Efficacy of a brief intervention to improve emergency physicians' smoking cessation counseling skills, knowledge, and attitudes
At the time of publication, Edwin Boudreaux was not yet affiliated with the University of Massachusetts Medical School.
The objective of this study was to test whether a brief educational/administrative intervention could increase tobacco counseling by emergency physicians (EPs). Pre-/post-study at eight emergency departments (EDs) with residency programs were carried out. EPs received a 1-hour lecture on the health effects of smoking and strategies to counsel patients. After the lecture, cards promoting a national smokers' quitline were placed in EDs, to be distributed by providers. Providers completed pre-/ post-intervention questionnaires. Patients were interviewed pre-/post-intervention to assess provider behavior. Two hundred eighty-seven EPs were enrolled. Post-intervention, providers were more likely to consider tobacco counseling part of their role, and felt more confident in counseling. Data from 1168 patient interviews and chart reviews showed that, post-intervention, providers were more likely to ask patients about smoking, make a referral, and document smoking counseling. Post-intervention, 30% of smokers were given a Quitline referral card. An educational intervention improved ED-based tobacco interventions. Controlled trials are needed to establish these results' durability.
Steven L. Bernstein, Edwin D. Boudreaux, Lisa Cabral, Rita K. Cydulka, David Schwegman, Gregory L. Larkin, Annette L. Adams, Lynne B. McCullough, and Karin V. Rhodes. "Efficacy of a brief intervention to improve emergency physicians' smoking cessation counseling skills, knowledge, and attitudes" Substance abuse : official publication of the Association for Medical Education and Research in Substance Abuse 30.2 (2009).
Available at: http://works.bepress.com/edwin_boudreaux/12