Community pharmacists' involvement in smoking cessation: familiarity and implementation of the National smoking cessation guideline in Finland
- PMID: 20670409
- PMCID: PMC2922110
- DOI: 10.1186/1471-2458-10-444
Community pharmacists' involvement in smoking cessation: familiarity and implementation of the National smoking cessation guideline in Finland
Abstract
Background: Guidelines on smoking cessation (SC) emphasize healthcare cooperation and community pharmacists' involvement. This study explored the familiarity and implementation of the National SC Guideline in Finnish community pharmacies, factors relating to Guideline familiarity, implementation and provision of SC services.
Methods: A nationwide mail survey was sent to a systematic, sample of community pharmacy owners and staff pharmacists (total n = 2291). Response rate was 54% (n = 1190). Factors related to the SC Guideline familiarity were assessed by bivariate and multivariate analysis.
Results: Almost half (47%) of the respondents (n = 1190) were familiar with the SC Guideline and familiarity enhanced Guideline implementation. The familiarity was associated with the respondents' perceptions of their personal SC skills and knowledge (OR 3.8); of customers' value of counseling on nicotine replacement therapy (NRT) (OR 3.3); and regular use of a pocket card supporting SC counseling (OR 3.0). Pharmacists' workplaces' characteristics, such as size and geographical location were not associated with familiarity. In addition to recommending NRT, the pharmacists familiar with the Guideline used more frequently other Guideline-based SC methods, such as recommended non-pharmacological SC aids, compared to unfamiliar respondents.
Conclusions: SC Guideline familiarity and implementation is crucial for community pharmacists' involvement in SC actions in addition to selling NRT products. Pharmacists can constitute a potential public health resource in SC easily accessible throughout the country.
References
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- World Health Organization. WHO European strategy for smoking cessation policy. European tobacco control policy series, 1. Copenhagen: World Health Organization; 2004.
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- Fiore MC, Jaén CR, Baker TB, Bailey WC, Curry SJ. Treating Tobacco Use and Dependence: 2008 Update. Rockville, MD: US Dept of Health and Human Services; 2008.
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- National Institute for Health and Clinical Excellence (NICE) Smoking cessation services in primary care, pharmacies, local authorities and workplaces, particularly for manual working groups, pregnant women and hard to reach communities. NICE public health guidance 10. London: National Institute for Health and Clinical Excellence; 2008. http://www.nice.org.uk/PH010
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