ReviewThe British journal of general practice : the journal of the Royal College of General Practitioners2009
Factors influencing European GPs' engagement in smoking cessation: a multi-country literature review.
Review in The British journal of general practice : the journal of the Royal College of General Practitioners, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 55 papers, 5 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
55 citing papers in PubMed, 5 syntheses or guidelines pooled it.
- Delivering Opportunistic Behavior Change Interventions: a Systematic Review of Systematic Reviews.Prevention science : the official journal of the Society for Prevention Research · 2020Pooled it
- Prevalence of tobacco use in healthcare workers: A systematic review and meta-analysis.PloS one · 2019Pooled it
- Achieving change in primary care--causes of the evidence to practice gap: systematic reviews of reviews.Implementation science : IS · 2016Pooled it
- Pooled it
- Training health professionals in smoking cessation.The Cochrane database of systematic reviews · 2012Pooled it
- Trial
- Use of action planning to increase provision of smoking cessation care by general practitioners: role of plan specificity and enactment.Implementation science : IS · 2014Trial
- A randomized trial to evaluate primary care clinician training to use the Teachable Moment Communication Process for smoking cessation counseling.Preventive medicine · 2014Trial
- Perceptions and practices of UK GPs towards youth vaping: a questionnaire-based study.BJGP open · 2026Article
- Attitudes and Practices of Family Physicians and Nurses in Evaluating Their Patients' Smoking Status: A Cross-sectional Study.Thoracic research and practice · 2025Article
- A service evaluation following the implementation of computer guided consultation software to support primary care reviews for chronic obstructive pulmonary disease.NPJ primary care respiratory medicine · 2025Article
- Evaluating the longitudinal effectiveness of a smoking cessation counselling course based on the 5A model for medical students in family medicine placement.GMS journal for medical education · 2025Article
- Stigmatization of people with addiction by health professionals: Current knowledge. A scoping review.Drug and alcohol dependence reports · 2023Article
- Attitudes and practices of health care providers towards improving adherence to smoking cessation medications in Australia: A descriptive study.Health promotion journal of Australia : official journal of Australian Association of Health Promotion Professionals · 2023Article
- Implementation of ask-advise-connect for smoking cessation in Dutch general practice during the COVID-19 pandemic: a mixed-methods evaluation using the CFIR framework.Substance abuse treatment, prevention, and policy · 2023Article
- Stop smoking advice by practice assistants after routine cervical screening in general practice: A qualitative exploration of potential barriers and enablers.The European journal of general practice · 2022Article
- Documentation of smoking in scheduled asthma contacts in primary health care: a 12-year follow-up study.NPJ primary care respiratory medicine · 2022Article
- Tobacco Smoking during Pregnancy: Women's Perception about the Usefulness of Smoking Cessation Interventions.International journal of environmental research and public health · 2022Article
- Article
- Enhancing the implementation of the Making Every Contact Count brief behavioural intervention programme in Ireland: protocol for the Making MECC Work research programme.HRB open research · 2022Article
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
backgroundSmoking cessation advice by GPs is an effective and cost-effective intervention, but is not implemented as widely as it could be.
aimThis wide-ranging Europe-wide literature review, part of the European Union (EU) PESCE (General Practitioners and the Economics of Smoking Cessation in Europe) project, explored the extent of GPs' engagement in smoking cessation and the factors that influence their engagement.
methodTwo searches were conducted, one for grey literature, across all European countries, and one for academic studies. Data from eligible studies published from 1990 onwards were synthesised and reported under four categories of influencing factors: GP characteristics, patient characteristics, structural factors, and cessation-specific knowledge and skills.
resultsThe literature showed that most GPs in Europe question the smoking status of all new patients but fewer routinely ask this of regular patients, or advise smokers to quit. The proportion offering intensive interventions or prescribing treatments is lower still. Factors influencing GPs' engagement in smoking cessation include GPs' own smoking status and their attitudes towards giving smoking cessation advice; whether patients present with smoking-related symptoms, are pregnant, or heavy smokers; time, training, and reimbursement are important structural factors; and some GPs lack knowledge and skills regarding the use of specific cessation methods and treatments, or have limited awareness of specialist cessation services. No single factor or category of factors explains the variations in GPs' engagement in smoking cessation.
conclusionStrategies to improve the frequency and quality of GPs' engagement in smoking cessation need to address the multifaceted influences on GPs' practice and to reflect the widely differing contexts across Europe.
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