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    The Physician-Delivered Smoking Intervention Project: factors that determine how much the physician intervenes with smokers

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    Authors
    Ockene, Judith K.
    Adams, Abigail
    Pbert, Lori
    Luippold, Rose S.
    Hebert, James R.
    Quirk, Mark E.
    Kalan, Kathryn L.
    UMass Chan Affiliations
    Department of Family Medicine and Community Health
    Department of Medicine, Division of Preventive and Behavioral Medicine
    Document Type
    Journal Article
    Publication Date
    1994-07-01
    Keywords
    Adolescent
    Adult
    Aged
    Algorithms
    Analysis of Variance
    Humans
    Middle Aged
    Patient Compliance
    *Physician's Role
    Physician-Patient Relations
    Regression Analysis
    Smoking Cessation
    Life Sciences
    Medicine and Health Sciences
    Women's Studies
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    Link to Full Text
    http://dx.doi.org/10.1007/BF02629517
    Abstract
    OBJECTIVE: To determine factors that affect how much physicians trained to use a patient-centered smoking intervention intervene with their smoking patients. DESIGN: Forty internal medicine residents and ten internal medicine attending physicians trained in a patient-centered counseling approach were randomized to an algorithm condition (provision of intervention algorithm at each patient visit) or a no-algorithm condition. Smoking intervention steps used by physicians with patients were assessed with Patient Exit Interviews (PEIs). SETTING: Ambulatory clinic; academic medical center. PATIENTS: Five hundred twenty-seven adult smokers seen in clinic between June 1990 and April 1992. MAIN RESULTS: There was no difference in overall PEI scores or in individual PEI steps taken between the algorithm and no-algorithm conditions. Two patient baseline factors (reporting thinking of stopping smoking within six months and higher Fagerstrom Tolerance Score) and one physician factor (older age) were significantly predictive of higher PEI score. CONCLUSION: Provision of an intervention algorithm at each patient visit does not increase the likelihood that trained physicians who are cued to intervene will perform more of the intervention steps taught. Trained physicians are more likely to intervene with smokers who are more nicotine-dependent and who expect and desire to stop smoking.
    Source

    J Gen Intern Med. 1994 Jul;9(7):379-84.

    DOI
    10.1007/BF02629517
    Permanent Link to this Item
    http://hdl.handle.net/20.500.14038/50819
    PubMed ID
    7931747
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    ae974a485f413a2113503eed53cd6c53
    10.1007/BF02629517
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