Elsevier

Addictive Behaviors

Volume 21, Issue 6, November–December 1996, Pages 709-720
Addictive Behaviors

I. Smoking: James O. Prochaska, Chair
Tobacco cessation interventions in health care settings: Rationale, model, outcomes

https://doi.org/10.1016/0306-4603(96)00030-5Get rights and content

Abstract

Health care settings provide opportunities to reach populations of tobacco users with personalized cessation assistance. We describe a model for doing so which emphasizes a team approach, minimizes the burden on clinicians, and uses brief counseling by allied professionals, videos, written materials, and telephone calls to augment clinician advice. The model has been implemented in several diverse settings including outpatient, inpatient, and dental clinic managed care: fee-for-service dentistry and pediatric practices; and planned parenthood clinics. Data from several randomized trials support the effectiveness of the approach. The brief, low-intensity interventions derived from the model appear to be sustainable on a routine basis in many settings.

References (39)

  • R.E. Glasgow et al.

    Changes in smoking associated with hospitalization: Quit rates, predictive variables, and intervention implications

    American Journal of Health Promotion

    (1991)
  • J.F. Hollis et al.

    Nurse-assisted counseling for smokers in primary care

    Annals of Internal Medicine

    (1993)
  • M.E. Jarvik et al.

    Pharmacological adjuncts for the treatment of tobacco dependence

  • T.E. Kottke et al.

    Attributes of successful smoking cessation interventions in medical practice. A meta-analysis of 39 controlled trials

    Journal of the American Medical Association

    (1988)
  • H.A. Lando

    Formal quit smoking treatments

  • L.S. Leininger et al.

    An office system for organizing preventive services

    Archives of Family Medicine

    (1996)
  • E. Lichtenstein et al.

    Smoking cessation: What have we learned over the past decade?

    Journal of consulting and Clinical Psychology

    (1992)
  • E. Lichtenstein et al.

    Patient referral to a smoking cessation program: Who follows through

    Journal of Family Practice

    (1992)
  • S.J. Little et al.

    An effective smokeless tobacco intervention for dental hygiene patients

    Journal of Dental Hygiene

    (1992)
  • Cited by (0)

    This work was supported by National Institutes of Health grants No. CA44648, HL4876768, HL52538, and HL43923.

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