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Research ArticleOriginal Research

Family Physicians' Perceptions of Electronic Cigarettes in Tobacco Use Counseling

Samuel Ofei-Dodoo, Rick Kellerman, Kari Nilsen, Ruth Nutting and Douglas Lewis
The Journal of the American Board of Family Medicine July 2017, 30 (4) 448-459; DOI: https://doi.org/10.3122/jabfm.2017.04.170084
Samuel Ofei-Dodoo
From the Department of Family and Community Medicine, University of Kansas School of Medicine–Wichita (SO-D, RK, KN); and the Family Medicine Residency at Via Christi Hospitals, University of Kansas School of Medicine–Wichita (RN, DL).
PhD, MPA, MA
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Rick Kellerman
From the Department of Family and Community Medicine, University of Kansas School of Medicine–Wichita (SO-D, RK, KN); and the Family Medicine Residency at Via Christi Hospitals, University of Kansas School of Medicine–Wichita (RN, DL).
MD
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Kari Nilsen
From the Department of Family and Community Medicine, University of Kansas School of Medicine–Wichita (SO-D, RK, KN); and the Family Medicine Residency at Via Christi Hospitals, University of Kansas School of Medicine–Wichita (RN, DL).
PhD, MA
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Ruth Nutting
From the Department of Family and Community Medicine, University of Kansas School of Medicine–Wichita (SO-D, RK, KN); and the Family Medicine Residency at Via Christi Hospitals, University of Kansas School of Medicine–Wichita (RN, DL).
PhD, LCMFT
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Douglas Lewis
From the Department of Family and Community Medicine, University of Kansas School of Medicine–Wichita (SO-D, RK, KN); and the Family Medicine Residency at Via Christi Hospitals, University of Kansas School of Medicine–Wichita (RN, DL).
MD
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Article Figures & Data

Figures

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  • Figure 1.
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    Figure 1.

    Career status of respondents who recommended and those who did not recommend e-cigarettes (E-cig).

  • Figure 2.
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    Figure 2.

    Respondents' perceptions of the effectiveness of e-cigarettes (E-cig).

Tables

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    Table 1.

    Demographic Profile of Participants

    DemographicsMeasure
    Sex*
        Male53.3 (57)
        Female46.7 (50)
    Age* (years)
        Range25 to ≥65
        18–240 (0)
        25–3455.1 (60)
        35–4421.5 (23)
        45–5412.2 (13)
        55–646.5 (7)
        ≥653.7 (4)
    Career status*
        Actively practicing family physician25.2 (27)
        Full-time faculty23.4 (25)
        Resident-physician51.4 (55)
    Years in practice (n)
        Range3 to 38 years
        Mean (SD)21 (10.9)
    Years as a full time faculty (n)
        Range2 months to 22 years
        Mean (SD)8.2 (6.6)
    Postgraduate year of residency
        132.7 (18)
        236.4 (20)
        330.9 (17)
    • Data are % (n) unless otherwise indicated.

    • ↵* Some responses were missing.

    • SD, standard deviation.

    • View popup
    Table 2.

    Results of χ2 Test and Descriptive Statistics for Physicians' Career Status by E-Cigarettes Recommendation

    Career StatusRecommending E-Cigarettes
    YesNoTotal
    Practicing physicians
        Count93645
        Expected count4.540.545.0
        Percentage within Career status20.080.0100.0
    Full-time faculty-physician
        Count54045
        Expected count4.540.545.0
        Percentage within Career status11.188.9100.0
    Resident-physician
        Count596101
        Expected count10.091.0101.0
        Percentage within Career status5.095.0100.0
    Total
        Count19172191
        Expected count19.0172.0191.0
        Percentage within Career status9.990.1100.0
    • χ2 = 8.44 (P = .015); df = 2; Cramer V = 0.21.

    • View popup
    Table 3.

    Results for Pairwise Comparisons Using the Holm Sequential Bonferroni Method

    ComparisonPearson χ2P value (α)Cramer V
    Practicing physicians vs faculty physicians1.35.24 (0.050)0.12
    Practicing physicians vs resident-physicians8.64*.003 (0.025)0.24
    Faculty physicians vs resident-physicians2.04.15 (0.017)0.11
    • ↵* P value ≤ α.

    • View popup
    Table 4.

    Respondents' Opinions About the Effectiveness of E-Cigarettes*

    ResponsesRespondents, n (%)
    Very effective5 (5)
    Effective7 (7)
    Neutral7 (7)
    Ineffective27 (27)
    Very ineffective19 (19)
    Not sure35 (35)
    Total100 (100)
    • ↵* Some participants did not provide responses. Scores ranged from 1 (very effective) to 5 (very ineffective) and 0 (not sure).

    • Mean effectiveness score, 4.5; standard deviation of effectiveness score, 1.4.

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The Journal of the American Board of Family     Medicine: 30 (4)
The Journal of the American Board of Family Medicine
Vol. 30, Issue 4
July-August 2017
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Family Physicians' Perceptions of Electronic Cigarettes in Tobacco Use Counseling
Samuel Ofei-Dodoo, Rick Kellerman, Kari Nilsen, Ruth Nutting, Douglas Lewis
The Journal of the American Board of Family Medicine Jul 2017, 30 (4) 448-459; DOI: 10.3122/jabfm.2017.04.170084

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Family Physicians' Perceptions of Electronic Cigarettes in Tobacco Use Counseling
Samuel Ofei-Dodoo, Rick Kellerman, Kari Nilsen, Ruth Nutting, Douglas Lewis
The Journal of the American Board of Family Medicine Jul 2017, 30 (4) 448-459; DOI: 10.3122/jabfm.2017.04.170084
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Keywords

  • Electronic Cigarettes
  • Family Physician
  • Kansas
  • Nicotine
  • Risk
  • Smoking Cessation
  • Surveys and Questionnaires
  • Uncertainty

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