Tailoring tobacco counseling to the competing demands in the clinical encounter

C. R. Jaén, H. McIlvain, L. Pol, Jr Phillips, Sue Flocke, B. F. Crabtree

Research output: Contribution to journalArticle

58 Citations (Scopus)

Abstract

OBJECTIVES: We identified patterns of tobacco cessation counseling in primary care practices, including contextual factors that influence its provision. STUDY DESIGN: A cross-sectional study was performed using direct observation of outpatient visits. POPULATION: We included 91 outpatient visits by cigarette smokers visiting 20 family physicians in 7 Nebraska community family practices. OUTCOMES MEASURED: We measured patterns and quality of tobacco counseling assessed by direct observation. RESULTS: A hierarchy of 5 patterns was discernable, ranging from appropriate to inappropriate provision or nonprovision of tobacco cessation counseling. CONCLUSIONS: Since tobacco-specific discussions are appropriate only in approximately three fourths of primary care visits by smokers, clinical practice guidelines that recommend intervention at every visit are unrealistic. However, the finding that only one third of eligible visits addressed tobacco makes it imperative that tobacco cessation counseling be reliably integrated into visits for well care and tobacco-related illnesses that represent teachable moments.

Original languageEnglish (US)
Pages (from-to)859-863
Number of pages5
JournalJournal of Family Practice
Volume50
Issue number10
StatePublished - Oct 22 2001
Externally publishedYes

Fingerprint

Tobacco Use Cessation
Tobacco
Counseling
Primary Health Care
Outpatients
Observation
Family Practice
Family Physicians
Practice Guidelines
Tobacco Products
Cross-Sectional Studies

Keywords

  • Counseling
  • Family practice
  • Office visits
  • Physician's practice patterns
  • Smoking cessation

ASJC Scopus subject areas

  • Family Practice

Cite this

Jaén, C. R., McIlvain, H., Pol, L., Phillips, J., Flocke, S., & Crabtree, B. F. (2001). Tailoring tobacco counseling to the competing demands in the clinical encounter. Journal of Family Practice, 50(10), 859-863.

Tailoring tobacco counseling to the competing demands in the clinical encounter. / Jaén, C. R.; McIlvain, H.; Pol, L.; Phillips, Jr; Flocke, Sue; Crabtree, B. F.

In: Journal of Family Practice, Vol. 50, No. 10, 22.10.2001, p. 859-863.

Research output: Contribution to journalArticle

Jaén, CR, McIlvain, H, Pol, L, Phillips, J, Flocke, S & Crabtree, BF 2001, 'Tailoring tobacco counseling to the competing demands in the clinical encounter', Journal of Family Practice, vol. 50, no. 10, pp. 859-863.
Jaén CR, McIlvain H, Pol L, Phillips J, Flocke S, Crabtree BF. Tailoring tobacco counseling to the competing demands in the clinical encounter. Journal of Family Practice. 2001 Oct 22;50(10):859-863.
Jaén, C. R. ; McIlvain, H. ; Pol, L. ; Phillips, Jr ; Flocke, Sue ; Crabtree, B. F. / Tailoring tobacco counseling to the competing demands in the clinical encounter. In: Journal of Family Practice. 2001 ; Vol. 50, No. 10. pp. 859-863.
@article{7a9a35ad3d054793ab392b48e682b91f,
title = "Tailoring tobacco counseling to the competing demands in the clinical encounter",
abstract = "OBJECTIVES: We identified patterns of tobacco cessation counseling in primary care practices, including contextual factors that influence its provision. STUDY DESIGN: A cross-sectional study was performed using direct observation of outpatient visits. POPULATION: We included 91 outpatient visits by cigarette smokers visiting 20 family physicians in 7 Nebraska community family practices. OUTCOMES MEASURED: We measured patterns and quality of tobacco counseling assessed by direct observation. RESULTS: A hierarchy of 5 patterns was discernable, ranging from appropriate to inappropriate provision or nonprovision of tobacco cessation counseling. CONCLUSIONS: Since tobacco-specific discussions are appropriate only in approximately three fourths of primary care visits by smokers, clinical practice guidelines that recommend intervention at every visit are unrealistic. However, the finding that only one third of eligible visits addressed tobacco makes it imperative that tobacco cessation counseling be reliably integrated into visits for well care and tobacco-related illnesses that represent teachable moments.",
keywords = "Counseling, Family practice, Office visits, Physician's practice patterns, Smoking cessation",
author = "Ja{\'e}n, {C. R.} and H. McIlvain and L. Pol and Jr Phillips and Sue Flocke and Crabtree, {B. F.}",
year = "2001",
month = "10",
day = "22",
language = "English (US)",
volume = "50",
pages = "859--863",
journal = "Journal of Family Practice",
issn = "0094-3509",
publisher = "Appleton-Century-Crofts",
number = "10",

}

TY - JOUR

T1 - Tailoring tobacco counseling to the competing demands in the clinical encounter

AU - Jaén, C. R.

AU - McIlvain, H.

AU - Pol, L.

AU - Phillips, Jr

AU - Flocke, Sue

AU - Crabtree, B. F.

PY - 2001/10/22

Y1 - 2001/10/22

N2 - OBJECTIVES: We identified patterns of tobacco cessation counseling in primary care practices, including contextual factors that influence its provision. STUDY DESIGN: A cross-sectional study was performed using direct observation of outpatient visits. POPULATION: We included 91 outpatient visits by cigarette smokers visiting 20 family physicians in 7 Nebraska community family practices. OUTCOMES MEASURED: We measured patterns and quality of tobacco counseling assessed by direct observation. RESULTS: A hierarchy of 5 patterns was discernable, ranging from appropriate to inappropriate provision or nonprovision of tobacco cessation counseling. CONCLUSIONS: Since tobacco-specific discussions are appropriate only in approximately three fourths of primary care visits by smokers, clinical practice guidelines that recommend intervention at every visit are unrealistic. However, the finding that only one third of eligible visits addressed tobacco makes it imperative that tobacco cessation counseling be reliably integrated into visits for well care and tobacco-related illnesses that represent teachable moments.

AB - OBJECTIVES: We identified patterns of tobacco cessation counseling in primary care practices, including contextual factors that influence its provision. STUDY DESIGN: A cross-sectional study was performed using direct observation of outpatient visits. POPULATION: We included 91 outpatient visits by cigarette smokers visiting 20 family physicians in 7 Nebraska community family practices. OUTCOMES MEASURED: We measured patterns and quality of tobacco counseling assessed by direct observation. RESULTS: A hierarchy of 5 patterns was discernable, ranging from appropriate to inappropriate provision or nonprovision of tobacco cessation counseling. CONCLUSIONS: Since tobacco-specific discussions are appropriate only in approximately three fourths of primary care visits by smokers, clinical practice guidelines that recommend intervention at every visit are unrealistic. However, the finding that only one third of eligible visits addressed tobacco makes it imperative that tobacco cessation counseling be reliably integrated into visits for well care and tobacco-related illnesses that represent teachable moments.

KW - Counseling

KW - Family practice

KW - Office visits

KW - Physician's practice patterns

KW - Smoking cessation

UR - http://www.scopus.com/inward/record.url?scp=0034791068&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0034791068&partnerID=8YFLogxK

M3 - Article

C2 - 11674888

AN - SCOPUS:0034791068

VL - 50

SP - 859

EP - 863

JO - Journal of Family Practice

JF - Journal of Family Practice

SN - 0094-3509

IS - 10

ER -