Improving smoking cessation support for people with multiple sclerosis: A qualitative analysis of clinicians’ views and current practice

Grech, Lisa B.; Hunter, Assunta; das Nair, Roshan; Borland, Ron; Marck, Claudia H.

Abstract

Introduction Smoking is a key modifiable risk factor in multiple sclerosis (MS). MS healthcare providers have a central role informing people of the deleterious effects of smoking on MS progression and promote smoking cessation, yet there is limited information about smoking cessation and support provided by these providers. This study aimed to gain an understanding of MS healthcare providers current practices, barriers and facilitators related to providing smoking cessation support for people with MS. Methods A total of 13 MS nurses and 6 neurologists working in public and private MS clinics across Australia were recruited through professional networks and MS organisations. Telephone interviews were conducted, transcribed and evaluated using framework analysis. Results MS nurses and neurologists reported that they routinely assess smoking status of people with MS at initial appointments and less regularly also at follow-up appointments. Clinicians considered it important to provide information about smoking impact on MS health outcomes and advise to cease smoking, but the content and delivery varies. Beyond this, some clinicians offer referral for smoking cessation support, while others stated this was not their responsibility, especially in light of competing priorities. Many were unsure about referral pathways and options, requiring more information, training and resources. Conclusion Results of this research indicate that there is potential to improve support for MS clinicians to promote smoking cessation among people with MS. Smoking cessation support may include tailored patient resources, clinician training and stronger collaboration with smoking cessation service providers.

• Journal Article Type: Article
• Acceptance Date: Sep 26, 2021
• Online Publication Date: Sep 28, 2021
• Publication Date: Nov 1, 2021
• Deposit Date: Oct 14, 2021
• Publicly Available Date: Sep 29, 2022
• Journal: Multiple Sclerosis and Related Disorders
• Print ISSN: 2211-0348
• Electronic ISSN: 2211-0356
• Publisher: Elsevier BV
• Peer Reviewed: Peer Reviewed
• Volume: 56
• Article Number: 103289
• DOI: https://doi.org/10.1016/j.msard.2021.103289
• Keywords: Clinical Neurology; Neurology; General Medicine
• Public URL: https://nottingham-repository.worktribe.com/output/6459194
• Publisher URL: https://www.sciencedirect.com/science/article/pii/S2211034821005563