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Article
Efficacy of a brief intervention to improve emergency physicians' smoking cessation counseling skills, knowledge, and attitudes
Emergency Medicine Publications and Presentations
  • Steven L. Bernstein, Yale University
  • Edwin D. Boudreaux, University of Massachusetts Medical School
  • Lisa Cabral, Albert Einstein College of Medicine
  • Rita K. Cydulka, Case Western Reserve University School of Medicine
  • David Schwegman, Albert Einstein College of Medicine
  • Gregory L. Larkin, Yale University School of Medicine
  • Annette L. Adams, Albert Einstein College of Medicine
  • Lynne B. McCullough, Albert Einstein College of Medicine
  • Karin V. Rhodes, Albert Einstein College of Medicine
UMMS Affiliation
Department of Emergency Medicine
Date
4-7-2009
Document Type
Article
Medical Subject Headings
Adult; Counseling; Curriculum; *Education; *Emergency Medicine; Female; *Health Knowledge, Attitudes, Practice; Humans; Male; Mass Screening; Middle Aged; Motivation; Physician's Role; Physician-Patient Relations; Referral and Consultation; Smoking; *Smoking Cessation; United States
Disciplines
Abstract
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.
Rights and Permissions
Citation: Subst Abus. 2009 Apr-Jun;30(2):158-81. Link to article on publisher's site
Comments

At the time of publication, Edwin Boudreaux was not yet affiliated with the University of Massachusetts Medical School.

Related Resources
Link to Article in PubMed
PubMed ID
19347755
Citation Information
Steven L. Bernstein, Edwin D. Boudreaux, Lisa Cabral, Rita K. Cydulka, et al.. "Efficacy of a brief intervention to improve emergency physicians' smoking cessation counseling skills, knowledge, and attitudes" Vol. 30 Iss. 2 (2009) ISSN: 0889-7077 (Linking)
Available at: http://works.bepress.com/edwin_boudreaux/12/