Journal article
Patient Perspectives on Smoking Cessation and Interventions in Rheumatology Clinics
Arthritis care & research (2010), Vol.72(3), pp.369-377
03/01/2020
DOI: 10.1002/acr.23858
PMCID: PMC6697238
PMID: 30768768
Abstract
Objective Although smoking is a risk factor for cardiovascular and rheumatic disease severity, only 10% of rheumatology visits document cessation counseling. After implementing a rheumatology clinic protocol that increased tobacco quitline referrals 20-fold, we undertook this study to examine patients' barriers and facilitators to smoking cessation based on prior rheumatology experiences, to solicit reactions to the new cessation protocol, and to identify patient-centered outcomes or signs of cessation progress following improved care.
Methods We recruited 19 patients who smoke (12 with rheumatoid arthritis [RA] and 7 with systemic lupus erythematosus [SLE]) to participate in 1 of 3 semistructured focus groups. Transcripts of the focus group discussions were analyzed using thematic analysis to classify barriers, facilitators, and signs of cessation progress.
Results Participant-reported barriers and facilitators to cessation involved psychological, health-related, and social and economic factors, as well as health care messaging and resources. Commonly discussed barriers included viewing smoking as a crutch amid rheumatic disease, rarely receiving cessation counseling in rheumatology clinics, and very limited awareness that smoking can worsen rheumatic diseases or reduce efficacy of some rheumatic disease medications. Participants endorsed our cessation protocol with rheumatology-specific education and accessible resources, such as a quitline. Beyond quitting, participants prioritized knowing why and how to quit as signs of progress outcomes.
Conclusion Focus groups identified themes and categories of facilitators/barriers to smoking cessation at the levels of patient and health system. Two key outcomes of improving cessation care for patients with RA and SLE were knowing why and how to quit. Emphasizing rheumatologic health benefits and cessation resources is essential when designing and evaluating rheumatology smoking cessation interventions.
Details
- Title: Subtitle
- Patient Perspectives on Smoking Cessation and Interventions in Rheumatology Clinics
- Creators
- Aimee Wattiaux - University of Wisconsin–MadisonBrittany Bettendorf - Medical College of WisconsinLaura Block - University of Wisconsin–MadisonAndrea Gilmore-Bykovskyi - University of Wisconsin–MadisonEdmond Ramly - University of Wisconsin–MadisonMegan E. Piper - University of Wisconsin Center for Tobacco Research and Intervention, MadisonAnn Rosenthal - Medical College of WisconsinJane Sadusky - Sadusky Consulting Madison WisconsinElizabeth Cox - University of Wisconsin–MadisonBetty Chewning - University of Wisconsin–MadisonChristie M. Bartels - University of Wisconsin–Madison
- Resource Type
- Journal article
- Publication Details
- Arthritis care & research (2010), Vol.72(3), pp.369-377
- DOI
- 10.1002/acr.23858
- PMID
- 30768768
- PMCID
- PMC6697238
- NLM abbreviation
- Arthritis Care Res (Hoboken)
- ISSN
- 2151-464X
- eISSN
- 2151-4658
- Publisher
- Wiley
- Number of pages
- 9
- Grant note
- UL1 TR002373; UL1 TR000427 / NCATS NIH HHS; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Center for Advancing Translational Sciences (NCATS)
- Language
- English
- Date published
- 03/01/2020
- Academic Unit
- Immunology; Internal Medicine
- Record Identifier
- 9984359668402771
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