Transforming Tobacco Cessation Counselling in Primary Care: A Mixed-Methods Evaluation of the Shared Decision-Making Model.
Background: Smoking cessation aids are under-prescribed in primary care. General practitioners (GPs) might prescribe more smoking cessation aids if they focused on the choice between treatments as the default, rather than using motivational interviewing that focuses on whether to make a quit attempt...
| Publicado en: | Tobacco Use Insights Vol. 19; pp. 1 - 14 |
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| Autores principales: | , , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Sage Publications Inc.
8/10/2026
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=196086175&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 196086175 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 1179173X B3LD jtl: Tobacco Use Insights issn: 1179173X maglogo: Y pubinfo: dt: 8/10/2026 vid: 19 pid: 344 pub: Sage Publications Inc. place: Thousand Oaks, California artinfo: ui: 196086175 196086175 196086175 10.1177/1179173X261477253 196086175 ppf: 1 ppct: 13 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Transforming Tobacco Cessation Counselling in Primary Care: A Mixed-Methods Evaluation of the Shared Decision-Making Model. aug: au: Habfast-Robertson, Ines Boesch, Anne Hempel-Bruder, Christina Durand, Marie-Anne Maisonneuve, Hubert Amiguet, Michael Berlin, Ivan Selby, Kevin affil: University Center for Primary Care and Public Health (Unisanté), University of Lausanne, Lausanne, Switzerland sug: subj: Physicians, Family Education Primary Health Care Counseling Smoking Cessation Programs Education Decision Making, Shared Evaluation Outcomes of Education Evaluation Human Male Female Adult Middle Age Questionnaires Self Report Logistic Regression Descriptive Statistics Interviews Confidence Intervals Odds Ratio Funding Source Adult: 19-44 years Middle Aged: 45-64 years Male Female ab: Background: Smoking cessation aids are under-prescribed in primary care. General practitioners (GPs) might prescribe more smoking cessation aids if they focused on the choice between treatments as the default, rather than using motivational interviewing that focuses on whether to make a quit attempt. Objectives: Explore the self-reported adoption and impressions of shared-decision making (SDM) for smoking cessation treatments using a decision aid amongst GPs who received intervention or control trainings. Design: Mixed quantitative-qualitative convergent analysis of self-reported behaviours from GPs in a pragmatic, cluster-randomized trial conducted between 2021-2023 in Switzerland and France. Methods: The intervention training encouraged GPs to offer a choice of smoking cessation aids as the default choice using a decision aid (sustained intervention). The control training presented cessation aids without encouraging GPs to change how they discuss smoking cessation. Implementation was measured using questionnaires before and after the trainings, then at 6- and 12-month follow-up. Self-reported behaviours were quantitatively analysed using logistic regression adjusting for baseline responses. Experiences using SDM and default choice were explored through semi-structured interviews. Results: A total of 43 GPs completed questionnaires (26 women (60%), age range 30-59 years) and 12 an interview. The intervention group reported more sustained interventions (OR 8.2 (CI 1.9-50)), use of the decision aid (OR 19.7 (CI 4.1-135)), and offer of treatments as the default choice than the control group (OR 6.4 (CI 1.4-40)) at 12-month follow-up. Small sample size bias was addressed by using Firth's methodology. In interviews, GPs in the intervention group highlighted the utility of the decision aid and the importance of adapting the default approach to the context of individual patients. Conclusion: GPs in the intervention group reported more often initiating treatment discussions with patients who smoke using a decision aid, but not more prescriptions. The default approach was not appropriate for all patients. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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