scholarly journals Missed opportunities for smoking cessation counseling in primary healthcare settings: a qualitative study in Armenia

2017 ◽  
Vol 3 (May Supplement) ◽  
Author(s):  
Armine Abrahamyan ◽  
Arusyak Harutyunyan ◽  
Varduhi Petrosyan
Keyword(s):  
Smoking Cessation ◽  
Qualitative Study ◽  
Primary Healthcare ◽  
Smoking Cessation Counseling ◽  
Missed Opportunities ◽  
Healthcare Settings

scholarly journals Implementation of a proactive referral tool for child healthcare professionals to encourage and facilitate parental smoking cessation in the Netherlands: a mixed-methods study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Tessa Scheffers-van Schayck ◽  
Bethany Hipple Walters ◽  
Roy Otten ◽  
Marloes Kleinjan
Keyword(s):  
Smoking Cessation ◽  
The Netherlands ◽  
Healthcare Professionals ◽  
Counseling Program ◽  
Smoking Cessation Counseling ◽  
Healthcare Settings ◽  
Quit Smoking ◽  
Child Healthcare ◽  
Referral Tool ◽  
The Impact

Abstract Background Recently, the parent-tailored telephone based smoking cessation counseling program ‘Smoke-free Parents’ was shown to be effective in helping parents to quit smoking. To implement this program in child healthcare settings in the Netherlands, the research team developed a proactive referral tool to refer parents to Smoke-free Parents. The aim of the present implementation study was to explore the facilitators, barriers, and suggestions for improvement in the implementation of this referral tool. Methods Child healthcare professionals (N = 68) were recruited via multiple strategies (e.g., social media, mailings, and word of mouth among healthcare professionals) and invited to complete two online (quantitative and qualitative) questionnaires and to participate in a telephone semi-structured qualitative interview between April 2017 and February 2019. In total, 65 child healthcare professionals were included in the analyses. After inductive coding, thematic analyses were performed on the qualitative data. Descriptive analyses were performed on the quantitative data. Results The data from both questionnaires and the telephone interview revealed that the majority of the child healthcare professionals (92.3 % female; average years of working as a healthcare professional: 23.0) found the Smoke-free Parents referral tool accessible and convenient to use. Yet there were several barriers that limited their use of the tool. The data revealed that one of the main barriers that healthcare professionals experienced was parental resistance to smoking cessation assistance. In addition, healthcare professionals noted that they experienced tension when motivating parents to quit smoking, as they were not the parent’s, but the child’s healthcare provider. Additionally, healthcare professionals reported being concerned about the lack of information about the costs of Smoke-free Parents, which limited professionals referring parents to the service. Conclusions Although healthcare professionals reported rather positive experiences with the Smoke-free Parents referral tool, the use of the tool was limited due to barriers. To increase the impact of the Smoke-free Parents telephone-based smoking cessation counseling program via child healthcare settings, it is important to overcome these barriers. Suggestions for improvement in the implementation of the referral tool in child healthcare settings are discussed.

scholarly journals Perceived barriers of tobacco dependence treatment: a mixed-methods study among primary healthcare physicians in Armenia

2018 ◽  
Vol 20 ◽  
Author(s):  
Arusyak Harutyunyan ◽  
Armine Abrahamyan ◽  
Varduhi Hayrumyan ◽  
Varduhi Petrosyan
Keyword(s):  
Smoking Cessation ◽  
Mixed Methods ◽  
Primary Healthcare ◽  
Quantitative Data ◽  
Tobacco Dependence ◽  
Mixed Methods Study ◽  
Perceived Barriers ◽  
Smoking Cessation Counseling ◽  
Tobacco Dependence Treatment ◽  
Smoking Cessation Services

AbstractBackgroundDespite compelling evidence that physicians play a prominent role in smoking cessation, most smokers do not receive the recommended smoking cessation counseling.AimTo identify perceived barriers that hinder primary healthcare physicians (PHPs) from providing smoking cessation treatment to patients in Armenia.MethodsA sequential exploratory mixed-methods study was conducted among PHPs from two Armenian cities (Yerevan and Gyumri). We implemented qualitative phase through focus group discussions (FGDs) using a semi-structured guide. For the subsequent quantitative phase, the data were collected through cross-sectional survey. A directed deductive content analysis technique was used to analyze the FGDs and questionnaires were analyzed descriptively. Following the data collection (March 2015–May 2016) and descriptive analysis, the qualitative and quantitative data sets were merged by drawing quantitative data onto qualitative categories.FindingsOverall, 23 PHPs participated in five FGDs and 108 participants completed the survey. Three main categories of barriers were identified: physician-based, patient-based, and system-based barriers. The main physicians-based barriers were insufficient knowledge and inadequate training on tobacco-dependence treatment. Lack of patients’ motivation to quit, poor compliance with the treatment, patients’ withdrawal symptoms were identified as patient-based disincentives. System-based barriers included lack of reimbursement for providing smoking cessation counseling, high price and low availability of smoking cessation medications. Most of the qualitative descriptions were confirmed by quantitative findings.ConclusionsTargeted interventions are needed to address barriers that limited PHPs’ involvement in providing smoking cessation services in Armenia. There is an urgent need to enhance PHPs’ knowledge and skills in delivering smoking cessation counseling, to increase patients’ demand for smoking cessation services, and to ensure availability and affordability of smoking cessation services in Armenia.

scholarly journals Challenges to the credibility of patient feedback in primary healthcare settings: a qualitative study

2013 ◽  
Vol 63 (608) ◽  
pp. e200-e208 ◽  
Author(s):  
Anthea Asprey ◽  
John L Campbell ◽  
Jenny Newbould ◽  
Simon Cohn ◽  
Mary Carter ◽  
...  
Keyword(s):  
Qualitative Study ◽  
Primary Healthcare ◽  
Healthcare Settings ◽  
Patient Feedback

Knowledge, attitude, and behaviors of health professionals towards smoking cessation in primary healthcare settings

2018 ◽  
Vol 8 (6) ◽  
pp. 938-943 ◽  
Author(s):  
Abdullah Matouq ◽  
Yousef Khader ◽  
Albaraa Khader ◽  
Anas Al-Rabadi ◽  
Mousa Al Omari ◽  
...  
Keyword(s):  
Smoking Cessation ◽  
Primary Healthcare ◽  
Health Professionals ◽  
Healthcare Settings ◽  
And Behaviors

scholarly journals An Explorative Qualitative Study on Pharmacist Active Engagement Approach in Primary Healthcare Diabetic Education

2020 ◽  
pp. 193
Author(s):  
Selvakumari Selvadurai ◽  
Mohd Makmor-Bakry ◽  
Adliah Mhd Ali
Keyword(s):  
Qualitative Study ◽  
Primary Healthcare ◽  
Health Management ◽  
Computer Software ◽  
Active Engagement ◽  
Structured Interviews ◽  
Medication Therapy ◽  
Healthcare Settings ◽  
Background Check ◽  
Diabetic Education

The conventional counseling method focuses on imparting knowledge meanwhile active engagement approach would enhance patient’s participation and control in the health management process. This study explored the various elements that affect the pharmacist-patient active engagement during diabetes counseling sessions in primary healthcare settings. A qualitative study using thematic analysis of semi-structured interviews was utilized. Subjects were recruited from five primary healthcare clinics in Kuala Lumpur. Ten pharmacists actively running the diabetes medication therapy adherence clinical (DMTAC) counseling and 15 patients who are currently enrolled under the DMTAC program participated in this study. A combination of computer software ATLAS.ti and hand-written methods were used in the mind mapping to assist with the development of the themes. The qualitative analysis identified themes associated with pharmacist active engagement approach include establish rapport (subthemes: introduction and greetings, ice-breaking, background check, attitude, pharmacist motivation), getting information to explore the patient problems (subthemes: giving attention, communication, the time factor, re-assess patients’ understanding), building relationship (subthemes: sharing of ideas, emotions, relationship, trust, sensitiveness, support and belief), explanation and planning (subthemes: making a decision and mutual discussion) and closing the session (subthemes: accessibility to pharmacists, DMTAC appointments). This study established areas of active engagement namely, shared decision-making, engaging communication, and motivational interview skills that should be imparted to the pharmacists to enhance the current diabetes counseling practice.

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