title: An educational campaign to increase chiropractic intern advising roles on patient smoking cessation.
abstract: BACKGROUND
  Tobacco use, particularly smoking, is the most preventable cause of death in the United States. More than 400,000 premature deaths are associated with its use and the health care costs are in the billions. All health care provider groups should be concerned with patients who continue to smoke and use tobacco. The US Preventive Services Taskforce and Health People 2010 guidelines encourage providers to counsel smokers on cessation. Current studies, though limited regarding chiropractic advising practices indicate a low engagement rate when it comes to providing cessation information.
  
  
  OBJECTIVE
  To test a campaign regarding initial impact aimed at increasing chiropractic interns advising on cessation and delivery of information to smokers on cessation.
  
  
  CONCLUSIONS
  Chiropractic interns do engage patients on smoking status and can be encouraged to provide more cessation messages and information to patients. The initial impact assessment of this campaign increased the provision of information to patients by about 25%. The prevalence of smoking among chiropractic patients, particularly at teaching clinics may be lower than the national averages.
  
  
  CONCLUSIONS
  Chiropractic interns can and should be encouraged to advise smokers about cessation. A systematic method of intake information on smoking status is needed and a standardized education protocol for chiropractic colleges is needed. Chiropractic colleges should assess the adequacy of their advising roles and implement changes to increase cessation messages to their patients as soon as possible.
authors.affiliation: Parker College of Chiropractic Research Institute, 2500 Walnut Hill Lane, Dallas, Texas 75229, USA. wevans@parkercc.edu
authors.forename: Marion W
authors.initials: MW
authors.lastname: Evans
authors.forename: Cheryl
authors.initials: C
authors.lastname: Hawk
authors.forename: Sheryl M
authors.initials: SM
authors.lastname: Strasser