Improving smoking cessation support for people with multiple sclerosis: A qualitative analysis of clinicians’ views and current practice
| Autor: | Lisa B. Grech, Assunta Hunter, Ron Borland, Claudia H Marck, Roshan das Nair |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Multiple Sclerosis Referral Attitude of Health Personnel business.industry Health Personnel medicine.medical_treatment Multiple sclerosis Smoking Clinical Neurology MEDLINE General Medicine medicine.disease Qualitative analysis Neurology Current practice Family medicine Humans Medicine Smoking cessation Smoking Cessation Smoking status Neurology (clinical) Risk factor business |
| Zdroj: | Multiple Sclerosis and Related Disorders. 56:103289 |
| ISSN: | 2211-0348 2211-0356 |
| DOI: | 10.1016/j.msard.2021.103289 |
| Popis: | 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. |
| Databáze: | OpenAIRE |
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