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The Top Priority: Building a Better System for Tobacco-Cessation Counseling

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    • A pilot study of Counsel to Quit®: Evaluating an Ask Advise Refer (AAR)-based tobacco cessation training for medical and mental healthcare providers

      2019, Journal of Substance Abuse Treatment
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      Beliefs that tobacco interventions are too time-consuming and/or ineffective, which appear to be particularly problematic among mental healthcare practitioners (Johnston et al., 2005; Johnson et al., 2009; Ratschen, Britton, Doody, Leonardi-Bee, & McNeill, 2009; Rogers, Gillespie, Smelson, & Sherman, 2018; Williams et al., 2014) have also proven to be a significant barrier for AAR implementation (Vogt et al., 2005). However, research indicates that effective training in the AAR model can improve providers' self-efficacy and preparedness for intervention (Applegate et al., 2008; Sheffer, Barone, & Anders, 2009; Turker et al., 2014; Williams et al., 2014) and increase tobacco intervention referrals (Greenwood et al., 2012; Orleans et al., 2006; Warner et al., 2011). To increase the utilization of AAR smoking approaches across healthcare settings, brief (e.g., one-hour) and standardized tobacco counseling trainings have been developed and evaluated (Sheffer et al., 2009; Verbiest et al., 2014).

    • Smoking cessation and the cardiovascular specialist: Canadian cardiovascular society position paper

      2011, Canadian Journal of Cardiology
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      Introduce a systematic approach to the delivery of smoking cessation interventions in all of their professional settings. Clinical practice guidelines have stressed the importance of system changes to embed treatment for nicotine dependence in institutional policies and practice.26,59,60 Examples of systems to promote smoking cessation during hospitalization for CAD have recently been described.3,19,61

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    Senior authorship equally shared.

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