ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2000
Factors influencing discussion of smoking between general practitioners and patients who smoke: a qualitative study.
Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 2000. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers, 4 of them syntheses that pooled it.
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Who cites it
43 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- When primary care providers and smokers meet: a systematic review and metasynthesis.NPJ primary care respiratory medicine · 2021Pooled it
- Getting under the skin of the primary care consultation using video stimulated recall: a systematic review.BMC medical research methodology · 2014Pooled it
- Physician advice for smoking cessation.The Cochrane database of systematic reviews · 2013Pooled it
- Smoking cessation guidelines for health professionals: an update. Health Education Authority.Thorax · 2000Guideline
- Use of action planning to increase provision of smoking cessation care by general practitioners: role of plan specificity and enactment.Implementation science : IS · 2014Trial
- Effects of a guided web-based smoking cessation program with telephone counseling: a cluster randomized controlled trial.Journal of medical Internet research · 2014Trial
- Impact of advice to quit smoking on rating of care and anticipation of stigma in primary care.Primary health care research & development · 2025Article
- Prevalence and disparities in receiving medical advice to quit tobacco use in the US adult population.Frontiers in public health · 2024Article
- The effect of postgraduate training in smoking cessation care on the clinical practice of pulmonologists.Tobacco induced diseases · 2023Article
- Prevalence and correlates of receipt by smokers of general practitioner advice on smoking cessation in England: a cross-sectional survey of adults.Addiction (Abingdon, England) · 2021Article
- Perceived barriers of tobacco dependence treatment: a mixed-methods study among primary healthcare physicians in Armenia.Primary health care research & development · 2019Article
- Tobacco and electronic cigarette products: awareness, cessation attitudes, and behaviours among general practitioners.Primary health care research & development · 2018Article
- Advice to Quit Smoking and Ratings of Health Care among Medicare Beneficiaries Aged 65.Health services research · 2017Article
- Smoking cessation interventions for patients with coronary heart disease and comorbidities: an observational cross-sectional study in primary care.The British journal of general practice : the journal of the Royal College of General Practitioners · 2017Observational
- Printed Educational Materials' Impact on Tobacco Cessation Brief Interventions in CAM Practice: Patient and Practitioner Experiences.Health promotion practice · 2016Article
- "It's my business, it's my body, it's my money": experiences of smokers who are not planning to quit in the next 30 days and their views about treatment options.BMC public health · 2016Article
- The impact of quitting smoking on depressive symptoms: findings from the International Tobacco Control Four-Country Survey.Addiction (Abingdon, England) · 2016Article
- Effectiveness of an Intervention to Teach Physicians How to Assist Patients to Quit Smoking in Argentina.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2016Article
- Data-prompted interviews: Using individual ecological data to stimulate narratives and explore meanings.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2015Article
- Treating tobacco dependence in older adults: a survey of primary care clinicians' knowledge, attitudes, and practice.BMC family practice · 2015Article
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAnti-smoking advice from general practitioners (GPs) is effective and recent evidence-based guidelines urge GPs to advise all patients against smoking at every opportunity. GPs do not exploit many opportunities to discuss smoking with patients and the reasons for this are unclear.
aimTo elicit, relate, and interpret GPs' accounts of why they discuss smoking with some patients and not others.
methodThirty-nine Leicestershire GPs were purposively selected so as to have a range of attitudes towards discussing smoking with patients. Each GP had one surgery session video-recorded and afterwards participated in a qualitative, semi-structured interview. Prior to each interview, GPs were shown a video-recording of one of their consultations with a smoker to enhance their recall of events.
resultsBeing aware of patients' smoking status did not necessarily result in GPs discussing smoking with patients. GPs were keen to preserve good doctor-patient relationships and avoid negative responses from patients once the topic of smoking had been raised, and this was felt to be best achieved by restricting most discussions about smoking to situations where patients presented with smoking-related problems and in circumstances where the doctors perceived the doctor-patient relationship was strong. Doctors also thought it important to address patients' agendas relating to the current consultation before discussing smoking.
conclusionsGeneral practitioners have strong reasons for preferring to discuss smoking when patients present with smoking-related problems. Those wishing to increase the amount of advice-giving by GPs might be more successful if they encouraged GPs to make greater use of problem-orientated opportunities to discuss smoking.
Indexed as
Identifiers
10750230PMC1313652What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.