Evidence map›Paper›PMID 29079601›Full record

ArticleBMJ open2017

Determining counselling communication strategies associated with successful quits in the National Health Service community pharmacy Stop Smoking programme in East London: a focused ethnography using recorded consultations.

Carol Rivas, Ratna Sohanpal, Virginia MacNeill, Liz Steed, Elizabeth Edwards, Laurence Antao, Chris Griffiths, Sandra Eldridge, Stephanie Taylor, Robert Walton

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In one paragraph

Article in BMJ open, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Article
  4. Review
  5. Article
  6. Observational
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

10 authors.

Carol RivasSocial Science Research Unit, University College London, London, UK.ORCID http://orcid.org/0000-0002-0316-8090
Ratna SohanpalCentre for Primary Care and Public Health, Queen Mary University of London, London, UK.
Virginia MacNeillDepartment of Public Health, University of Oxford, Oxford, UK.
Liz SteedCentre for Primary Care and Public Health, Queen Mary University of London, London, UK.
Elizabeth EdwardsCentre for Primary Care and Public Health, Queen Mary University of London, London, UK.
Laurence AntaoCentre for Primary Care and Public Health, Queen Mary University of London, London, UK.
Chris GriffithsCentre for Primary Care and Public Health, Queen Mary University of London, London, UK.
Sandra EldridgeCentre for Primary Care and Public Health, Queen Mary University of London, London, UK.
Stephanie TaylorCentre for Primary Care and Public Health, Queen Mary University of London, London, UK.
Robert WaltonCentre for Primary Care and Public Health, Queen Mary University of London, London, UK.

Funding

Department of Health RP-PG-0609-10181
6 · The paper itself

Abstract

objectivesTo determine communication strategies associated with smoking cessation in the National Health Service community pharmacy Stop Smoking programme.

setting11 community pharmacies in three inner east London boroughs.

participants9 stop smoking advisers and 16 pairs of smokers who either quit or did not quit at 4 weeks, matched on gender, ethnicity, age and smoking intensity.

method1-3 audio-recorded consultations between an adviser and each pair member over 5-6 weeks were analysed using a mixed-method approach. First a content analysis was based on deductive coding drawn from a theme-oriented discourse analysis approach and the Roter Interaction Analysis System. Core themes were identified through this quantification to explore in detail the qualitative differences and similarities between quitters and non-quitters.

resultsQuantitative analysis revealed advisers used a core set of counselling strategies that privileged the 'voice of medicine' and often omitted explicit motivational interviewing. Smokers tended to quit when these core strategies were augmented by supportive talk, clear permission for smokers to seek additional support from the adviser between consultations, encouragement for smokers to use willpower. The thematic analysis highlighted the choices made by advisers as to which strategies to adopt and the impacts on smokers. The first theme 'Negotiating the smoker-adviser relationship' referred to adviser judgements about the likelihood the smoker would quit. The second theme, 'Roles of the adviser and smoker in the quit attempt', focused on advisers' counselling strategies, while the third theme, 'Smoker and adviser misalignment on reasons for smoking, relapsing and quitting', concerned inconsistencies in the implementation of National Centre for Smoking Cessation and Training recommendations. DISCUSSION: Advisers in community pharmacies should use the advantages of their familiarity with smokers to ensure appropriate delivery of patient-centred counselling strategies and reflect on the impact on their counselling of early judgements of smoker success.

Indexed as

CommunicationCommunity Pharmacy ServicesCounselingNational Health ProgramsAdolescentAdultAgedAnthropology, CulturalFemaleHumansLondonMaleMiddle AgedPharmaciesReferral and ConsultationSmoking Cessationcommunicationcommunity pharmaciesfocused ethnographyqualitative researchsmoking cessation

Identifiers

PMID29079601
PMCPMC5665230

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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.