Abstract
ObjectiveThis report assesses the impact of a series of education sessions delivered to office staff on the delivery of smoking cessation services among patients seeking care at a community-based women’s health center.MethodsA quasi-experimental design was used to examine the delivery of smoking cessation services to patients in a medical office before and after office staff attended a series of 3 educational sessions intended to increase their knowledge and self-efficacy to address cessation. Delivery of smoking cessation services was documented through a systematic review of medical records using a structured abstraction form.ResultsWhile nearly all smokers (93%) were asked about smoking status at their last office visit, few smokers at baseline or follow-up were assessed for interest in setting a quit date or offered pharmacotherapy. Referrals to the smokers quit line increased from <1% at baseline to 8% at follow-up (p<0.001) and “any assistance” also showed a modest but significant increase (<1% baseline, 9% follow-up, p<0.001).ConclusionThis evaluation failed to identify clinical meaningful changes in the delivery of smoking cessation services in this women’s health office before and after completion of a series of educational interventions for office staff. It is anticipated that the implementation of patient centered medical homes, and EMR systems, will help to enhance the delivery of smoking cessation services to women seeking medical care.
Highlights
Smoking rates continue to decline with 18.1% of adults age 18 or older identified as currently smoking cigarettes in the United States in 2012, compared to 20.9% of adults who were smokers in 2005 [1]
Smoking status was recorded as a vital sign for 75% of smokers at the baseline assessment and for 69% of smokers at the follow-up assessment (p=0.10)
This study summarizes results from two medical chart audits performed to assess the impact of a series of 3 educational programs presented to medical office staff to encourage enhanced delivery of cessation services to smokers presenting for care at a women/s health centre
Summary
Smoking rates continue to decline with 18.1% of adults age 18 or older identified as currently smoking cigarettes in the United States in 2012, compared to 20.9% of adults who were smokers in 2005 [1]. Even with this decrease in use, tobacco use remains as the leading cause of preventable death in the United States, accounting for nearly 480,000 deaths per year [2]. Persons with limited educational attainment (
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