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Awareness, practices, and barriers regarding smoking cessation treatment among physicians in Saudi Arabia.
J Addict Dis. 2017 Jan-Mar; 36(1):53-59.JA

Abstract

Smoking cessation counseling and therapy provided by physicians play an important role in helping smokers quit. Awareness and practices of the clinical practice guidelines for tobacco dependence (in particular the 5A's: Ask, Assist, Assess, Advise, and Arrange) among physicians and perceived barriers for their implementation is needed to improve care for individuals who smoke/use tobacco products in Saudi Arabia. A cross-sectional self-administered survey was conducted among 124 general and family practitioners in primary health care clinics belonging to 2 major medical centers in Riyadh city, Saudi Arabia. Descriptive statistics were reported for all survey variables. Logistic regression was used to examine the predictors of physicians' use of the 5A's for smoking cessation counseling and therapy. Among the 216 contacted physicians, 124 responded (57.4%). The majority (63.7%) were males, between the ages of 40 and 49 years (52.4%), practicing full-time (95.2%), and had not received smoking cessation training during medical school education or residency training (68.6%). Approximately 85.5% reported some experience with the guidelines (heard, read, or used). Asking (71.8%) and advising (87.9%) were the most implemented for smoking cessation, while assisting (15.3%) and arranging for follow-up (17.7%) were the least implemented. Most (96.0%) did not prescribe pharmacotherapy and 53.2% reported documenting the patient's smoking status. Reported barriers were mostly lack of time (72.6%) and lack of training (66.9%). Awareness of the guidelines, physician's smoking status, perceived competence in ability to provide smoking cessation counseling and therapy, reporting the ineffectiveness of smoking cessation therapy as a barrier, and the perceived benefit of reducing patient's physical symptoms were independently statistically significant predictors of the implementation of the 5A's for smoking cessation therapy. This preliminary study showed that smoking cessation delivery, according to the clinical practice guidelines recommendation, in Saudi Arabia is inadequate. Barriers were identified regarding the delivery of smoking cessation therapy and counseling for the first time. Physician training is likely to improve compliance with implementing smoking cessation counseling and therapy.

Authors+Show Affiliations

a Department of Community and Environmental Health , College of Public Health and Health Informatics, King Saud Bin Abdulaziz University for Health Sciences , Riyadh , Saudi Arabia.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

26566876

Citation

Jradi, Hoda. "Awareness, Practices, and Barriers Regarding Smoking Cessation Treatment Among Physicians in Saudi Arabia." Journal of Addictive Diseases, vol. 36, no. 1, 2017, pp. 53-59.
Jradi H. Awareness, practices, and barriers regarding smoking cessation treatment among physicians in Saudi Arabia. J Addict Dis. 2017;36(1):53-59.
Jradi, H. (2017). Awareness, practices, and barriers regarding smoking cessation treatment among physicians in Saudi Arabia. Journal of Addictive Diseases, 36(1), 53-59. https://doi.org/10.1080/10550887.2015.1116355
Jradi H. Awareness, Practices, and Barriers Regarding Smoking Cessation Treatment Among Physicians in Saudi Arabia. J Addict Dis. 2017 Jan-Mar;36(1):53-59. PubMed PMID: 26566876.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Awareness, practices, and barriers regarding smoking cessation treatment among physicians in Saudi Arabia. A1 - Jradi,Hoda, Y1 - 2015/11/13/ PY - 2015/11/15/pubmed PY - 2017/3/9/medline PY - 2015/11/15/entrez KW - 5A's KW - Saudi Arabia KW - physicians KW - smoking cessation SP - 53 EP - 59 JF - Journal of addictive diseases JO - J Addict Dis VL - 36 IS - 1 N2 - Smoking cessation counseling and therapy provided by physicians play an important role in helping smokers quit. Awareness and practices of the clinical practice guidelines for tobacco dependence (in particular the 5A's: Ask, Assist, Assess, Advise, and Arrange) among physicians and perceived barriers for their implementation is needed to improve care for individuals who smoke/use tobacco products in Saudi Arabia. A cross-sectional self-administered survey was conducted among 124 general and family practitioners in primary health care clinics belonging to 2 major medical centers in Riyadh city, Saudi Arabia. Descriptive statistics were reported for all survey variables. Logistic regression was used to examine the predictors of physicians' use of the 5A's for smoking cessation counseling and therapy. Among the 216 contacted physicians, 124 responded (57.4%). The majority (63.7%) were males, between the ages of 40 and 49 years (52.4%), practicing full-time (95.2%), and had not received smoking cessation training during medical school education or residency training (68.6%). Approximately 85.5% reported some experience with the guidelines (heard, read, or used). Asking (71.8%) and advising (87.9%) were the most implemented for smoking cessation, while assisting (15.3%) and arranging for follow-up (17.7%) were the least implemented. Most (96.0%) did not prescribe pharmacotherapy and 53.2% reported documenting the patient's smoking status. Reported barriers were mostly lack of time (72.6%) and lack of training (66.9%). Awareness of the guidelines, physician's smoking status, perceived competence in ability to provide smoking cessation counseling and therapy, reporting the ineffectiveness of smoking cessation therapy as a barrier, and the perceived benefit of reducing patient's physical symptoms were independently statistically significant predictors of the implementation of the 5A's for smoking cessation therapy. This preliminary study showed that smoking cessation delivery, according to the clinical practice guidelines recommendation, in Saudi Arabia is inadequate. Barriers were identified regarding the delivery of smoking cessation therapy and counseling for the first time. Physician training is likely to improve compliance with implementing smoking cessation counseling and therapy. SN - 1545-0848 UR - https://www.unboundmedicine.com/medline/citation/26566876/Awareness_practices_and_barriers_regarding_smoking_cessation_treatment_among_physicians_in_Saudi_Arabia_ L2 - https://www.tandfonline.com/doi/full/10.1080/10550887.2015.1116355 DB - PRIME DP - Unbound Medicine ER -