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Assessment of Pharmaceutical Services for Smoking Cessation: An Effectiveness–Implementation Hybrid Study

Smoking is the main preventable cause of illness and early death worldwide. Thus, it is better to promote smoking cessation than to treat tobacco-related diseases. The objective of this study was to assess the implementation and effectiveness of smoking cessation pharmaceutical services offered in p...

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Autores principales: Laborne-e-Valle, Maria Eduarda Pinheiro, Ahouagi, Ana Emília de Oliveira, Braga, Debora Gontijo, Pinto, Isabela Vaz Leite, Lara-Júnior, Célio Rezende, Ferreira, Sabrina Gonçalves, Blunk, Paula de Fátima Fernandes, Reis, Adriano Max Moreira, Reis, Edna Afonso, Ramalho-de-Oliveira, Djenane, do Nascimento, Mariana Martins Gonzaga
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9566807/
https://www.ncbi.nlm.nih.gov/pubmed/36231605
http://dx.doi.org/10.3390/ijerph191912305
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author Laborne-e-Valle, Maria Eduarda Pinheiro
Ahouagi, Ana Emília de Oliveira
Braga, Debora Gontijo
Pinto, Isabela Vaz Leite
Lara-Júnior, Célio Rezende
Ferreira, Sabrina Gonçalves
Blunk, Paula de Fátima Fernandes
Reis, Adriano Max Moreira
Reis, Edna Afonso
Ramalho-de-Oliveira, Djenane
do Nascimento, Mariana Martins Gonzaga
author_facet Laborne-e-Valle, Maria Eduarda Pinheiro
Ahouagi, Ana Emília de Oliveira
Braga, Debora Gontijo
Pinto, Isabela Vaz Leite
Lara-Júnior, Célio Rezende
Ferreira, Sabrina Gonçalves
Blunk, Paula de Fátima Fernandes
Reis, Adriano Max Moreira
Reis, Edna Afonso
Ramalho-de-Oliveira, Djenane
do Nascimento, Mariana Martins Gonzaga
author_sort Laborne-e-Valle, Maria Eduarda Pinheiro
collection PubMed
description Smoking is the main preventable cause of illness and early death worldwide. Thus, it is better to promote smoking cessation than to treat tobacco-related diseases. The objective of this study was to assess the implementation and effectiveness of smoking cessation pharmaceutical services offered in primary health care (PHC) in a large Brazilian city through a type 1 effectiveness–implementation hybrid study. The services were offered through individual or group approaches (Jan/2018–Dec/2019). The service indicators were described and the incidence of cessation in the services was evaluated. Factors associated with cessation were assessed by Poisson regression analysis. The services were offered in most PHC centers (61.2%) and by most pharmacists (81.3%). In total, 170 individual (9.7%) and 1591 group (90.3%) approaches occurred, leading to cessation in 39.4% (n = 67) and 44.8% (n = 712) of these, respectively. The use of nicotine plus antidepressants (RR = 1.30; 95%CI = 1.08–1.57; p = 0.006) and the number of sessions with pharmacists (RR = 1.21; 95%CI = 1.19–1.23; p < 0.001) were positively associated with cessation; a very high level of dependence was negatively associated (RR = 0.77; 95%CI = 0.67–0.89; p = 0.001). The smoking cessation services were effective and should be encouraged.
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spelling pubmed-95668072022-10-15 Assessment of Pharmaceutical Services for Smoking Cessation: An Effectiveness–Implementation Hybrid Study Laborne-e-Valle, Maria Eduarda Pinheiro Ahouagi, Ana Emília de Oliveira Braga, Debora Gontijo Pinto, Isabela Vaz Leite Lara-Júnior, Célio Rezende Ferreira, Sabrina Gonçalves Blunk, Paula de Fátima Fernandes Reis, Adriano Max Moreira Reis, Edna Afonso Ramalho-de-Oliveira, Djenane do Nascimento, Mariana Martins Gonzaga Int J Environ Res Public Health Article Smoking is the main preventable cause of illness and early death worldwide. Thus, it is better to promote smoking cessation than to treat tobacco-related diseases. The objective of this study was to assess the implementation and effectiveness of smoking cessation pharmaceutical services offered in primary health care (PHC) in a large Brazilian city through a type 1 effectiveness–implementation hybrid study. The services were offered through individual or group approaches (Jan/2018–Dec/2019). The service indicators were described and the incidence of cessation in the services was evaluated. Factors associated with cessation were assessed by Poisson regression analysis. The services were offered in most PHC centers (61.2%) and by most pharmacists (81.3%). In total, 170 individual (9.7%) and 1591 group (90.3%) approaches occurred, leading to cessation in 39.4% (n = 67) and 44.8% (n = 712) of these, respectively. The use of nicotine plus antidepressants (RR = 1.30; 95%CI = 1.08–1.57; p = 0.006) and the number of sessions with pharmacists (RR = 1.21; 95%CI = 1.19–1.23; p < 0.001) were positively associated with cessation; a very high level of dependence was negatively associated (RR = 0.77; 95%CI = 0.67–0.89; p = 0.001). The smoking cessation services were effective and should be encouraged. MDPI 2022-09-28 /pmc/articles/PMC9566807/ /pubmed/36231605 http://dx.doi.org/10.3390/ijerph191912305 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Laborne-e-Valle, Maria Eduarda Pinheiro
Ahouagi, Ana Emília de Oliveira
Braga, Debora Gontijo
Pinto, Isabela Vaz Leite
Lara-Júnior, Célio Rezende
Ferreira, Sabrina Gonçalves
Blunk, Paula de Fátima Fernandes
Reis, Adriano Max Moreira
Reis, Edna Afonso
Ramalho-de-Oliveira, Djenane
do Nascimento, Mariana Martins Gonzaga
Assessment of Pharmaceutical Services for Smoking Cessation: An Effectiveness–Implementation Hybrid Study
title Assessment of Pharmaceutical Services for Smoking Cessation: An Effectiveness–Implementation Hybrid Study
title_full Assessment of Pharmaceutical Services for Smoking Cessation: An Effectiveness–Implementation Hybrid Study
title_fullStr Assessment of Pharmaceutical Services for Smoking Cessation: An Effectiveness–Implementation Hybrid Study
title_full_unstemmed Assessment of Pharmaceutical Services for Smoking Cessation: An Effectiveness–Implementation Hybrid Study
title_short Assessment of Pharmaceutical Services for Smoking Cessation: An Effectiveness–Implementation Hybrid Study
title_sort assessment of pharmaceutical services for smoking cessation: an effectiveness–implementation hybrid study
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9566807/
https://www.ncbi.nlm.nih.gov/pubmed/36231605
http://dx.doi.org/10.3390/ijerph191912305
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