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Implementing smoking cessation in routine primary care—a qualitative study
BACKGROUND: The use of digital tools has been proposed as a solution to some of the challenges of providing preventative services in primary care. Although there is a general acceptance among patients to use digital self-help tools to quit smoking, and healthcare organizations are increasingly urged...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Frontiers Media S.A.
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10613108/ https://www.ncbi.nlm.nih.gov/pubmed/37899768 http://dx.doi.org/10.3389/frhs.2023.1201447 |
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author | Dannapfel, Petra Bendtsen, Preben Bendtsen, Marcus Thomas, Kristin |
author_facet | Dannapfel, Petra Bendtsen, Preben Bendtsen, Marcus Thomas, Kristin |
author_sort | Dannapfel, Petra |
collection | PubMed |
description | BACKGROUND: The use of digital tools has been proposed as a solution to some of the challenges of providing preventative services in primary care. Although there is a general acceptance among patients to use digital self-help tools to quit smoking, and healthcare organizations are increasingly urged to incorporate these tools in clinical practice, it is unclear how and for whom these innovations can be incorporated into clinical practice. OBJECTIVES: To explore health care professionals' perceptions about smoking cessation practice in routine primary care and the use of digital tools in this work. METHODS: A qualitative study with nine in-depth telephone interviews with health care professionals working in primary care in Sweden. Convenience sampling and snowball technique was used as recruitment strategy. Informants included registered, district and auxiliary nurses as well as behavioral therapists. All informants were female, between 43 and 57 years old and experience of working with smoking cessation in primary care and possibility to recommend digital interventions to smokers. RESULTS: Informants described smoking cessation practice in primary care as (i) identifying smoking patients, (ii) pursuing standardized routines for smoking cessation practice and (iii) keeping smoking cessation practice on the agenda. Digital tools were described by informants to be used in different ways: (i) replicating practice, (ii) complementing practice and (iii) enabling access to health care practitioners. Finally, the analysis showed that patients' expectations and behaviors contributed to how and when smoking cessation practice was conducted, including the use of digital tools. CONCLUSIONS: Implementing smoking cessation practice in primary care in Sweden encompass continuous work of reaching smoking patients, building buy-in among peers and keeping tobacco on the practice agenda. Digital interventions are used to replicate, complement and enabling access to care. The findings suggest that poor continuity of staff and negative attitudes towards preventative work may challenge smoking cessation practice. However, societal changes in the awareness of the health risks of tobacco use including shifting social norms regarding the acceptance of smoking may contribute to a normalization of speaking about smoking in primary care practice. Increased knowledge is needed on how, and for whom digital tools can be incorporated in clinical practice. |
format | Online Article Text |
id | pubmed-10613108 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Frontiers Media S.A. |
record_format | MEDLINE/PubMed |
spelling | pubmed-106131082023-10-29 Implementing smoking cessation in routine primary care—a qualitative study Dannapfel, Petra Bendtsen, Preben Bendtsen, Marcus Thomas, Kristin Front Health Serv Health Services BACKGROUND: The use of digital tools has been proposed as a solution to some of the challenges of providing preventative services in primary care. Although there is a general acceptance among patients to use digital self-help tools to quit smoking, and healthcare organizations are increasingly urged to incorporate these tools in clinical practice, it is unclear how and for whom these innovations can be incorporated into clinical practice. OBJECTIVES: To explore health care professionals' perceptions about smoking cessation practice in routine primary care and the use of digital tools in this work. METHODS: A qualitative study with nine in-depth telephone interviews with health care professionals working in primary care in Sweden. Convenience sampling and snowball technique was used as recruitment strategy. Informants included registered, district and auxiliary nurses as well as behavioral therapists. All informants were female, between 43 and 57 years old and experience of working with smoking cessation in primary care and possibility to recommend digital interventions to smokers. RESULTS: Informants described smoking cessation practice in primary care as (i) identifying smoking patients, (ii) pursuing standardized routines for smoking cessation practice and (iii) keeping smoking cessation practice on the agenda. Digital tools were described by informants to be used in different ways: (i) replicating practice, (ii) complementing practice and (iii) enabling access to health care practitioners. Finally, the analysis showed that patients' expectations and behaviors contributed to how and when smoking cessation practice was conducted, including the use of digital tools. CONCLUSIONS: Implementing smoking cessation practice in primary care in Sweden encompass continuous work of reaching smoking patients, building buy-in among peers and keeping tobacco on the practice agenda. Digital interventions are used to replicate, complement and enabling access to care. The findings suggest that poor continuity of staff and negative attitudes towards preventative work may challenge smoking cessation practice. However, societal changes in the awareness of the health risks of tobacco use including shifting social norms regarding the acceptance of smoking may contribute to a normalization of speaking about smoking in primary care practice. Increased knowledge is needed on how, and for whom digital tools can be incorporated in clinical practice. Frontiers Media S.A. 2023-10-13 /pmc/articles/PMC10613108/ /pubmed/37899768 http://dx.doi.org/10.3389/frhs.2023.1201447 Text en © 2023 Dannapfel, Bendtsen, Bendtsen and Thomas. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY) (https://creativecommons.org/licenses/by/4.0/) . The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. |
spellingShingle | Health Services Dannapfel, Petra Bendtsen, Preben Bendtsen, Marcus Thomas, Kristin Implementing smoking cessation in routine primary care—a qualitative study |
title | Implementing smoking cessation in routine primary care—a qualitative study |
title_full | Implementing smoking cessation in routine primary care—a qualitative study |
title_fullStr | Implementing smoking cessation in routine primary care—a qualitative study |
title_full_unstemmed | Implementing smoking cessation in routine primary care—a qualitative study |
title_short | Implementing smoking cessation in routine primary care—a qualitative study |
title_sort | implementing smoking cessation in routine primary care—a qualitative study |
topic | Health Services |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10613108/ https://www.ncbi.nlm.nih.gov/pubmed/37899768 http://dx.doi.org/10.3389/frhs.2023.1201447 |
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