Evidence map›Paper›PMID 32580760›Full record

ArticleBMC family practice2020

'Very brief advice' (VBA) on smoking in family practice: a qualitative evaluation of the tobacco user's perspective.

Sophia Papadakis, Marilena Anastasaki, Maria Papadakaki, Μaria Antonopoulou, Constantine Chliveros, Chrissi Daskalaki, Dionisis Varthalis, Sofia Triantafyllou, Irene Vasilaki, Andy McEwen and 1 more

Open access · goldAbstract read
In one paragraph

Article in BMC family practice, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 4 pooled it
2.5field-weighted citation impact, top 10% of its field
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

30 citing papers in PubMed, 4 syntheses or guidelines pooled it, 42 citations in OpenAlex.

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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

11 authors at 4 institutions in 3 countries.

Sophia PapadakisClinic of Social and Family Medicine, Faculty of Medicine, University of Crete, P.O. Box: 2208, 71003, Heraklion, Crete, Greece.
Marilena AnastasakiClinic of Social and Family Medicine, Faculty of Medicine, University of Crete, P.O. Box: 2208, 71003, Heraklion, Crete, Greece.
Maria PapadakakiDepartment of Social Work, School of Health Sciences, Hellenic Mediterranean University, Heraklion, Crete, Greece.
Μaria AntonopoulouSpili Primary Care Centre, Rethymno, Crete, Greece.
Constantine ChliverosAgia Fotini Rural Practice, Rethymno, Crete, Greece.
Chrissi DaskalakiPerama Primary Care Centre, Rethymno, Crete, Greece.
Dionisis Varthalis1st Local Healthcare Unit, Heraklion, Crete, Greece.
Sofia TriantafyllouViannos Primary Care Centre, Heraklion, Crete, Greece.
Irene VasilakiClinic of Social and Family Medicine, Faculty of Medicine, University of Crete, P.O. Box: 2208, 71003, Heraklion, Crete, Greece.
Andy McEwenNational Centre for Smoking Cessation and Training, Dorchester, UK.
Christos LionisClinic of Social and Family Medicine, Faculty of Medicine, University of Crete, P.O. Box: 2208, 71003, Heraklion, Crete, Greece. lionis@galinos.med.uoc.gr.
University of Crete · GRAction on Smoking and Health · GBCentre for Technological Research of Crete · GRHellenic Mediterranean University · GR

Funding

National Centre for Smoking Cessation and Training n/a
6 · The paper itself

Abstract

backgroundVery Brief Advice on smoking (VBA) is an evidence-based intervention designed to increase quit attempts among patients who smoke. VBA has been widely disseminated in general practice settings in the United Kingdom, however its transferability to Southern European settings is not well established. This study sought to document the perspectives of Greek general practice patients in terms of the acceptability and satisfaction with receiving VBA from their general practitioner (GP) and its influence on patients' motivation to make a quit attempt. We also examine patient identified barriers and facilitators to acting on VBA.

methodsSemi-structured interviews were conducted with 50 patients who reported current tobacco use recruited from five general practices in Crete, Greece. All patients received VBA from their GP and interviews were conducted immediately after the GP appointment. Thematic analysis was used to analyze data.

resultsThe majority of patients were satisfied with the VBA intervention. Approximately one quarter of patients reported they were motivated to make an attempt to quit smoking after receiving VBA from their GP. Patients identified a clear preference for VBA to be delivered in a supportive manner, which communicated genuine concern versus fear-based approaches. Patients with an existing smoking-related illness were more likely to report plans to act on their GP's VBA. Patients not ready to quit smoking indicated they would be likely to seek the support of their GP for future quit attempts as a result of VBA. Many patients reported low self-efficacy with quitting and apprehension about available quit smoking supports.

conclusionsVBA was positively received by the majority of smokers interviewed. Participating patients confirmed the motivational role of advice when delivered in a supportive and caring manner. Personal health status, beliefs about quit smoking supports, and low self-efficacy appear to influence patient's motivation to make an aided quit attempt.

Indexed as

Family PracticePhysician-Patient RelationsSmokersSmoking CessationTobacco UseAdultEmotional IntelligenceFemaleGreeceHealth BehaviorHumansMaleMotivationPatient Acceptance of Health CarePatient SatisfactionQualitative ResearchPatient perspectivePrimary careQualitative researchSmoking cessationVery brief advice

Identifiers

PMID32580760
PMCPMC7315478
OpenAlexW3037964040

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.