title: Evaluation of a Pharmacist and Nurse Practitioner Smoking Cessation Program.
abstract: OBJECTIVE
  To evaluate the efficacy of a smoking cessation program led by a pharmacist and a nurse practitioner.
  
  
  METHODS
  During a 6-month period, patients attended 7 one-on-one face-to-face smoking cessation counseling sessions with a pharmacist and 1 to 2 one-on-one face-to-face smoking cessation counseling sessions with a nurse practitioner. The primary outcome was smoking cessation point prevalence rates at months 1, 3, and 5 post-quit date. Secondary outcomes included medication adherence rates at months 1, 3, and 5 post-quit date, nicotine dependence at baseline versus program end, and patient satisfaction.
  
  
  RESULTS
  Nine (47%) of 19 total participants completed the program. Seven of the 9 patients who completed the program were smoke-free upon study completion. Point prevalence rates at months 1, 3, and 5 post-quit date were 66%, 77%, and 77%, respectively, based on patients who completed the program. Medication adherence rates were 88.6%, 54.6%, and 75% at months 1, 3, and 5 post-quit date, respectively. Based on the Fagerstrom test, nicotine dependence decreased from baseline to the end of the study, 4.89 to 0.33 ( P < .001). Overall, participants rated the program highly.
  
  
  CONCLUSIONS
  A joint pharmacist and nurse practitioner smoking cessation program can assist patients in becoming smoke-free.
authors.affiliation: 1 Walgreens Specialty Pharmacy, Phoenix, AZ, USA.
authors.forename: Zubair
authors.initials: Z
authors.lastname: Afzal
authors.affiliation: 2 Department of Pharmacy Practice, Midwestern University College of Pharmacy-Glendale, Glendale, AZ, USA.
authors.forename: Elizabeth
authors.initials: E
authors.lastname: Pogge
authors.affiliation: 3 Ambulatory Clinical Pharmacy System Senior Manager, Banner Pharmacy Services, Phoenix, AZ, USA.
authors.forename: Virginia
authors.initials: V
authors.lastname: Boomershine
mesh_terms: D000328:Adult; D003376:Counseling / Q000379:methods / Q000592:standards; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D009722:Nurse Practitioners / Q000592:standards*; D010595:Pharmacists / Q000592:standards*; D010865:Pilot Projects; D015397:Program Evaluation / Q000379:methods*; D012907:Smoking / Q000453:epidemiology / Q000628:therapy*; D016540:Smoking Cessation / Q000379:methods*
keywords: nurse practitioner; pharmacist; smoking cessation