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Research ArticleOriginal Research

A Handheld Computer Smoking Intervention Tool and Its Effects on Physician Smoking Cessation Counseling

Scott M. Strayer, Lisa K. Rollins and James R. Martindale
The Journal of the American Board of Family Medicine July 2006, 19 (4) 350-357; DOI: https://doi.org/10.3122/jabfm.19.4.350
Scott M. Strayer
MD, MPH
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Lisa K. Rollins
PhD
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James R. Martindale
PhD
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  • Article
  • Figures & Data
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Article Figures & Data

Figures

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  • Figure 1.
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    Figure 1.

    HCSIT Main Screen (A); HCSIT Main Screen (scroll down) (B)

  • Figure 2.
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    Figure 2.

    Sample Fagerström Nicotine Dependence Question

  • Figure 3.
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    Figure 3.

    Fagerström Dependency

  • Figure 4.
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    Figure 4.

    Drug Prescribing Information

Tables

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    Table 1.

    Pre/post Survey Measuring Self-reported Physician Behavior, Attitudes, Comfort, and Knowledge

    1. How would you describe your hand-held computer literacy?
    a. Noviceb. Intermediatec. Expert
    2. What percentage of your patients smoke? (Please check one)
        □ <10%□ 10%□ 20%□ 30%□ 40%
        □ 50%□ 60%□ 70%□ 80%□ 90%□ >90%
    3. How often do you:
        a. Ask patients if they smoke?
    □ Never□ Sometimes□ Often□ Always
        b. Advise smokers to quit?
    □ Never□ Sometimes□ Often□ Always
        c. Assess smokers’ willingness to quit?
    □ Never□ Sometimes□ Often□Always
        d. Assist smokers in their attempt to quit?
    □ Never□ Sometimes□ Often□ Always
        e. Arrange follow-up with patients who want to quit?
    □ Never□ Sometimes□ Often□ Always
    4. How often do you:
        a. Provide counseling for patients who want to quit smoking?
    □ Never□ Sometimes□ Often□ Always
        b. Have sufficient time available with smoking patients to counsel them on initiating and sustaining a smoking cessation plan?
    □ Never□ Sometimes□ Often□ Always
        c. Provide information on quitting such as pamphlets, videos, or online resources
    □ Never□ Sometimes□ Often□ Always
        d. Recommend pharmacotherapy for your patients who want to quit?
    □ Never□ Sometimes□ Often□ Always
    5. If you recommend pharmacotherapy, what do you recommend? (Check all that apply)
    □ Nicotine Patch□ Patch□ Inhaler□ Nasal spray
    □ Bupropion (Wellbutrin/Zyban)
    6. I have a specific intervention plan(s) I use with patients who want to quit smoking.
    □ Yes□ No
    7. Are you familiar with the Public Health Service Clinical Practice Guidelines on smoking cessation?
    □ Yes□ No
    8. The importance I place on identifying patients who smoke is
        1234567
        Very unimportantVery important
    9. The importance I place on counseling patients who smoke is
        1234567
        Very unimportantVery important
    10. How comfortable are you counseling patients about smoking cessation?
        1234567
        Very uncomfortableVery comfortable
    11. How comfortable are you with the Public Health Service Clinical Practice Guidelines?
        1234567
        Very uncomfortableVery comfortable
    12. What is your comfort level with the pharmacological therapies available to aid smokers with quitting smoking?
        1234567
        Very uncomfortableVery comfortable
    13. How comfortable are you following patients who have initiated a smoking cessation plan to help them sustain their plan?
        1234567
        Very uncomfortableVery comfortable
    14. My comfort level counseling patients about smoking cessation was enhanced by using the HCSIT.
        1234567
        Strongly disagreeStrongly agree
    15. My comfort level with pharmacological therapies available to aid smokers with quitting smoking was enhanced by using the HCSIT.
        1234567
        Strongly disagreeStrongly agree
    16. My comfort level with the Public Health Service Clinical Practice Guidelines was enhanced by using the HCSIT.
        1234567
        Strongly disagreeStrongly agree
    The following questions apply to the HCSIT:
    17. I found the HCSIT tool easy to use.
        1234567
        Strongly disagreeStrongly agree
    18. I liked the way the HCSIT tool was organized on the hand held computer.
        1234567
        Strongly disagreeStrongly agree
    19. I found the HCSIT tool easy to understand.
        1234567
        Strongly disagreeStrongly agree
    20. The HCSIT tool was fast enough to use/access in the clinical encounter.
        1234567
        Strongly disagreeStrongly agree
    • HSCIT, hand-held smoking cessation intervention tool.

    • View popup
    Table 2.

    Comfort Subscale*

    ItemMean Pretest ScoreMean Posttest ScoreP Value
    Counseling patients5.325.95P = .007
    Public Health Service guidelines3.24.35P = .012
    Smoking cessation drugs5.735.64P = .605
    Following patients who quit5.145.55P = .119
    • * Comfort was assessed using a 7-point Likert scale with 1 representing ′very uncomfortable′ and 7 representing ′very comfortable.′

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The Journal of the American Board of Family Medicine: 19 (4)
The Journal of the American Board of Family Medicine
Vol. 19, Issue 4
July-August 2006
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A Handheld Computer Smoking Intervention Tool and Its Effects on Physician Smoking Cessation Counseling
Scott M. Strayer, Lisa K. Rollins, James R. Martindale
The Journal of the American Board of Family Medicine Jul 2006, 19 (4) 350-357; DOI: 10.3122/jabfm.19.4.350

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A Handheld Computer Smoking Intervention Tool and Its Effects on Physician Smoking Cessation Counseling
Scott M. Strayer, Lisa K. Rollins, James R. Martindale
The Journal of the American Board of Family Medicine Jul 2006, 19 (4) 350-357; DOI: 10.3122/jabfm.19.4.350
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Cited By...

  • Improving Smoking Cessation Counseling Using a Point-of-Care Health Intervention Tool (IT): From the Virginia Practice Support and Research Network (VaPSRN)
  • Evaluation of a Screening and Counseling Tool for Alcohol Misuse: A Virginia Practice Support and Research Network (VaPSRN) Trial
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