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Smoking cessation counselling practices of family physicians in Jordan

Published online by Cambridge University Press:  12 April 2013

Mousa Abdullah Alomari ,
Yousef Saleh Khader ,
Ali Shakir Dauod ,
Khaled Adel Abu-Hammour ,
Adi Harbi Khassawneh  and
Nuha Ibrahim Jibril
Mousa Abdullah Alomari
Affiliation:
Department of Community Medicine, Public Health and Family Medicine, Faculty of Medicine/Jordan University of Science & Technology, PO Box 3030/Irbid, 22110, Jordan Email mousa-om@just.edu.jo
Yousef Saleh Khader*
Affiliation:
Department of Community Medicine, Public Health and Family Medicine, Faculty of Medicine/Jordan University of Science & Technology, PO Box 3030 Irbid, 22110, Jordan Email yousef.k@excite.com
Ali Shakir Dauod
Affiliation:
Department of Community Medicine, Public Health and Family Medicine, Faculty of Medicine/Jordan University of Science & Technology, PO Box 3030 Irbid, 22110, Jordan Email asdauod@just.edu.jo
Khaled Adel Abu-Hammour
Affiliation:
The Royal University for Medical Science Email abu_hammour77@yahoo.com
Adi Harbi Khassawneh
Affiliation:
Department of Community Medicine, Public Health and Family Medicine, Faculty of Medicine/Jordan University of Science & Technology, PO Box 3030 Irbid, 22110, Jordan Email adikhasawneh@yahoo.com
Nuha Ibrahim Jibril
Affiliation:
Department of Community Medicine, Public Health and Family Medicine, Faculty of Medicine/Jordan University of Science & Technology, P.O.Box 3030 Irbid, 22110, Jordan Email Drnoga1983@hotmail.com
*
Address for correspondence: Yousef Khader, BDS, MSc, MSPH, MHPE, FFPH, ScD, Department of Community Medicine, Public Health and Family Medicine, Faculty of Medicine/Jordan University of Science & Technology, PO Box 3030 Irbid, 22110, Jordan Email: yousef.k@excite.com
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Abstract

Objectives: To assess the smoking cessation counselling practices of family physicians in Jordan and assess their perception about the availability of smoking cessation resources and about the barriers to effective smoking cessation practices. Methods: A pre-structured questionnaire was distributed to 124 family physicians practicing in teaching and Ministry of Health medical centres in Jordan. All participants were asked about their smoking cessation practices and about the barriers to effective smoking cessation practices. Results: Only 39.8% reported that they assess the willingness of the patients to quit smoking and 28.2% reported that they discuss counselling options with smokers. Considerably fewer percentages of physicians reported that they prepare their patients for withdrawal symptoms (11.6%), discuss pharmacotherapies (4.9%), describe a nicotine patch (5.0%), and provide patients with self-help materials (6.7%). The two factors cited most often by physicians as significant barriers to smoking cessation counselling were lack or too few available cessation programmes (90.3%) and limited training for physicians on tobacco and cessation interventions (90.3%). Conclusion: While a high proportion of Jordanian family physicians reported that they usually ask patients about smoking status and advise them to stop smoking, they do not regularly provide extensive assistance to help their patients to quit smoking. Lack or too few available cessation programmes and limited training for physicians on smoking cessation interventions were identified as the two major barriers to effective smoking cessation counselling.

Keywords

smoking cessationcounsellingpracticesfamily medicine
Type
Articles
Information
Journal of Smoking Cessation , Volume 8 , Issue 2 , December 2013 , pp. 85 - 90
Copyright
Copyright © The Author(s), published by Cambridge University Press on behalf of Australian Academic Press Pty Ltd 2013 

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References

Barengo, N., Sandström, H., Jormanainen, V., & Myllykangas, M. (2005). Attitudes and behaviours in smoking cessation among general practitioners in Finland 2001. Soz Praventivmed, 50 (6), 355–360.Google Scholar
Boldemann, C., GillJam, H., Lund, K. E., & Helgason, A. R. (2006). Smoking cessation in general practice: the effects of a quitline. Nicotine Tobacco Research, 8 (6), 785–790.Google Scholar
Brotons, C., Bjfrkelund, C., Bulc, M., Ciurana, R., Godycki-Cwirko, M., Jurgova, E., Kloppe, P., Lionis, C., Mierzecki, A., Pin˜eiro, R., Pullerits, L., Sammut, M. R., Sheehan, M., Tataradze, R., Thireos, E. A., & Vuchak, J. (2005). Prevention and health promotion in clinical practice: the views of general practitioners in Europe. American Journal of Preventive Medicine, 40 (5), 595–601.Google Scholar
Centers for Disease Control and Prevention (CDC) (2002). Annual smoking-attributable mortality, years of potential life lost and economic costs-United States 1995–1999. Morbidity and Mortality Weekly Report, 51 (14), 300–303.Google Scholar
Crawford, M. A., Woodby, L. L., Russell, T. V., Turner, T. J., Hardin, J. M., & Harrington, T. M. (2005). Tobacco use assessment and counseling practices among Alabama primary care physicians. Quality in Primary Care, 13 (3), 163–170.Google Scholar
Edward, R. (2004). The problem of tobacco smoking. British Medical Journal, 328 (7433), 217–219.Google Scholar
Epps, R. & Manley, M. (1992). The clinician's role in preventing smoking initiation. The Medical clinics of North America, 76 (2), 439–449.Google Scholar
Ferketich, A. K., Gallus, S., Colombo, P., Fossati, R., Apolone, G., Zuccaro, P., & La Vecchia, C. (2008). Physician-delivered advice to quit smoking among Italian smokers. American Journal of Prevention Medicine, 35 (1), 60–63.Google Scholar
Ferry, L. H., Grissino, L. M., & Runfola, P. S. (1999). Tobacco dependence curricula in US undergraduate medical education. Journal of the American Medical Association, 282, 825–829.CrossRefGoogle ScholarPubMed
Gallefoss, F., & Drangsholt, K. (2002). Smoking cessation intervention and barriers against it among general practitioners in Vest-Agder county. Tidsskrift for den Norske lægeforening: tidsskrift for praktisk medicin, ny række, 122 (27), 2608–2611.Google Scholar
Gottlieb, N. H., Guo, J. L., Blozis, S. A., & Huang, P. P. (2001). Individual and contextual factors related to family practice residents’ assessment and counseling for tobacco cessation. Journal of the American Board of Family Practice, 14 (5), 343–351.Google Scholar
Helgason, A. R., & Lund, K. E. (2002). General practitioners perceived barriers to smoking cessation-results from four Nordic countries. Scandinavian Journal of Public Health, 30 (2), 141–147.Google Scholar
Kössler, W., Lanzenberger, M., & Zwick, H. (2002). Smoking habits of office-based general practitioners and internists in Austria and their smoking cessation efforts. Wien Klin Wochenschr, 114 (17–18), 762–765.Google Scholar
Lancaster, T., Stead, L., Silagy, C., & Sowden, A. (2000). Effectiveness of interventions to help people stop smoking: findings from the Cochrane library. British Medical Journal, 321 (7257), 355–358.CrossRefGoogle ScholarPubMed
Lancaster, T., & Stead, L. (2004). Physicians’ advice for smoking cessation. Cochrane Database System Review, 4, CD000165.Google Scholar
Laniado-Laborín, R. (2010). Smoking cessation intervention: an evidence-based approach. Postgraduate medicine, 122 (2), 74–82.Google Scholar
McEwen, A., & West, R. (2001). Smoking cessation activities by general practitioners and practice nurses. Tobacco Control, 10, 27–32.Google Scholar
O'Loughlin, J., Makni, H., Tremblay, M., Lacroix, C., Gervais, A., Déry, V., Meshefedjian, G., & Paradis, G. (2001). Smoking cessation counseling practices of general practitioners in Montreal. American Journal of Preventive Medicine, 33 (6), 627–638.Google Scholar
Orleans, C. T., Woolf, S. H., Rothemich, S. F., Marks, J. S., & Isham, G. J. (2006). The top priority: building a better system for tobacco-cessation counseling. American Journal of Preventive Medicine, 30 (5), 103–106.Google Scholar
Pizzo, A. M., Chellini, E., Grazzini, G., Cardone, A., & Badellino, F. (2003). Italian General Practitioners and smoking cessation strategies. Tumori, 89 (3), 250–254.Google Scholar
Prignot, J., Bartsch, P., Vermeire, P., Jamart, J., Wanlin, M., Uydebrouck, M., & Thijs, J. (1998). Physician's involvement in the smoking cessation process of their patients. Results of a 1998 survey among 4643 Belgian physicians. The Acta Clinica Belgica Journal, 55, 266–275.Google Scholar
Puska, P. M. J., Barrueco, M., Roussos, C., Hider, A., & Hogue, S. (2005) The participation of health professionals in smoking-cessation programme positively influenced the smoking cessation advice given to patients. Internal Journal of Clinical Practice, 59 (4), 447–452.Google Scholar
Revell, C., & Schroeder, S. (2005). Simplicity matters: using system-level changes to encourage clinician intervention in helping tobacco users quit. Nicotine Tobacco Research, 7 (1), S67–S69.Google Scholar
Roddy, E., Rubin, P., & Britton, J. (2004). A study of smoking and smoking cessation on the curricula of UK medical schools. Tobacco Control, 13 (1), 74–77.Google Scholar
Sotiropoulos, A., Gikas, A., Spanou, E., Dimitrelos, D., Karakostas, F., Skliros, E., Apostolou, O., Politakis, P., & Pappas, S. (2007). Smoking habits and associated factors among Greek physicians. Public Health, 121 (5), 333–340.Google Scholar
Twardella, D. (2005) Lack of training as a central barrier to the promotion of smoking cessation: a survey among general practitioners in Germany. European Journal of Public Health, 15 (2), 140–145.Google Scholar
Ulbricht, S., Meyer, C., Schumann, A., Rumpf, H. J., Hapke, U., & John, U. (2006). Provision of smoking cessation counseling by general practitioners assisted by training and screening procedure. Patient Education and Counseling, 63 (1–2), 232–238.Google Scholar
West, R., McNeill, A., & Raw, M. (2000). Smoking cessation guidelines for health professionals: an update. Health Education Authority. Thorax, 55 (12), 987–999.Google Scholar
World Health Organization (2010). Global status report on non-communicable diseases.Google Scholar
Young, J. M., & Ward, J. E. (2001). Implementing guidelines for smoking cessation advice in Australian general practice: opinions, current practices, readiness to change and perceived barriers. Family Practice, 18, 14–20.Google Scholar