Clinical psychologists and smoking cessation: treatment practices and perceptions.
A random sample of clinical psychologists was surveyed regarding their smoking cessation practices and perceptions. A total of 352 psychologists responded (57%) to the valid and reliable questionnaire. The majority (59.1%) of psychologists did not always identify and document the smoking status of patients. The majority reported high efficacy expectations (66.4%) and low outcome expectations (55.1%) for using the 5A's smoking cessation counseling technique. Counselors that had never smoked were almost two times more likely to have higher efficacy expectations than those that were current smokers or ex-smokers (OR = 1.94, 95% CI 1.18-3.12). The factors that predicted regular use of the 5A's included the number of identified barriers, psychologists' level of self efficacy, and the urbanicity of one's practice location.
Akpanudo
Sutoidem M
SM
Department of Health & Rehabilitative Services, College of Health Science and Human Service, The University of Toledo, Toledo, OH 43606, USA.
Price
James H
JH
Jordan
Timothy
T
Khuder
Sadik
S
Price
Joy A
JA
D000328:Adult; D000368:Aged; D001291:Attitude of Health Personnel; D003376:Counseling / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010465:Perception; D017410:Practice Guidelines as Topic; D010818:Practice Patterns, Physicians'; D011369:Professional-Patient Relations; D011586:Psychology, Clinical / Q000379:methods*; D020377:Self Efficacy; D012907:Smoking / Q000523:psychology; D016540:Smoking Cessation / Q000379:methods / Q000523:psychology; D000074606:Smoking Prevention; D011795:Surveys and Questionnaires
Nicotine Tob Res. 2003 Feb;5(1):85-98
12745510
MMWR Morb Mortal Wkly Rep. 2008 Nov 14;57(45):1226-8
19008791
Prev Med. 1998 Sep-Oct;27(5 Pt 3):A55-63
9808818
MMWR Morb Mortal Wkly Rep. 2008 Nov 14;57(45):1221-6
19008790
Am J Prev Med. 2007 Dec;33(6 Suppl):S318-26
18021906
Addict Behav. 2004 Jan;29(1):207-13
14667431
BMJ. 2002 May 18;324(7347):1183
12016181
Prev Med. 2003 Mar;36(3):265-71
12634017
BMJ. 2000 Aug 5;321(7257):355-8
10926597
Prev Med. 2004 Mar;38(3):284-94
14766110
Health Educ Res. 1992 Mar;7(1):107-16
10148735
J Gen Intern Med. 1999 Nov;14(11):670-6
10571715
MMWR Morb Mortal Wkly Rep. 2006 Oct 27;55(42):1145-8
17065979
Med Clin North Am. 2004 Nov;88(6):1483-94, x-xi
15464109
Health Psychol. 2003 Sep;22(5):498-503
14570533
J Clin Oncol. 2005 Jan 10;23(2):311-23
15637394
Cancer. 2000 Aug 15;89(4):881-9
10951353
Am J Prev Med. 2004 Jun;26(5):391-401
15165655
JAMA. 1996 Apr 10;275(14):1097-103
8601929
Tob Control. 2000 Dec;9(4):382-8
11106707
Pharmacol Biochem Behav. 2001 Dec;70(4):561-70
11796154
Psychol Rev. 1977 Mar;84(2):191-215
847061
Am J Psychiatry. 2003 Sep;160(9):1663-9
12944343
Am J Med Sci. 1997 Mar;313(3):153-8
9075432
Am J Health Promot. 2005 May-Jun;19(5):339-45
15895536
Biol Psychiatry. 2004 Jan 1;55(1):69-76
14706427
MMWR Morb Mortal Wkly Rep. 1999 Nov 5;48(43):986-93
10577492
Child Care Health Dev. 2006 Jan;32(1):73-9
16398793
Arch Gen Psychiatry. 2004 Nov;61(11):1107-15
15520358
Am J Prev Med. 2001 Nov;21(4):272-7
11701297
J Am Board Fam Pract. 2001 Sep-Oct;14(5):343-51
11572539
J Clin Psychol. 2006 Mar;62(3):313-23
16385478
Nurs Res. 2005 May-Jun;54(3):178-83
15897793
J Gen Intern Med. 2003 Dec;18(12):1053-7
14687265
Psychiatr Serv. 2002 Aug;53(8):977-83
12161672
Am J Prev Med. 2008 Jan;34(1):54-60
18083451
J Consult Clin Psychol. 2003 Apr;71(2):292-301
12699023
Annu Rev Public Health. 2005;26:583-99
15760302
J Community Health. 2007 Apr;32(2):85-101
17571523
Prev Med. 2005 Jul;41(1):291-4
15917024
Subst Use Misuse. 1998 Aug;33(10):2021-47
9744841
Prev Sci. 2004 Jun;5(2):113-26
15134316
Prev Med. 2002 Sep;35(3):293-301
12202073
Arch Gen Psychiatry. 2003 Jul;60(7):692-700
12860773