Evidence map›Paper›PMID 20507899›Full record

ArticleNicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco2010

National survey of U.S. health professionals' smoking prevalence, cessation practices, and beliefs.

Elisa K Tong, Richard Strouse, John Hall, Martha Kovac, Steven A Schroeder

2 registry-linked trialsAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 123 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
123citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

NCT01615237 nacompletednot on this mapstarted 2013, after this paper: background citation

Implementing Tobacco Use Treatment Guidelines in Dental Public Health Clinics

TypeinterventionalSponsorNYU Langone HealthRan2013 to 2018Enrolled3,207ConditionsTobacco Use TreatmentArmsAudit and performance feedback (PF), Financial Incentive (P4P), Current Best Practices (CBP)
NCT03291587 nacompletednot on this mapstarted 2018, after this paper: background citation

Implementation Of Smoking Cessation Services Within NCI NCORP Community Sites With Organized Lung Cancer Screening Programs

TypeinterventionalSponsorWake Forest University Health SciencesRan2018 to 2021Enrolled1,094ConditionsSmoking CessationArmsPersonnel Training and Coaching Calls
3 · Its place in the literature

Who cites it

123 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Smoking Prevalence among Physicians: A Systematic Review and Meta-Analysis.International journal of environmental research and public health · 2021
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  5. A Proactive Outreach Strategy Using a Local Area Code to Refer Unassisted Smokers in a Safety Net Health System to a Quitline: A Pragmatic Randomized Trial.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2023
    Trial
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  12. Expanding Cessation Pharmacotherapy Via Videoconference Educational Outreach to Prescribers.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2015
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  20. Variations in tobacco control in National Dental PBRN practices: the role of patient and practice factors.Special care in dentistry : official publication of the American Association of Hospital Dentists, the Academy of Dentistry for the Handicapped, and the American Society for Geriatric Dentistry
    Trial

63 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Elisa K TongDivision of General Internal Medicine, University of California, Davis Medical Center, 4150 V Street, Suite 2400, Sacramento, CA 95817, USA. ektong@ucdavis.edu
Richard Strouse
John Hall
Martha Kovac
Steven A Schroeder

Funding

Research ProjectU54CA153499 · NCI · UNIVERSITY OF CALIFORNIA AT DAVIS · PI CHEN, MOON SHAO-CHUANG, CHOW, EDWARD A. · 2010 to 2015
$6.7M
NCI NIH HHS U54 CA153499
6 · The paper itself

Abstract

backgroundTobacco dependence treatment efforts have focused on primary care physicians (PCPs), but evidence suggests that they are insufficient to help most smokers quit. Other health professionals also frequently encounter smokers, but their smoking prevalence, cessation practices, and beliefs are less well known.

methodsThe study included 2,804 subjects from seven health professional groups: PCPs, emergency medicine physicians, psychiatrists, registered nurses, dentists, dental hygienists, and pharmacists. Outcomes included self-reported smoking status, smoking cessation practices, and beliefs. Multivariate regression was used to examine factors associated with health professionals (except pharmacists) self-reportedly performing the "5 A's": asking, advising, assessing, assisting, or arranging follow-up about tobacco.

resultsHealth professionals have a low smoking prevalence (<6%), except nurses (13%). Many health professionals report asking (87.3%-99.5%) and advising (65.6%-94.9%) about smoking but much less assessing smokers' interest (38.7%-84.8%), assisting (16.4%-63.7%), and arranging follow-up (1.3%-23.1%). Controlling for health professional and practice demographics, factors positively associated in the multivariate analyses with self-reportedly performing multiple components of the 5 A's include awareness of the Public Health Service guidelines, having had cessation training, and believing that treatment was an important professional responsibility. Negative associations include the health professional being a current smoker, not being a PCP, being uncomfortable asking patients if they smoke, believing counseling was not an appropriate service, and reporting competing priorities.

conclusionU.S. health professionals report not fully performing the 5 A's. The common barriers and facilitators identified may help inform strategies for increasing the involvement of all health professionals in conducting tobacco dependence treatments.

Indexed as

Attitude of Health PersonnelHealth Knowledge, Attitudes, PracticeSmoking PreventionAdultAgedCounselingDental HygienistsDentistsFamily PracticeFemaleHealth PersonnelHumansMaleMiddle AgedNeeds AssessmentNurses

Identifiers

PMID20507899
PMCPMC6281036

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.