Healthcare provider counseling to quit smoking and patient desire to quit: The role of negative smoking outcome expectancies |
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| Affiliation: | 1. RAND Corporation, 1776 Main St., Santa Monica, CA 90407, United States;2. RAND Corporation, 20 Park Plaza, Suite 920, Boston, MA 02116, United States;3. RAND Corporation, 4570 Fifth Avenue, Suite 600, Pittsburgh, PA 15213-2665, United States;1. Department of Allied Health Sciences, University of Connecticut, Storrs, CT, USA;2. Institute for Collaboration on Health, Intervention, and Policy, University of Connecticut, Storrs, CT, USA;1. Department of Preventive Medicine, University of Tennessee Health Science Center, 66 N. Pauline St., Memphis, TN 38163, USA;2. Department of Public Health Sciences, University of Virginia School of Medicine, 560 Ray Hunt Drive, Charlottesville, VA 22911, USA;3. Department of Medicine, Mayo Clinic, 200 1st Street SW, Rochester, MN 55905, USA;4. Department of Medicine, University of Tennessee Health Science Center, 956 Court Ave., Memphis, TN 38163, USA;1. School of Psychology, Bangor University, Brigantia Building, Penrallt Road, Bangor, Gwynedd LL57 2AS, Wales, United Kingdom;2. Betsi Cadwaladr University Health Board, Wales, United Kingdom;1. Department of Mental Health, Johns Hopkins Bloomberg School of Public Health, USA;2. Consultant;3. Department of Epidemiology, Milken Institute School of Public Health, George Washington University, USA;4. Department of Prevention & Community Health, Milken Institute School of Public Health, George Washington University, USA;1. Department of Epidemiology, The University of Texas MD Anderson Cancer Center, Houston, TX, USA;2. Division of Cancer Prevention and Population Sciences, The University of Texas MD Anderson Cancer Center, USA;3. Department of Epidemiology, Human Genetics and Environmental Sciences, School of Public Health, The University of Texas Health Science Center at Houston, Houston, TX, USA;4. Department of Biostatistics, The University of Texas MD Anderson Cancer Center, Houston, TX, USA;5. Department of Behavioral Sciences, The University of Texas MD Anderson Cancer Center, Houston, TX, USA |
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| Abstract: | AimsThe U.S. Public Health Service Clinical Practice Guideline on treating tobacco use and dependence recommends providing advice to quit to every tobacco user seen in a healthcare setting. However, the mechanism through which counseling encourages patients to quit has not been adequately studied. This study tests whether the association between receiving healthcare provider counseling and desire to quit is accounted for by negative health and psychosocial outcome expectancies of smoking.MethodsData were collected online from 721 adult smokers who had seen a healthcare provider in the past 12 months. Associations between counseling to quit, negative outcome expectancies of smoking, and desire to quit were tested, as well as whether outcome expectancies and desire to quit differed by type of counseling (counseling only vs. counseling plus assistance) and level of smoking.ResultsBivariate associations indicated a stronger desire to quit among patients receiving counseling, particularly when it included healthcare provider assistance to quit. SEM results indicated that the association between counseling and desire to quit was fully accounted for by patients' negative health and psychosocial outcome expectancies for smoking. These associations were found across levels of smoking in the case of health expectancies, but were limited to moderate and heavy smokers in the case of psychosocial expectancies.ConclusionResults suggest that the time devoted to counseling patients about smoking should include providing some assistance to quit, such as recommending a product, prescription or program. Regardless of smoking level, this counseling should incorporate techniques to elicit patients' negative health and psychosocial expectancies of smoking. |
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