BMJ open quality · 2025
Understanding barriers and identifying solutions for smoking cessation in primary care: survey results informed by an integrated knowledge translation approach in British Columbia, Canada.
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Simmons Megan, Shellington Erin, Afshar Tina, Struik Laura, Hoekstra Femke, Myers Renelle, Khara Milan, Gerald Marilyn, Johnson Jim, Joshi Phalgun, Carlsten Christopher
Аннотация
INTRODUCTION: This quality improvement project was designed to identify perceptions, knowledge and training needs of primary care providers (PCPs) in British Columbia regarding smoking cessation treatment with the intent to improve practices and identify feasible methods to mitigate barriers.
METHODS: An integrated knowledge translation approach was used to design, implement and analyse a survey for primary care practitioners in the provincial context of British Columbia. The survey was divided into the four main sections: Demographic Information, Knowledge Assessment, Training Needs and Perception of Barriers. It was distributed through advertisement in e-newsletters for family physicians and nurse practitioners. It is aimed to evaluate and understand PCPs' perceptions of tobacco use disorder and smoking cessation treatment; confidence when providing tobacco use disorder and smoking cessation support and treatment; educational needs and desired supports and barriers to providing and accessing smoking cessation supports and resources.
RESULTS: The survey garnered 198 complete responses from 154 family physicians and 44 nurse practitioners. Findings highlight a need for increased training and resources while exploring desired training content and methods of delivery. Time constraints were identified as the primary barrier to providing smoking cessation intervention, alongside lacking referral pathways, clinical services and support, and compensation. Respondents expressed a desire for 'cheat sheets' with information on smoking cessation resources and best practices, training and education on counselling techniques and vaping cessation guidance, and integrated clinical workflows.
CONCLUSION: This project emphasises the need for an interdisciplinary approach to smoking cessation centred around integration of resources, training and policies into current workflows (such as electronic medical records or a centralised platform for information). Important gaps have been illuminated in the processes that support smoking cessation in primary care in British Columbia.
METHODS: An integrated knowledge translation approach was used to design, implement and analyse a survey for primary care practitioners in the provincial context of British Columbia. The survey was divided into the four main sections: Demographic Information, Knowledge Assessment, Training Needs and Perception of Barriers. It was distributed through advertisement in e-newsletters for family physicians and nurse practitioners. It is aimed to evaluate and understand PCPs' perceptions of tobacco use disorder and smoking cessation treatment; confidence when providing tobacco use disorder and smoking cessation support and treatment; educational needs and desired supports and barriers to providing and accessing smoking cessation supports and resources.
RESULTS: The survey garnered 198 complete responses from 154 family physicians and 44 nurse practitioners. Findings highlight a need for increased training and resources while exploring desired training content and methods of delivery. Time constraints were identified as the primary barrier to providing smoking cessation intervention, alongside lacking referral pathways, clinical services and support, and compensation. Respondents expressed a desire for 'cheat sheets' with information on smoking cessation resources and best practices, training and education on counselling techniques and vaping cessation guidance, and integrated clinical workflows.
CONCLUSION: This project emphasises the need for an interdisciplinary approach to smoking cessation centred around integration of resources, training and policies into current workflows (such as electronic medical records or a centralised platform for information). Important gaps have been illuminated in the processes that support smoking cessation in primary care in British Columbia.