ASK, ADVISE, REFER: Promoting Pharmacy-based Referrals to Tobacco Quitlines

询问、建议、转介：促进基于药房的烟草戒烟热线转介

• 批准号: 7808903
• 负责人: KAREN S HUDMON
• 金额: $ 26.49万
• 依托单位: PURDUE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2008
• 资助国家: 美国
• 起止时间: 2008-06-01 至 2012-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7808903
• 关键词: Academic Detailing; Advocate; American; Behavior; California; Cardiovascular Diseases; Characteristics; Collaborations; Communities; Community Pharmacy; Connecticut; Counseling; Development; Diabetes Mellitus; Disease; Drug Industry; Environment; General Population; Health Expenditures; Health Professional; Healthcare Systems; Human Resources; Individual; Intervention; Intervention Studies; Leadership; Link; Longitudinal Surveys; Lung diseases; Mails; Measures; Mediating; Modeling; Morbidity - disease rate; Patient Self-Report; Patients; Pharmaceutical Preparations; Pharmacists; Pharmacy facility; Population Group; Population Study; Prevalence; Printing; Procedures; Protocols documentation; Provider; Randomized; Relative (related person); Resources; Risk Factors; Role; Sampling; San Francisco; Self Efficacy; Services; Site; Smoke; Smoking; Telefacsimile; Telephone; Time; Tobacco; Tobacco Use Cessation; Tobacco use; Training; United States; Universities; Washington; arm; base; brief intervention; design; group intervention; mortality; patient population; public health relevance; quitline; randomized trial; smoking cessation

DESCRIPTION (provided by applicant): Community pharmacies, as a key interface between the health-care system and the general public, have the potential to substantially reduce the prevalence of tobacco use-particularly among key population groups for which tobacco use is a major risk factor for development or exacerbation of diseases requiring prescription medications. While the busy community pharmacy environment is not typically conducive to comprehensive tobacco cessation counseling, it might be ideal for widespread implementation of brief interventions, such as asking about tobacco use, advising patients to quit, and referring patients to toll-free tobacco quitlines. In the proposed study, we will expand upon our ongoing collaboration with the UCSF Smoking Cessation Leadership Center and will team with Free & Clear, a nationally recognized provider of telephone-based counseling services. We propose a randomized trial to estimate the impact of two intervention approaches for generating pharmacy-based referrals to tobacco quitlines: MINIMAL INTERVENTION: pharmacies are provided, by mail, with printed quitline materials to be distributed by pharmacy personnel to patients who smoke, and ACADEMIC DETAILING: pharmacy personnel receive, via brief on-site training, print materials that parallel the minimal intervention group and DVD demonstrations that model the referral procedures. Community pharmacies in Connecticut (n=24) and Washington (n=24) will comprise the study population. Intervention impact will be assessed through measures of (a) the number of quitline referral cards provided to patients, (b) the number of incoming calls to the quitline originating from each participating pharmacy, and (c) the number of quitline counseling registrants that originate from each pharmacy. In addition, we will conduct a longitudinal survey of pharmacists and pharmacy clerks/technicians at each site, to assess self-reported tobacco cessation counseling and patient referral behavior and to identify factors associated with self-reported quitline referral practices. The Ask-Advise-Refer model to be advocated in this community-based intervention study is a feasible approach for integration into routine pharmacy practice. Nationwide, more than 50,000 community pharmacies employ approximately 144,000 pharmacists. If each pharmacist were to refer just one patient per week to a quitline, this would result in nearly 7.5 million referrals annually. PUBLIC HEALTH RELEVANCE: Community pharmacies, as a key interface between the health-care system and the general public, have the potential to substantially reduce the prevalence of tobacco use-particularly among key population groups for which tobacco use is a major risk factor for development or exacerbation of diseases requiring prescription medications (e.g., cardiovascular disease, pulmonary disease, and diabetes). The proposed project will evaluate an intervention to promote pharmacy-based referrals to tobacco quitlines, thereby engaging the pharmacy profession in taking a more active role toward reducing the prevalence of tobacco use in the United States.

描述（由申请人提供）：作为医疗保健系统与公众之间的关键界面，社区药店有可能在关键人群中大大降低烟草使用的普遍性，而烟草使用是烟草使用是开发或加剧需要处方药的疾病的主要风险因素。尽管繁忙的社区药房环境通常不利于全面的烟草戒烟咨询，但它可能是广泛实施简短干预措施的理想选择，例如询问烟草使用，建议患者戒烟，并将患者推荐给免费的烟草收费。在拟议的研究中，我们将扩展与UCSF戒烟领导力中心正在进行的合作，并将与全国认可的基于电话的咨询服务提供者免费合作。 We propose a randomized trial to estimate the impact of two intervention approaches for generating pharmacy-based referrals to tobacco quitlines: MINIMAL INTERVENTION: pharmacies are provided, by mail, with printed quitline materials to be distributed by pharmacy personnel to patients who smoke, and ACADEMIC DETAILING: pharmacy personnel receive, via brief on-site training, print materials that parallel the minimal intervention group and DVD demonstrations that model the referral procedures.康涅狄格州的社区药店（n = 24）和华盛顿（n = 24）将包括研究人群。将通过（a）提供给患者的Quitline推荐卡的数量来评估干预影响，（b）源自每个参与药房的Quitline的呼叫数量，以及（c）源自每个药房的Quitline咨询注册人的数量。此外，我们将对每个地点的药剂师和药房/技术人员进行纵向调查，以评估自我报告的烟草停止咨询和患者推荐行为，并确定与自我报告的Quitline转诊实践相关的因素。在这项基于社区的干预研究中提倡的Ask-Advise引用模型是将纳入常规药房实践的可行方法。在全国范围内，有50,000多家社区药店雇用了约144,000名药剂师。如果每个药剂师每周仅将一名患者转介到Quitline中，则每年将导致近750万转介。公共卫生相关性：社区药房是医疗保健系统与公众之间的关键界面，有可能在关键人群中大大降低烟草使用的普遍性，而烟草使用是烟草使用的主要危险因素，这是需要处方药物的疾病发展或加剧的疾病（例如，心脏血管疾病，肺管疾病，孔子疾病，糖尿病，糖尿病，糖尿病），以及毒性疾病，糖尿病和毒性。拟议的项目将评估一项干预措施，以推广基于药房的烟草戒烟线，从而吸引了药学专业，从而在降低美国的烟草使用率方面发挥了更为积极的作用。

项目成果

Promoting pharmacy-based referrals to the tobacco quitline: a pilot study of academic detailing administered by pharmacy students.

• DOI: 10.1177/0897190013515711
• 发表时间: 2015-04
• 期刊: Journal of pharmacy practice
• 影响因子: 1.3
• 作者: Wahl KR;Woolf BL;Hoch MA;Zillich AJ;Hudmon KS
• 通讯作者: Hudmon KS

Tobacco and alcohol sales in community pharmacies: policy statements from U.S. professional pharmacy associations.

社区药房的烟草和酒精销售：美国专业药房协会的政策声明。

• DOI: 10.1331/japha.2014.13191
• 发表时间: 2014
• 期刊: Journal of the American Pharmacists Association : JAPhA
• 作者: Corelli,RobinL;Chai,Tiffany;Karic,Alda;Fairman,Melinda;Baez,Karina;Hudmon,KarenSuchanek
• 通讯作者: Hudmon,KarenSuchanek

Public perceptions of the ban on tobacco sales in San Francisco pharmacies.

公众对旧金山药店烟草销售禁令的看法。

• DOI: 10.1136/tobaccocontrol-2012-050602
• 发表时间: 2013
• 期刊: Tobacco control
• 影响因子: 5.2
• 作者: Kroon,LisaA;Corelli,RobinL;Roth,AndrewP;Hudmon,KarenSuchanek
• 通讯作者: Hudmon,KarenSuchanek