Training pharmacists and pharmacy assistants in the stage-of-change model of smoking cessation: a randomised controlled trial in Scotland

H K Sinclair, C M Bond, A S Lennox, J Silcock, A J Winfield, P T Donnan

Research output: Contribution to journalArticle

88 Citations (Scopus)

Abstract

Objective-To evaluate a training workshop for community pharmacy personnel to improve their counselling in smoking cessation based on the stage-of-change model.

Design-A randomised controlled trial of community pharmacies and pharmacy customers.

Setting-All 76 non-city community pharmacies registered in Grampian, Scotland, were invited to participate. Sixty-two pharmacies (82%) were recruited.

Subjects-All the intervention pharmacy personnel were invited to attend the training; 40 pharmacists and 54 assistants attended. A total of 492 customers who smoked (224 intervention, 268 controls) were recruited during the 12-month recruitment period (overall recruitment rate 63%).

Main outcome measures-The perceptions of customers and pharmacy personnel of the pharmacy support and self-reported smoking cessation rates for the two groups of customers at one, four, and nine months.

Results-The intervention customer respondents were significantly more likely to have discussed stopping smoking with pharmacy personnel, 85% (113) compared with 62% (99) of the controls (p<0.001). The former also rated their discussion more highly; 34% (45) of the intervention customers compared with 16% (25) of the controls rated it as "very useful" (p = 0.048). Assuming non-responders had lapsed, one-month point prevalence of abstinence was claimed by 30% of intervention customers and 24% of controls (p = 0.12); four months' continuous abstinence was claimed by 16% of intervention customers and 11% of controls (p = 0.094); and nine months' continuous abstinence was claimed by 12% of intervention customers and 7% of controls (p = 0.089). These trends in outcome were not affected by potential confounders (sex, age, socioeconomic status, nicotine dependence, and type of nicotine replacement product used) or adjustment for clustering.

Conclusions-The intervention was associated with increased and more highly rated counselling, and a trend toward abstinence was intervention higher smoking cessation rates, indicating that community pharmacy personnel have the potential to make a significant contribution to national smoking cessation targets.

Original languageEnglish
Pages (from-to)253-261
Number of pages9
JournalTobacco Control
Volume7
Publication statusPublished - 1998

Keywords

  • community pharmacy
  • health education
  • smoking cessation
  • COMMUNITY PHARMACIST

Cite this

Training pharmacists and pharmacy assistants in the stage-of-change model of smoking cessation: a randomised controlled trial in Scotland. / Sinclair, H K ; Bond, C M ; Lennox, A S ; Silcock, J ; Winfield, A J ; Donnan, P T .

In: Tobacco Control, Vol. 7, 1998, p. 253-261.

Research output: Contribution to journalArticle

Sinclair, H K ; Bond, C M ; Lennox, A S ; Silcock, J ; Winfield, A J ; Donnan, P T . / Training pharmacists and pharmacy assistants in the stage-of-change model of smoking cessation: a randomised controlled trial in Scotland. In: Tobacco Control. 1998 ; Vol. 7. pp. 253-261.
@article{358cc5f6f6174f059dcb66c2fd44e3ca,
title = "Training pharmacists and pharmacy assistants in the stage-of-change model of smoking cessation: a randomised controlled trial in Scotland",
abstract = "Objective-To evaluate a training workshop for community pharmacy personnel to improve their counselling in smoking cessation based on the stage-of-change model.Design-A randomised controlled trial of community pharmacies and pharmacy customers.Setting-All 76 non-city community pharmacies registered in Grampian, Scotland, were invited to participate. Sixty-two pharmacies (82{\%}) were recruited.Subjects-All the intervention pharmacy personnel were invited to attend the training; 40 pharmacists and 54 assistants attended. A total of 492 customers who smoked (224 intervention, 268 controls) were recruited during the 12-month recruitment period (overall recruitment rate 63{\%}).Main outcome measures-The perceptions of customers and pharmacy personnel of the pharmacy support and self-reported smoking cessation rates for the two groups of customers at one, four, and nine months.Results-The intervention customer respondents were significantly more likely to have discussed stopping smoking with pharmacy personnel, 85{\%} (113) compared with 62{\%} (99) of the controls (p<0.001). The former also rated their discussion more highly; 34{\%} (45) of the intervention customers compared with 16{\%} (25) of the controls rated it as {"}very useful{"} (p = 0.048). Assuming non-responders had lapsed, one-month point prevalence of abstinence was claimed by 30{\%} of intervention customers and 24{\%} of controls (p = 0.12); four months' continuous abstinence was claimed by 16{\%} of intervention customers and 11{\%} of controls (p = 0.094); and nine months' continuous abstinence was claimed by 12{\%} of intervention customers and 7{\%} of controls (p = 0.089). These trends in outcome were not affected by potential confounders (sex, age, socioeconomic status, nicotine dependence, and type of nicotine replacement product used) or adjustment for clustering.Conclusions-The intervention was associated with increased and more highly rated counselling, and a trend toward abstinence was intervention higher smoking cessation rates, indicating that community pharmacy personnel have the potential to make a significant contribution to national smoking cessation targets.",
keywords = "community pharmacy, health education, smoking cessation, COMMUNITY PHARMACIST",
author = "Sinclair, {H K} and Bond, {C M} and Lennox, {A S} and J Silcock and Winfield, {A J} and Donnan, {P T}",
year = "1998",
language = "English",
volume = "7",
pages = "253--261",
journal = "Tobacco Control",
issn = "0964-4563",
publisher = "BMJ Publishing Group",

}

TY - JOUR

T1 - Training pharmacists and pharmacy assistants in the stage-of-change model of smoking cessation: a randomised controlled trial in Scotland

AU - Sinclair, H K

AU - Bond, C M

AU - Lennox, A S

AU - Silcock, J

AU - Winfield, A J

AU - Donnan, P T

PY - 1998

Y1 - 1998

N2 - Objective-To evaluate a training workshop for community pharmacy personnel to improve their counselling in smoking cessation based on the stage-of-change model.Design-A randomised controlled trial of community pharmacies and pharmacy customers.Setting-All 76 non-city community pharmacies registered in Grampian, Scotland, were invited to participate. Sixty-two pharmacies (82%) were recruited.Subjects-All the intervention pharmacy personnel were invited to attend the training; 40 pharmacists and 54 assistants attended. A total of 492 customers who smoked (224 intervention, 268 controls) were recruited during the 12-month recruitment period (overall recruitment rate 63%).Main outcome measures-The perceptions of customers and pharmacy personnel of the pharmacy support and self-reported smoking cessation rates for the two groups of customers at one, four, and nine months.Results-The intervention customer respondents were significantly more likely to have discussed stopping smoking with pharmacy personnel, 85% (113) compared with 62% (99) of the controls (p<0.001). The former also rated their discussion more highly; 34% (45) of the intervention customers compared with 16% (25) of the controls rated it as "very useful" (p = 0.048). Assuming non-responders had lapsed, one-month point prevalence of abstinence was claimed by 30% of intervention customers and 24% of controls (p = 0.12); four months' continuous abstinence was claimed by 16% of intervention customers and 11% of controls (p = 0.094); and nine months' continuous abstinence was claimed by 12% of intervention customers and 7% of controls (p = 0.089). These trends in outcome were not affected by potential confounders (sex, age, socioeconomic status, nicotine dependence, and type of nicotine replacement product used) or adjustment for clustering.Conclusions-The intervention was associated with increased and more highly rated counselling, and a trend toward abstinence was intervention higher smoking cessation rates, indicating that community pharmacy personnel have the potential to make a significant contribution to national smoking cessation targets.

AB - Objective-To evaluate a training workshop for community pharmacy personnel to improve their counselling in smoking cessation based on the stage-of-change model.Design-A randomised controlled trial of community pharmacies and pharmacy customers.Setting-All 76 non-city community pharmacies registered in Grampian, Scotland, were invited to participate. Sixty-two pharmacies (82%) were recruited.Subjects-All the intervention pharmacy personnel were invited to attend the training; 40 pharmacists and 54 assistants attended. A total of 492 customers who smoked (224 intervention, 268 controls) were recruited during the 12-month recruitment period (overall recruitment rate 63%).Main outcome measures-The perceptions of customers and pharmacy personnel of the pharmacy support and self-reported smoking cessation rates for the two groups of customers at one, four, and nine months.Results-The intervention customer respondents were significantly more likely to have discussed stopping smoking with pharmacy personnel, 85% (113) compared with 62% (99) of the controls (p<0.001). The former also rated their discussion more highly; 34% (45) of the intervention customers compared with 16% (25) of the controls rated it as "very useful" (p = 0.048). Assuming non-responders had lapsed, one-month point prevalence of abstinence was claimed by 30% of intervention customers and 24% of controls (p = 0.12); four months' continuous abstinence was claimed by 16% of intervention customers and 11% of controls (p = 0.094); and nine months' continuous abstinence was claimed by 12% of intervention customers and 7% of controls (p = 0.089). These trends in outcome were not affected by potential confounders (sex, age, socioeconomic status, nicotine dependence, and type of nicotine replacement product used) or adjustment for clustering.Conclusions-The intervention was associated with increased and more highly rated counselling, and a trend toward abstinence was intervention higher smoking cessation rates, indicating that community pharmacy personnel have the potential to make a significant contribution to national smoking cessation targets.

KW - community pharmacy

KW - health education

KW - smoking cessation

KW - COMMUNITY PHARMACIST

M3 - Article

VL - 7

SP - 253

EP - 261

JO - Tobacco Control

JF - Tobacco Control

SN - 0964-4563

ER -