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Smoking cessation counseling with young patients: the practices of family physicians and pediatricians.
Arch Pediatr Adolesc Med. 2004 Jan; 158(1):83-90.AP

Abstract

OBJECTIVE

To investigate family physicians' and pediatricians' practice of and perceived barriers to smoking cessation counseling among patients 18 years and younger.

DESIGN

Cross-sectional mail survey conducted between November 1, 1997, and January 31, 1998.

PARTICIPANTS

A stratified random sample selected from the 1997 American Medical Association Physician Masterfile of 1000 family physicians and pediatricians who practice in urban California, work at least 10% of the time in ambulatory care, and have at least 10% of patients 18 years and younger.

MAIN OUTCOME MEASURES

Physicians' adherence to 5 components of the National Cancer Institute's smoking cessation counseling recommendations (anticipate, ask, advise, assist, and arrange) and their perceived barriers to smoking cessation counseling.

RESULTS

A total of 429 physicians participated in the study. Physicians of both specialties were more likely to anticipate, ask, and advise patients about smoking than to assist with and arrange cessation activities. Family physicians were more likely than pediatricians to assist and arrange, including scheduling follow-up visits to discuss quitting (25.1% vs 11.7%; odds ratio [OR], 3.07; 95% confidence interval [CI], 1.22-7.73) and directing nursing staff to counsel patients (17.1% vs 10.9%; OR, 3.70; 95% CI, 1.30-10.60). The most common perceived barrier to counseling was the belief that children would provide inaccurate responses due to either the presence of parents (86.4%) or the fear that parents would be notified of their answers (74.0%). Pediatricians reported lack of counseling skills as a barrier to providing smoking interventions in greater proportion than did family physicians (24.9% vs 54.8%; OR, 0.29; 95% CI, 0.14-0.63; P<.001).

CONCLUSION

Improvement in smoking cessation counseling skills and practices is needed among physicians treating children and adolescents.

Authors+Show Affiliations

Department of Medicine, Division of General Internal Medicine, Medical Effectiveness Research Center for Diverse Populations, University of California, San Francisco, 94143, USA.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

14706964

Citation

Kaplan, Celia Patricia, et al. "Smoking Cessation Counseling With Young Patients: the Practices of Family Physicians and Pediatricians." Archives of Pediatrics & Adolescent Medicine, vol. 158, no. 1, 2004, pp. 83-90.
Kaplan CP, Pérez-Stable EJ, Fuentes-Afflick E, et al. Smoking cessation counseling with young patients: the practices of family physicians and pediatricians. Arch Pediatr Adolesc Med. 2004;158(1):83-90.
Kaplan, C. P., Pérez-Stable, E. J., Fuentes-Afflick, E., Gildengorin, V., Millstein, S., & Juarez-Reyes, M. (2004). Smoking cessation counseling with young patients: the practices of family physicians and pediatricians. Archives of Pediatrics & Adolescent Medicine, 158(1), 83-90.
Kaplan CP, et al. Smoking Cessation Counseling With Young Patients: the Practices of Family Physicians and Pediatricians. Arch Pediatr Adolesc Med. 2004;158(1):83-90. PubMed PMID: 14706964.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Smoking cessation counseling with young patients: the practices of family physicians and pediatricians. AU - Kaplan,Celia Patricia, AU - Pérez-Stable,Eliseo J, AU - Fuentes-Afflick,Elena, AU - Gildengorin,Virginia, AU - Millstein,Susan, AU - Juarez-Reyes,Maria, PY - 2004/1/7/pubmed PY - 2004/2/27/medline PY - 2004/1/7/entrez SP - 83 EP - 90 JF - Archives of pediatrics & adolescent medicine JO - Arch Pediatr Adolesc Med VL - 158 IS - 1 N2 - OBJECTIVE: To investigate family physicians' and pediatricians' practice of and perceived barriers to smoking cessation counseling among patients 18 years and younger. DESIGN: Cross-sectional mail survey conducted between November 1, 1997, and January 31, 1998. PARTICIPANTS: A stratified random sample selected from the 1997 American Medical Association Physician Masterfile of 1000 family physicians and pediatricians who practice in urban California, work at least 10% of the time in ambulatory care, and have at least 10% of patients 18 years and younger. MAIN OUTCOME MEASURES: Physicians' adherence to 5 components of the National Cancer Institute's smoking cessation counseling recommendations (anticipate, ask, advise, assist, and arrange) and their perceived barriers to smoking cessation counseling. RESULTS: A total of 429 physicians participated in the study. Physicians of both specialties were more likely to anticipate, ask, and advise patients about smoking than to assist with and arrange cessation activities. Family physicians were more likely than pediatricians to assist and arrange, including scheduling follow-up visits to discuss quitting (25.1% vs 11.7%; odds ratio [OR], 3.07; 95% confidence interval [CI], 1.22-7.73) and directing nursing staff to counsel patients (17.1% vs 10.9%; OR, 3.70; 95% CI, 1.30-10.60). The most common perceived barrier to counseling was the belief that children would provide inaccurate responses due to either the presence of parents (86.4%) or the fear that parents would be notified of their answers (74.0%). Pediatricians reported lack of counseling skills as a barrier to providing smoking interventions in greater proportion than did family physicians (24.9% vs 54.8%; OR, 0.29; 95% CI, 0.14-0.63; P<.001). CONCLUSION: Improvement in smoking cessation counseling skills and practices is needed among physicians treating children and adolescents. SN - 1072-4710 UR - https://www.unboundmedicine.com/medline/citation/14706964/Smoking_cessation_counseling_with_young_patients:_the_practices_of_family_physicians_and_pediatricians_ L2 - https://jamanetwork.com/journals/jamapediatrics/fullarticle/10.1001/archpedi.158.1.83 DB - PRIME DP - Unbound Medicine ER -