Skip to main content
Smoking cessation counseling in vascular surgical practice using the results of interviews and focus groups in the Vascular Surgeon offer and report smoking cessation pilot trial
University of Massachusetts Medical School Faculty Publications
  • Karina Newhall, Dartmouth Hitchcock Medical Center
  • Mary Burnette, Geisel School of Medicine at Dartmouth
  • Benjamin S. Brooke, University of Utah
  • Andres Schanzer, University of Massachusetts Medical School
  • TzeWoei Tan, Louisiana State University
  • Susan Flocke, Case Western Reserve University
  • Alik Farber, Boston Medical Center
  • Philip P. Goodney, Dartmouth-Hitchcock Medical Center
UMMS Affiliation
Department of Surgery, Division of Vascular and Endovascular Surgery
Publication Date
Document Type

OBJECTIVE: Although smoking cessation is a key priority emphasized by professional societies and multidisciplinary consensus guidelines, significant variation exists in the methods and efficacy of smoking cessation treatment practiced by vascular surgeons. We conducted a series of patient, surgeon, and nonpatient stakeholder focus groups to identify important domains for establishment of a successful smoking cessation program.

METHODS: As part of a planning effort for a randomized clinical trial on usual care vs a standardized, evidence-based smoking cessation intervention, our group performed a series of interviews and focus groups. These were four 1-hour interviews, conducted with stakeholders such as tobacco cessation counselors (n = 2), a Quit Line representative (n = 1), and a Vascular Quality Initiative leader (n = 1), as well as two 90-minute, formal, professionally moderated focus groups, one with vascular surgeons (n = 7), and another with patients (n = 4). Transcripts and audio recordings were qualitatively reviewed for themes to establish the most important domains perceived to be associated with a successful smoking cessation program.

RESULTS: Patients emphasized four domains critical for a successful smoking cessation program: the motivation to quit, an individualized approach, the timing of an intervention, and the tone of the physician who offers counseling. Although surgeons and nonpatient stakeholders also emphasized the importance of a compassionate physician tone, surgeons and nonpatient stakeholders differed from patients in their remaining domains. They emphasized the feasibility of a brief intervention in a busy clinical practice, implementation of the effort, and necessary infrastructure for smoking cessation programs. All focus group participants described a brief, evidence-based smoking cessation intervention as feasible in routine vascular practice.

CONCLUSIONS: Differences in motivation and significance exist for patients, surgeons, and stakeholders when they considered the specific domains most important in building a successful smoking cessation program. Despite these differences, all parties involved agreed that a brief, standardized intervention can be successful delivered in a busy vascular clinic setting.

DOI of Published Version
J Vasc Surg. 2016 Apr;63(4):1011-7.e2. doi: 10.1016/j.jvs.2015.10.086. Epub 2015 Dec 30. Link to article on publisher's site
Related Resources
Link to Article in PubMed
PubMed ID
Citation Information
Karina Newhall, Mary Burnette, Benjamin S. Brooke, Andres Schanzer, et al.. "Smoking cessation counseling in vascular surgical practice using the results of interviews and focus groups in the Vascular Surgeon offer and report smoking cessation pilot trial" Vol. 63 Iss. 4 (2016) ISSN: 0741-5214 (Linking)
Available at: