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Smoking cessation clinic

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By Edwin Kim Resident Physician, Aspiring Addiction Psychiatrist
Megan E Piper, Sara A Vasilenko, Jessica W Cook, Stephanie T Lanza
AIMS: To 1) identify distinct classes of smokers based on quit day withdrawal symptoms and 2) explore the relations between withdrawal classes and demographics, tobacco dependence, treatment, and smoking outcomes. DESIGN: Secondary data analysis of participants (N = 1504) in a randomized double-blind placebo-controlled multi-site smoking cessation trial who provided ecological momentary assessments of withdrawal symptoms on their quit day. Participants received smoking cessation counseling and were randomized to receive placebo or one of five active pharmacotherapies...
September 15, 2016: Addiction
Lee Caplan, Charlotte Stout, Daniel S Blumenthal
UNLABELLED: Cigarette smoking is the leading cause of preventable mortality and morbidity in the United States. Healthcare providers can contribute significantly to the war against tobacco use; patients advised to quit smoking by their physicians are 1.6 times more likely to quit than patients not receiving physician advice. However, most smokers do not receive this advice when visiting their physicians. The Morehouse School of Medicine Tobacco Control Research Program was undertaken to develop best practices for implementing the "2000 Public Health Services Clinical Practice Guidelines on Treating Tobacco Use and Dependence" and the "Pathways to Freedom" tobacco cessation program among African American physicians in private practice and healthcare providers at community health centers...
April 2011: Journal of Community Health
Elisa K Tong, Richard Strouse, John Hall, Martha Kovac, Steven A Schroeder
BACKGROUND: Tobacco dependence treatment efforts have focused on primary care physicians (PCPs), but evidence suggests that they are insufficient to help most smokers quit. Other health professionals also frequently encounter smokers, but their smoking prevalence, cessation practices, and beliefs are less well known. METHODS: The study included 2,804 subjects from seven health professional groups: PCPs, emergency medicine physicians, psychiatrists, registered nurses, dentists, dental hygienists, and pharmacists...
July 2010: Nicotine & Tobacco Research: Official Journal of the Society for Research on Nicotine and Tobacco
Sarah E Gollust, Steven A Schroeder, Kenneth E Warner
CONTEXT: Counseling smokers to quit smoking and providing them with pharmaceutical cessation aides are among the most beneficial and cost-effective interventions that clinicians can offer patients. Yet assistance with quitting is not universally covered by health plans or offered by all clinicians. Analysis of stakeholders' perspectives and interests can identify the barriers to more widespread provision of cessation services and suggest strategies for the public policy agenda to advance smoking cessation...
December 2008: Milbank Quarterly
Judith J Prochaska, Reason S Reyes, Steven A Schroeder, Allen S Daniels, Allen Doederlein, Brenda Bergeson
OBJECTIVES:   Tobacco use is prevalent among people living with bipolar disorder. We examined tobacco use, attempts to quit, and tobacco-related attitudes and intentions among 685 individuals with bipolar disorder who smoked ≥ 100 cigarettes in their lifetime. METHODS:   Data were collected online through the website of the Depression and Bipolar Support Alliance, a mood disorder peer-support network. RESULTS:   The sample was 67% female, 67% aged 26 to 50, and 89% Caucasian; 87% were current smokers; 92% of current smokers smoked daily, averaging 19 cigarettes/day (SD=11)...
August 2011: Bipolar Disorders
Catherine Bonniot Saucedo, Steven A Schroeder
Toll-free telephone quitlines are successful alternatives to direct clinician contact. In 2004, the U.S. Department of Health and Human Services created a national quitline number, 1-800-QUIT-NOW. This enabled states without quitlines to establish them, giving free access to cessation services to every smoker in the U.S. It also created a new mechanism for national quitline marketing, employing simplified and streamlined approaches.
March 2010: American Journal of Preventive Medicine
Steven A Schroeder
No abstract text is available yet for this article.
September 2011: American Journal of Psychiatry
Steven A Schroeder
No abstract text is available yet for this article.
June 2016: World Psychiatry: Official Journal of the World Psychiatric Association (WPA)
Steven A Schroeder
Smoking among patients with mental illness is a major and underappreciated public health problem. The case of Ms G, a 51-year-old woman with bipolar disorder who wishes to quit smoking, illustrates the importance and feasibility of smoking cessation in patients with psychiatric disorders. Persons with chronic mental illness and/or substance abuse constitute 22% of the US population yet are estimated to consume 44% of cigarettes. As many as 200,000 of the 435,000 annual deaths related to smoking in the United States are estimated to occur in this population...
February 4, 2009: JAMA: the Journal of the American Medical Association
Steven A Schroeder
Everyone knows cigarette smoking is bad for you. Most people in the United States assume that smoking is on its way out. But the grim reality is that smoking still exerts an enormous toll on the health of Americans, as documented in two articles in this issue of the Journal. Both articles review..
January 24, 2013: New England Journal of Medicine
Michael C Fiore, Eric Goplerud, Steven A Schroeder
Few factors influence health care standards in the United States today more than the actions of the Joint Commission (formerly the Joint Commission on Accreditation of Healthcare Organizations). And few opportunities hold more promise for increasing the rate of tobacco-use cessation than patient..
March 29, 2012: New England Journal of Medicine
Karen Suchanek Hudmon, Michael Mark, Adam L Livin, Robin L Corelli, Steven A Schroeder
INTRODUCTION: Exposure to tobacco smoke impacts the onset or exacerbation of most respiratory disorders, and respiratory therapists are well positioned to identify tobacco use and provide cessation assistance. The purpose of this study was to characterize the level of tobacco cessation education provided to students in U.S. respiratory care training programs. METHODS: A national survey of 387 respiratory care programs assessed the extent to which tobacco is addressed in required coursework, methods of instruction, perceived importance, and adequacy of current levels of tobacco education in curricula and perceived barriers to enhancing the tobacco-related education...
October 2014: Nicotine & Tobacco Research: Official Journal of the Society for Research on Nicotine and Tobacco
Steven A Schroeder, Howard K Koh
No abstract text is available yet for this article.
January 8, 2014: JAMA: the Journal of the American Medical Association
Michael C Fiore, Steven A Schroeder, Timothy B Baker
January 2014 marks the 50th anniversary of the landmark Smoking and Health: Report of the Advisory Committee to the Surgeon General of the Public Health Service — an important moment to take stock of efforts to eliminate the harms of tobacco use. Smoking rates in the United States have decreased..
January 23, 2014: New England Journal of Medicine
Lekshmi Santhosh, Margaret Meriwether, Catherine Saucedo, Reason Reyes, Christine Cheng, Brian Clark, Doug Tipperman, Steven A Schroeder
Smoking is a major contributor to premature mortality among people with mental illness and substance abuse. Historically, the Substance Abuse and Mental Health Services Administration (SAMHSA) did not include smoking cessation in its mission. We describe the development of a unique partnership between SAMHSA and the University of California, San Francisco's Smoking Cessation Leadership Center. Starting with an educational summit in Virginia in 2007, it progressed to a jointly sponsored "100 Pioneers for Smoking Cessation" campaign that provided grants and technical assistance to organizations promoting cessation...
May 2014: American Journal of Public Health
Steven A Schroeder, Chad D Morris
Tobacco use exerts a huge toll on persons with mental illnesses and substance abuse disorders, accounting for 200,000 of the annual 443,000 annual tobacco-related deaths in the United States. Persons with chronic mental illness die 25 years earlier than the general population does, and smoking is the major contributor to that premature mortality. This population consumes 44% of all cigarettes, reflecting very high prevalence rates plus heavy smoking by users. The pattern reflects a combination of biological, psychosocial, cultural, and tobacco industry-related factors...
2010: Annual Review of Public Health
Nancy A Rigotti, Susan Regan, Douglas E Levy, Sandra Japuntich, Yuchiao Chang, Elyse R Park, Joseph C Viana, Jennifer H K Kelley, Michele Reyen, Daniel E Singer
IMPORTANCE: Health care systems need effective models to manage chronic diseases like tobacco dependence across transitions in care. Hospitalizations provide opportunities for smokers to quit, but research suggests that hospital-delivered interventions are effective only if treatment continues after discharge. OBJECTIVE: To determine whether an intervention to sustain tobacco treatment after hospital discharge increases smoking cessation rates compared with standard care...
August 20, 2014: JAMA: the Journal of the American Medical Association
David A Katz, Donna R Muehlenbruch, Roger L Brown, Michael C Fiore, Timothy B Baker
BACKGROUND: The Agency for Healthcare Research and Quality (AHRQ) Smoking Cessation Clinical Practice Guideline recommends that all clinicians strongly advise their patients who use tobacco to quit. METHODS: We conducted a randomized, controlled trial of the effectiveness of Guideline implementation at eight community-based primary care clinics in southern Wisconsin (four test sites, four control sites) among 2163 consecutively enrolled adult patients who smoked at least one cigarette per day and presented for nonemergency care during the baseline period (June 16, 1999, to June 20, 2000) or the intervention period (from June 21, 2000, to May 3, 2001)...
April 21, 2004: Journal of the National Cancer Institute
Nicola Lindson-Hawley, Tom P Thompson, Rachna Begh
BACKGROUND: Motivational Interviewing (MI) is a directive patient-centred style of counselling, designed to help people to explore and resolve ambivalence about behaviour change. It was developed as a treatment for alcohol abuse, but may help people to a make a successful attempt to quit smoking. OBJECTIVES: To determine whether or not motivational interviewing (MI) promotes smoking cessation. SEARCH METHODS: We searched the Cochrane Tobacco Addiction Group Specialized Register for studies using the term motivat* NEAR2 (interview* OR enhanc* OR session* OR counsel* OR practi* OR behav*) in the title or abstract, or motivation* as a keyword...
2015: Cochrane Database of Systematic Reviews
Nicola Lindson-Hawley, Miriam Banting, Robert West, Susan Michie, Bethany Shinkins, Paul Aveyard
BACKGROUND: Most smoking cessation guidelines advise quitting abruptly. However, many quit attempts involve gradual cessation. If gradual cessation is as successful, smokers can be advised to quit either way. OBJECTIVE: To examine the success of quitting smoking by gradual compared with abrupt quitting. DESIGN: Randomized, controlled noninferiority trial. (International Standardized Randomized Controlled Trial Number Register: ISRCTN22526020)...
May 3, 2016: Annals of Internal Medicine
2016-06-26 19:44:00
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