Tobacco cessation interventions in health care settings: rationale, model, outcomes.
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.
Lichtenstein
E
E
Oregon Research Institute, Eugene 97403-2983, USA.
Hollis
J F
JF
Severson
H H
HH
Stevens
V J
VJ
Vogt
T M
TM
Glasgow
R E
RE
Andrews
J A
JA
D000279:Administration, Cutaneous; D001521:Behavior Therapy; D002638:Chewing Gum; D006801:Humans; D008329:Managed Care Programs; D009538:Nicotine / Q000008:administration & dosage; D017063:Outcome Assessment, Health Care; D010348:Patient Care Team; D010353:Patient Education as Topic; D016540:Smoking Cessation
D002638:Chewing Gum; D009538:Nicotine