ArticleThe International journal of pharmacy practice2009
Ask, advise and refer: hypothesis generation to promote a brief tobacco-cessation intervention in community pharmacies.
Article in The International journal of pharmacy practice, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 3 of them syntheses that pooled it.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
18 citing papers in PubMed, 3 syntheses or guidelines pooled it, 27 citations in OpenAlex.
- Effectiveness of Very Brief Advice on Tobacco Cessation: A Systematic Review and Meta-Analysis.Journal of general internal medicine · 2024Pooled it
- Community pharmacy interventions for health promotion: effects on professional practice and health outcomes.The Cochrane database of systematic reviews · 2019Pooled it
- Public health in community pharmacy: a systematic review of pharmacist and consumer views.BMC public health · 2011Pooled it
- Effectiveness of an in-office intervention to improve general practitioners' support for tobacco smoking cessation: results from a randomised controlled trial (TABAC-PRO).BMC primary care · 2026Trial
- Effectiveness of intervention to implement tobacco cessation counseling in community chain pharmacies.Journal of the American Pharmacists Association : JAPhATrial
- A randomized trial evaluating 2 approaches for promoting pharmacy-based referrals to the tobacco quitline: methods and baseline findings.Research in social & administrative pharmacy : RSAPTrial
- Tobacco users' perceptions of a brief tobacco cessation intervention in community pharmacies.Journal of the American Pharmacists Association : JAPhATrial
- Testing the feasibility of the QuitAid smoking cessation intervention in a randomized factorial design in an independent, rural community pharmacy.Pilot and feasibility studies · 2024Article
- Reaching adults who smoke cigarettes in rural Appalachia: Rationale, design & analysis plan for a mixed-methods study disseminating pharmacy-delivered cessation treatment.Contemporary clinical trials · 2023Article
- Implementing Brief Tobacco Cessation Interventions in Community Pharmacies: An Application of Rogers' Diffusion of Innovations Theory.Pharmacy (Basel, Switzerland) · 2022Article
- Barriers to the Provision of Preventive Care to People Living with Mental Health Conditions: Self-Report by Staff Working in an Australian Community Managed Organisation.International journal of environmental research and public health · 2022Article
- Raising awareness of pre-conception care in community pharmacies: a feasibility study.Pilot and feasibility studies · 2022Article
- Designing an implementation intervention with the Behaviour Change Wheel for health provider smoking cessation care for Australian Indigenous pregnant women.Implementation science : IS · 2017Article
- Understanding recruitment and retention in the NHS community pharmacy stop smoking service: perceptions of smoking cessation advisers.BMJ open · 2016Article
- Smoking and HIV: prevalence, health risks, and cessation strategies.Current HIV/AIDS reports · 2012Review
- Impact of an interactive workshop on community pharmacists' beliefs toward patient care.International journal of clinical pharmacy · 2012Article
- Evaluating the feasibility of pharmacist-facilitated tobacco cessation interventions in independent community pharmacies in rural Appalachia.Journal of the American Pharmacists Association : JAPhAArticle
- Barriers and facilitators of medication reconciliation processes for recently discharged patients from community pharmacists' perspectives.Research in social & administrative pharmacy : RSAPArticle
Corrections and comments
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Authors and funding
2 authors at 1 institution in 1 country.
Funding
Abstract
objectivesA preliminary qualitative study was conducted to identify key facilitators and barriers for pharmacists' adoption of a brief tobacco-cessation protocol, Ask-Advise-Refer (AAR).
methodsTen community pharmacists were interviewed using semi-structured, face-to-face interviews with open-ended questions. Purposive and saturation sampling techniques were applied to identify participants and determine sample size respectively. Interviews were audio-recorded and transcribed. Using thematic analysis, two reviewers independently coded all transcripts to identify prominent themes. Appropriate measures were taken to ensure study rigor and validity. KEY
findingsAll facilitators and barriers identified were grouped into nine distinct themes. Pharmacists' fear of negative patient reaction was the most prominent barrier to initiating tobacco-cessation discussions with patients. Other themes identified in decreasing order of prevalence were pharmacists perceiving a rationale for initiating tobacco cessation, pharmacy environment, pharmacists' perception of/prior knowledge of patients' willingness to discuss tobacco cessation/to quit, patient initiation of tobacco-cessation or worsening-health discussion, pharmacists' perceptions of AAR characteristics, length of pharmacist-patient relationship/rapport with patients, low expectations of pharmacy patrons and pharmacists' communication ability.
conclusionsThis study highlights the potential fear among pharmacists about negative reactions from patients in response to initiating tobacco cessation discussions. Based on the results of this study it is hypothesized that the following strategies would facilitate adoption of AAR: (1) train pharmacists to initiate cessation discussions; (2) initially target discussions with patients who have a disease or medication adversely affected by tobacco use; (3) encourage patient enquiry about pharmacy cessation services through visual cues; and (4) help pharmacists set up a workflow system compatible with the AAR protocol.
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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.