Efficacy of a brief intervention to improve emergency physicians smoking cessation counseling skills, knowledge, and attitudes

Steven L. Bernstein, Edwin D. Boudreaux, Lisa Cabral, Rita K. Cydulka, David Schwegman, Gregory L. Larkin, Annette L. Adams, Lynne B. McCullough, Karin V. Rhodes

Research output: Contribution to journalArticle

15 Scopus citations

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.

Original languageEnglish (US)
Pages (from-to)158-181
Number of pages24
JournalSubstance Abuse
Volume30
Issue number2
DOIs
StatePublished - Apr 1 2009

Keywords

  • Emergency Department
  • Smoking Cessation
  • Tobacco Control

ASJC Scopus subject areas

  • Medicine (miscellaneous)
  • Psychiatry and Mental health

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    Bernstein, S. L., Boudreaux, E. D., Cabral, L., Cydulka, R. K., Schwegman, D., Larkin, G. L., Adams, A. L., McCullough, L. B., & Rhodes, K. V. (2009). Efficacy of a brief intervention to improve emergency physicians smoking cessation counseling skills, knowledge, and attitudes. Substance Abuse, 30(2), 158-181. https://doi.org/10.1080/08897070902802117