title: Promoting Tobacco Cessation in a Community-Based Women's Health Centre.
abstract: OBJECTIVE
  This 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.
  
  
  METHODS
  A 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.
  
  
  RESULTS
  While 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).
  
  
  CONCLUSIONS
  This 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.
authors.affiliation: Roswell Park Cancer Institute, Elm & Carlton Streets, Buffalo, New York.
authors.forename: Annamaria Masucci
authors.initials: AM
authors.lastname: Twarozek
authors.affiliation: State University of New York at Buffalo, School of Medicine and Biomedical Sciences, Buffalo, New York.
authors.forename: Thomas
authors.initials: T
authors.lastname: Eggert
authors.affiliation: State University of New York at Buffalo, School of Medicine and Biomedical Sciences, Buffalo, New York.
authors.forename: Zachary G
authors.initials: ZG
authors.lastname: Puca
authors.affiliation: Doctor of Oncology, Roswell Park Cancer Institute, Elm & Carlton Streets, Buffalo, New York.
authors.forename: Nefertiti
authors.initials: N
authors.lastname: DuPont
authors.affiliation: Director, Office of Cancer Health Disparities Research, Roswell Park Cancer Institute, Elm & Carlton Streets, Buffalo, New York.
authors.forename: Deborah O
authors.initials: DO
authors.lastname: Erwin
authors.affiliation: Department of Family Medicine, State University of New York at Buffalo, 77 Goodell Street, Buffalo New York.
authors.forename: Chester H
authors.initials: CH
authors.lastname: Fox
authors.affiliation: Departments of Medicine & Health Behaviour, Roswell Park Cancer Institute, Elm & Carlton Streets, Buffalo, New York.
authors.forename: Martin C
authors.initials: MC
authors.lastname: Mahoney
keywords: Adult; Community-based clinics; Female; Smoking cessation; Tobacco use disorder; Urban; Women’s health