Smoking cessation counselling in general practice for COPD smokers: determinants for general practitioners' compliance with a treatment protocol
| Autor: | J.E. Jacobs, Sander R. Hilberink, Hein de Vries, Richard Grol |
|---|---|
| Rok vydání: | 2013 |
| Předmět: |
Semi-structured interview
Protocol (science) medicine.medical_specialty COPD Treatment protocol business.industry medicine.medical_treatment Public Health Environmental and Occupational Health medicine.disease Compliance (psychology) Telephone interview General practice Physical therapy Medicine Smoking cessation business |
| Zdroj: | International Journal of Health Promotion and Education. 51:64-74 |
| ISSN: | 2164-9545 1463-5240 |
| DOI: | 10.1080/14635240.2012.750069 |
| Popis: | For chronic obstructive pulmonary disease (COPD), smoking cessation is the main treatment goal. We examined compliance with a smoking cessation treatment protocol for COPD smokers by 47 general practitioners (GPs). Baseline and evaluation questionnaires were completed, and 34 of the GPs then took part in a semi-structured telephone interview. The main outcome measure was restarting of the protocol when a patient had relapsed during a quit attempt. Attitudes, social influences and perceived self-efficacy were assessed to understand compliance or non-compliance with the treatment protocol. The rates of self-reported compliance with seven out of nine aspects of the protocol were high (76% on average). Fifty-three per cent of the GPs restarted the treatment protocol following patient's relapse. A substantial percentage of the GPs reported being seriously disappointed by the effectiveness of the treatment protocol. A change of practice personnel or having unmotivated personnel hindered compliance with the trea... |
| Databáze: | OpenAIRE |
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