Tobacco dependence treatment: Influence of training experiences on clinical activities among otolaryngologists

Authors

  • Monica J. Sutton PhD,

    1. Department of Pediatrics, University of Mississippi Medical Center, Jackson, Mississippi, U.S.A.
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  • Thomas J. Payne PhD,

    Corresponding author
    1. Department of Otolaryngology and Communicative Sciences, University of Mississippi Medical Center, Jackson, Mississippi, U.S.A.
    • Send correspondence to Thomas J. Payne, PhD, Department of Otolaryngology and Communicative Sciences, University of Mississippi Medical Center, 2500 North State Street, Jackson, MS 39216. E-mail: TJPayne1@umc.edu

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  • Natalie W. Gaughf PhD,

    1. Department of Academic Counseling, University of Mississippi Medical Center, Jackson, Mississippi, U.S.A.
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  • Karen M. Crews DMD,

    1. Department of Otolaryngology and Communicative Sciences, University of Mississippi Medical Center, Jackson, Mississippi, U.S.A.
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  • Okan U. Elci PhD,

    1. Center for Biostatistics, University of Mississippi Medical Center, Jackson, Mississippi, U.S.A.
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  • Shannon B. Peck PhD,

    1. Overton Brooks Veterans Affairs Medical Center, Shreveport, Louisiana, U.S.A.
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  • John Schweinfurth MD

    1. Department of Otolaryngology and Communicative Sciences, University of Mississippi Medical Center, Jackson, Mississippi, U.S.A.
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  • All financial and material support for this research and work was departmental. None of the authors have any financial disclosures.

Abstract

Objectives/Hypothesis

Although one in five U.S. adults continue to smoke, healthcare providers often fail to provide basic, effective interventions. This is particularly true for physician specialists. This study sought to investigate perceived role, self-efficacy, practice behaviors, and attitudes among otolaryngologists as they relate to the delivery of tobacco treatment services.

Study Design

This study involved a single administration of a survey questionnaire to current members of the American Academy of Otolaryngology Head and Neck Surgery (AAO-HNS).

Methods

A questionnaire was mailed up to three times to active members.

Results

Survey response rate was 39% (N = 2127). Based on an evaluation of treatment factors categorized according to the National Cancer Institute's 5A's approach, trained providers generally rated themselves consistently higher than untrained providers across areas of clinical activity. Minimal differences were noted for Ask and Advise, moderate for Assess, and the greatest for Assist and Arrange. Trained providers also indicated more positive attitudes towards treatment.

Conclusions

While the level of performance was reasonable for otolaryngologists relative to other specialists in the published literature, overall tobacco treatment activity remains unacceptably low. This study suggests the positive impact of training and the potential value of making such experiences widely available. Laryngoscope, 123:3005–3009, 2013

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