Community pharmacists' involvement in smoking cessation: implementation of the National smoking cessation guideline in Finland.
Summary of "Community pharmacists' involvement in smoking cessation: implementation of the National smoking cessation guideline in Finland."
ABSTRACT:
BACKGROUND:
Guidelines on smoking cessation (SC) emphasize healthcare cooperation and community pharmacists' involvement. This study explored the familiarity and implementation of the national SC Guideline in Finnish community pharmacies, factors relating to Guideline familiarity, implementation and provision of SC services.
METHODS:
A nationwide mail survey was sent to a systematic, sample of community pharmacy owners and staff pharmacists (total n=2291). Response rate was 54% (n=1190). Factors related to the SC Guideline familiarity were assessed by bivariate and multivariate analysis.
RESULTS:
Almost half (47%) of the respondents (n=1190) were familiar with the SC Guideline and familiarity enhanced Guideline implementation. The familiarity was associated with the respondents' perceptions of their personal SC skills and knowledge (OR 3.8); of customers' value of counseling on nicotine replacement therapy (NRT) (OR 3.3); and regular use of a pocket card supporting SC counseling (OR 3.0). Pharmacists' workplaces' characteristics, such as size and geographical location were not associated with familiarity. In addition to recommending NRT, the pharmacists familiar with the Guideline used more frequently other Guideline-based SC methods, such as recommended non-pharmacological SC aids, compared to unfamiliar respondents.
CONCLUSIONS:
SC Guideline familiarity and implementation is crucial for community pharmacists' involvement in SC actions in addition to selling NRT products. Pharmacists can constitute a potential public health resource in SC easily accessible throughout the country.
Affiliation
Journal Details
This article was published in the following journal.
Name: BMC public health
ISSN: 1471-2458
Pages: 444
Links
- PubMed Source: http://www.ncbi.nlm.nih.gov/pubmed/20670409
- DOI: http://dx.doi.org/10.1186/1471-2458-10-444
Medical and Biotech [MESH] Definitions
Smoking Cessation
Discontinuation of the habit of smoking, the inhaling and exhaling of tobacco smoke.
Tobacco Use Cessation
Cessation of the habit of using tobacco products for smoking or chewing, including the use of snuff.
Cognitive Dissonance
Motivational state produced by inconsistencies between simultaneously held cognitions or between a cognition and behavior; e.g., smoking enjoyment and believing smoking is harmful are dissonant.
Bupropion
A unicyclic, aminoketone antidepressant. The mechanism of its therapeutic actions is not well understood, but it does appear to block dopamine uptake. The hydrochloride is available as an aid to smoking cessation treatment.
Lobeline
An alkaloid that has actions similar to NICOTINE on nicotinic cholinergic receptors but is less potent. It has been proposed for a variety of therapeutic uses including in respiratory disorders, peripheral vascular disorders, insomnia, and smoking cessation.
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