Smoking Cessation Counseling Practices: a Survey of Alabama Obstetrician-gynecologists
Overview
General Surgery
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Background: Minimal interventions delivered by obstetrician-gynecologists (OB-GYNs) to their pregnant patients who smoke could result in a substantial decrease in smoking during pregnancy. We examined performance and motivation levels of Alabama OB-GYNs for engaging in clinical practices based on National Cancer Institute (NCI) guidelines.
Methods: Questionnaires assessing attitudes, intentions, and behaviors specified by the NCI's "4-A" model (ask, advise, assist, and arrange follow-up) were mailed to all OB-GYNs licensed in Alabama.
Results: A total of 130 physicians completed the questionnaire. Nearly all reported that they ask (93%) and advise (90%) their patients who smoke to quit; however, significantly fewer reported that they assist (28%) or arrange follow-up (24%) with their pregnant patients.
Conclusions: Interventions are needed to motivate, support, and guide OB-GYN physicians to assist and follow-up with their pregnant patients who smoke.
Dilworth S, Doherty E, Mallise C, Licata M, Hollis J, Wynne O Implement Sci Commun. 2024; 5(1):112.
PMID: 39385250 PMC: 11462853. DOI: 10.1186/s43058-024-00655-z.
Ordean A, Forte M, Selby P, Grennell E J Addict Med. 2019; 14(4):e76-e82.
PMID: 31703018 PMC: 7413672. DOI: 10.1097/ADM.0000000000000588.
Gould G, Twyman L, Stevenson L, Gribbin G, Bonevski B, Palazzi K BMJ Open. 2019; 9(8):e026037.
PMID: 31427313 PMC: 6701616. DOI: 10.1136/bmjopen-2018-026037.
Nims L, Jordan T, Price J, Dake J, Khubchandani J J Family Med Prim Care. 2019; 8(3):1151-1158.
PMID: 31041266 PMC: 6482793. DOI: 10.4103/jfmpc.jfmpc_451_18.
Gray J, Beatty J, Svikis D, Puder K, Resnicow K, Konkel J JMIR Mhealth Uhealth. 2017; 5(11):e172.
PMID: 29117931 PMC: 5700401. DOI: 10.2196/mhealth.7927.