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Treating tobacco dependence in older adults: a survey of primary care clinicians’ knowledge, attitudes, and practice

Huddlestone, Lisa; Walker, Gemma M.; Hussain-Mills, Robana; Ratschen, Elena

Authors

Lisa Huddlestone lisa.huddlestone@nottingham.ac.uk

Gemma M. Walker

Robana Hussain-Mills

Elena Ratschen



Abstract

BACKGROUND: The benefits of smoking cessation among older people are well documented. Despite this, evidence suggests that older smokers are rarely engaged in smoking cessation efforts, and that existing tobacco dependence treatments require further tailoring to the specific needs of older smokers. This study assesses the knowledge, attitudes, and clinical practice of primary care clinicians in relation to addressing tobacco dependence among older people.

METHODS: A cross-sectional survey of 427 NHS primary care clinicians in a large English city was conducted using modified version of a previously validated questionnaire.

RESULTS: One hundred and seventy one clinicians (40 % response rate) completed the survey. While the majority (90.0 %) of respondents reported enquiring regularly about older patients’ smoking status, just over half (59.1 %) reported providing older patients with smoking cessation support. A lack of awareness in relation to the prevalence and impact of smoking in later life were apparent: e.g. only 47 % of respondents were aware of that approximately 10 life years are lost due to smoking related disease, and only 59 % knew that smoking can reduce the effectiveness of medication prescribed for conditions common in later life. Self-reported attendance at smoking-related training was significantly associated with proactive clinical practice.

CONCLUSIONS: There is a need to improve clinicians’ knowledge, in relation to smoking and smoking cessation in older patients and to build clinician confidence in seizing teachable moments. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (doi:10.1186/s12875-015-0317-7) contains supplementary material, which is available to authorized users.

Journal Article Type Article
Publication Date Aug 6, 2015
Journal BMC Family Practice
Electronic ISSN 1471-2296
Publisher Springer Verlag
Peer Reviewed Peer Reviewed
Volume 16
APA6 Citation Huddlestone, L., Walker, G. M., Hussain-Mills, R., & Ratschen, E. (2015). Treating tobacco dependence in older adults: a survey of primary care clinicians’ knowledge, attitudes, and practice. BMC Family Practice, 16, https://doi.org/10.1186/s12875-015-0317-7
DOI https://doi.org/10.1186/s12875-015-0317-7
Publisher URL http://bmcfampract.biomedcentral.com/articles/10.1186/s12875-015-0317-7
Related Public URLs http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4527299/
Copyright Statement Copyright information regarding this work can be found at the following address: http://creativecommons.org/licenses/by/4.0

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Copyright Statement
Copyright information regarding this work can be found at the following address: http://creativecommons.org/licenses/by/4.0





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