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Smoking cessation and the general practice pharmacist

Deeks, LS, Kosari, S, Develin, A, Peterson, GM ORCID: 0000-0002-6764-3882 and Naunton, M 2019 , 'Smoking cessation and the general practice pharmacist' , Journal of Smoking Cessation , pp. 1-4 , doi: 10.1017/jsc.2019.3.

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Abstract

Introduction. Roles for pharmacists in general practice are developing in Australia. It is known that pharmacists can provide effectivesmoking cessation services in other settings but evidence in general practice is lacking.Aim. To determine whether a pharmacist can provide effective smoking cessation services within general practice.Method. Data from smoking cessation consultations were obtained for 66 consecutive patients seen by one practice pharmacist. Thepharmacist tailored interventions to the individual. Medication was offered in collaboration with community pharmacists and general practitioners. Quit coaching, based on motivational interviewing, was conducted. Smoking status was ascertained at least 6 months after theintended quit date and verified by a carbon monoxide breath test where possible.Results. The patients’ median age was 43 years (range 19–74 years); 42 were females (64%). At baseline, the median (i) number of packyears smoked was 20 (range: 1–75); (ii) Fagerstrom Test of dependence score was 6 (1–10); and (iii) number of previous quit attempts was 3(0–10). Follow-up after at least 6 months determined a self-reported point prevalence abstinence rate of 30% (20/66). Of all patients whoreported to be abstinent, 65% (13/20) were tested for carbon monoxide breath levels and were all below 7 ppm. The biochemically verifiedsmoking abstinence rate was therefore 20% overall (13/66). Successful quit attempts were associated with varenicline recommendation (69%v 25%), increased median number of practice pharmacist consultations (4 v 2 per patient) and mental health diagnosis (85% v 51%).Conclusion. Our observed abstinence rate was comparable or better than those obtained by practice nurses, community pharmacists andoutpatient pharmacists, indicating the general practice pharmacist provided an effective smoking cessation intervention. A larger randomised trial is warranted.

Item Type: Article
Authors/Creators:Deeks, LS and Kosari, S and Develin, A and Peterson, GM and Naunton, M
Keywords: pharmacist general practice smoking cessation
Journal or Publication Title: Journal of Smoking Cessation
Publisher: Cambridge University Press
ISSN: 1834-2612
DOI / ID Number: 10.1017/jsc.2019.3
Copyright Information:

Copyright 2019 The Authors

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