J Clin Outcomes Manage
2006 Jan;13(1):30-34, 38
Smoking cessation intervention in an urban HIV clinic
Golden MP, DeCerbo DC, Weissman S
Abstract Objective: To investigate whether a smoking cessation intervention could be successful in an urban HIV clinic. Methods: We reviewed clinic charts to see whether patients were being identified as smokers and/or counseled about tobacco cessation. We then added smoking status as a vital sign, hired a smoking cessation counselor, and offered smokers the opportunity to receive counseling and pharmacologic therapy. We performed follow-up chart review 1 and 2 years after the counselor was hired to assess documentation of smoking status and provider advice about smoking cessation. Results: At baseline, 83% of patients were asked about smoking at least once in 3 visits. 67% were active smokers and only 10% had documentation of physician advice to quit. Fewer than 33% were asked about smoking on follow-up visits. Following the arrival of the counselor, 94% of patients at 1 year and 98% of patients at 2 years were asked about smoking. Documentation of advice to quit smoking was found in 71% and 58% at the 1- and 2-year follow-up. Of the 79 patients who met with the counselor, 45 (57%) reported some reduction in their smoking patterns. Conclusion: A smoking cessation intervention can be successful in a busy, urban HIV clinic.
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