillance System: 2009 Summary Data Quality Report. http://ftp.cdc.gov/pub/Data/Brfss/2009_Summary_Data_Quality_Report.pdf
[15]	Smith, S.S., Beckley, T. and Fiore, M.C. (2005) Health care provider use of guideline-based smoking cessation interventions: Results from the 2003 Wisconsin Tobacco Survey. Wisconsin Medical Journal, 104, 28-31.
[16]	Holtrop, J.S., Malouin, R., Weismantel, D. and Wadland, W.C. (2008) Clinician perceptions of factors influencing referrals to a smoking cessation program. BMC Family Practice, 9, 18. doi:10.1186/1471-2296-9-18
[17]	Gottlieb, N.H., Guo, J.L., Blozis, S.A. and Huang, P.P. (2001) Individual and contextual factors related to family practice residents’ assessment and counseling for tobacco cessation. The Journal of the American Board of Family Medicine, 14, 343-351.
[18]	Smith, P.M., Sellick, S.M., Brink, P. and Edwardson, A.D. (2009) Brief smoking cessation interventions by family physicians in northwestern Ontario rural hospitals. Canadian Journal of Rural Medicine, 14, 47-53
[19]	Rindal, D.B., Rush, W.A. and Boyle, R.G. (2008) Clinical inertia in dentistry: A review of the phenomenon. Journal of Contemporary Dental Practice, 9, 113-121.
[20]	North American QUITLINE Consortium. (2010) 2010 Survey Data: Results from the 2010 NAQC Annual Survey of Quitlines. http://www.naquitline.org/?page=survey2010