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. 2002 May;94(5):354–363.

Factors associated with patient-recalled smoking cessation advice in a low-income clinic.

Kathryn I Pollak 1, Kimberly S H Yarnall 1, Barbara K Rimer 1, Isaac Lipkus 1, Pauline R Lyna 1
PMCID: PMC2594330  PMID: 12069216

Abstract

It is recommended that providers advise cessation to their patients who smoke. However, patients' reports of cessation advice indicate disparities based on patients' race, gender, age, and smoking level. Providers' reports do not corroborate these disparities. We investigated whether smokers who receive their care in a community health center recalled their providers advising them to quit smoking when their providers documented such advice. We examined 219 patient-provider dyads to assess factors associated with lack of agreement between providers' documentation and patient recall. Patients were asked to recall any provider advice to quit smoking in the post 2 years. After every visit, providers completed a form to record the content of the visit. Most of the patients were African American, married, and uninsured. Sixty-eight percent of the dyads agreed in their documentation/recall. Patient race was the only factor associated with lack of agreement; African-American patients were more likely than white patients to provide discrepant reports. Although this study can not disentangle the racial difference in patient-provider recall/documentation, results may indicate an important area in which health disparities exist. Future studies should address the dynamics of patient-provider communication about smoking cessation, especially in populations that include ethnically diverse patients.

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Selected References

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  1. Ahluwalia J. S., Gibson C. A., Kenney R. E., Wallace D. D., Resnicow K. Smoking status as a vital sign. J Gen Intern Med. 1999 Jul;14(7):402–408. doi: 10.1046/j.1525-1497.1999.09078.x. [DOI] [PMC free article] [PubMed] [Google Scholar]
  2. Chernof B. A., Sherman S. E., Lanto A. B., Lee M. L., Yano E. M., Rubenstein L. V. Health habit counseling amidst competing demands: effects of patient health habits and visit characteristics. Med Care. 1999 Aug;37(8):738–747. doi: 10.1097/00005650-199908000-00004. [DOI] [PubMed] [Google Scholar]
  3. Cooper-Patrick L., Gallo J. J., Gonzales J. J., Vu H. T., Powe N. R., Nelson C., Ford D. E. Race, gender, and partnership in the patient-physician relationship. JAMA. 1999 Aug 11;282(6):583–589. doi: 10.1001/jama.282.6.583. [DOI] [PubMed] [Google Scholar]
  4. Cummings K. M., Giovino G., Sciandra R., Koenigsberg M., Emont S. L. Physician advice to quit smoking: who gets it and who doesn't. Am J Prev Med. 1987 Mar-Apr;3(2):69–75. [PubMed] [Google Scholar]
  5. Daskalakis C., Goldberg R. J., Ockene J. K., Kalan K., Hosmer D. W., Jr, Pbert L. Comparison of patients' and their resident physicians' responses regarding smoking-cessation interventions. Acad Med. 1993 Feb;68(2):168–170. doi: 10.1097/00001888-199302000-00018. [DOI] [PubMed] [Google Scholar]
  6. Demers R. Y., Neale A. V., Adams R., Trembath C., Herman S. C. The impact of physicians' brief smoking cessation counseling: a MIRNET study. J Fam Pract. 1990 Dec;31(6):625–629. [PubMed] [Google Scholar]
  7. DiMatteo M. R. The role of the physician in the emerging health care environment. West J Med. 1998 May;168(5):328–333. [PMC free article] [PubMed] [Google Scholar]
  8. Friedman C., Brownson R. C., Peterson D. E., Wilkerson J. C. Physician advice to reduce chronic disease risk factors. Am J Prev Med. 1994 Nov-Dec;10(6):367–371. [PubMed] [Google Scholar]
  9. Gilpin E. A., Pierce J. P., Johnson M., Bal D. Physician advice to quit smoking: results from the 1990 California Tobacco Survey. J Gen Intern Med. 1993 Oct;8(10):549–553. doi: 10.1007/BF02599637. [DOI] [PubMed] [Google Scholar]
  10. Goldstein M. G., DePue J. D., Monroe A. D., Lessne C. W., Rakowski W., Prokhorov A., Niaura R., Dubé C. E. A population-based survey of physician smoking cessation counseling practices. Prev Med. 1998 Sep-Oct;27(5 Pt 1):720–729. doi: 10.1006/pmed.1998.0350. [DOI] [PubMed] [Google Scholar]
  11. Goldstein M. G., Niaura R., Willey-Lessne C., DePue J., Eaton C., Rakowski W., Dubé C. Physicians counseling smokers. A population-based survey of patients' perceptions of health care provider-delivered smoking cessation interventions. Arch Intern Med. 1997 Jun 23;157(12):1313–1319. doi: 10.1001/archinte.157.12.1313. [DOI] [PubMed] [Google Scholar]
  12. Hall J. A., Stein T. S., Roter D. L., Rieser N. Inaccuracies in physicians' perceptions of their patients. Med Care. 1999 Nov;37(11):1164–1168. doi: 10.1097/00005650-199911000-00008. [DOI] [PubMed] [Google Scholar]
  13. Hymowitz N., Jackson J., Carter R., Eckholdt H. Past quit smoking assistance and doctors' advice for white and African-American smokers. J Natl Med Assoc. 1996 Apr;88(4):249–252. [PMC free article] [PubMed] [Google Scholar]
  14. Jaén C. R., Crabtree B. F., Zyzanski S. J., Goodwin M. A., Stange K. C. Making time for tobacco cessation counseling. J Fam Pract. 1998 May;46(5):425–428. [PubMed] [Google Scholar]
  15. Lipkus I. M., Lyna P. R., Rimer B. K. Using tailored interventions to enhance smoking cessation among African-Americans at a community health center. Nicotine Tob Res. 1999 Mar;1(1):77–85. doi: 10.1080/14622299050011181. [DOI] [PubMed] [Google Scholar]
  16. McIlvain H., Susman J. L., Davis C., Gilbert C. Physician counseling for smoking cessation: is the glass half empty? J Fam Pract. 1995 Feb;40(2):148–152. [PubMed] [Google Scholar]
  17. Murray-García J. L., Selby J. V., Schmittdiel J., Grumbach K., Quesenberry C. P., Jr Racial and ethnic differences in a patient survey: patients' values, ratings, and reports regarding physician primary care performance in a large health maintenance organization. Med Care. 2000 Mar;38(3):300–310. doi: 10.1097/00005650-200003000-00007. [DOI] [PubMed] [Google Scholar]
  18. Nicholson J. M., Hennrikus D. J., Lando H. A., McCarty M. C., Vessey J. Patient recall versus physician documentation in report of smoking cessation counselling performed in the inpatient setting. Tob Control. 2000 Dec;9(4):382–388. doi: 10.1136/tc.9.4.382. [DOI] [PMC free article] [PubMed] [Google Scholar]
  19. Ockene J. K., Kristeller J., Pbert L., Hebert J. R., Luippold R., Goldberg R. J., Landon J., Kalan K. The physician-delivered smoking intervention project: can short-term interventions produce long-term effects for a general outpatient population? Health Psychol. 1994 May;13(3):278–281. doi: 10.1037//0278-6133.13.3.278. [DOI] [PubMed] [Google Scholar]
  20. Ockene J. K., Zapka J. G. Physician-based smoking intervention: a rededication to a five-step strategy to smoking research. Addict Behav. 1997 Nov-Dec;22(6):835–848. doi: 10.1016/s0306-4603(97)00065-8. [DOI] [PubMed] [Google Scholar]
  21. Okuyemi K. S., Ahluwalia J. S., Richter K. P., Mayo M. S., Resnicow K. Differences among African American light, moderate, and heavy smokers. Nicotine Tob Res. 2001 Feb;3(1):45–50. doi: 10.1080/14622200020032097. [DOI] [PubMed] [Google Scholar]
  22. Pbert L., Adams A., Quirk M., Hebert J. R., Ockene J. K., Luippold R. S. The patient exit interview as an assessment of physician-delivered smoking intervention: a validation study. Health Psychol. 1999 Mar;18(2):183–188. doi: 10.1037//0278-6133.18.2.183. [DOI] [PubMed] [Google Scholar]
  23. Pérez-Stable E. J., Herrera B., Jacob P., 3rd, Benowitz N. L. Nicotine metabolism and intake in black and white smokers. JAMA. 1998 Jul 8;280(2):152–156. doi: 10.1001/jama.280.2.152. [DOI] [PubMed] [Google Scholar]
  24. Richmond R. L. Physicians can make a difference with smokers: evidence-based clinical approaches. Presentation given during the Symposium on Smoking Cessation at the 29th World Conference of the IUATLD/UICTMR and Global Congress on Lung Health, Bangkok, Thailand, 23-26 November 1998. International Union Against Tuberculosis and Lung Disease. Int J Tuberc Lung Dis. 1999 Feb;3(2):100–112. [PubMed] [Google Scholar]
  25. Rimer B. K., Conaway M., Lyna P., Glassman B., Yarnall K. S., Lipkus I., Barber L. T. The impact of tailored interventions on a community health center population. Patient Educ Couns. 1999 Jun;37(2):125–140. doi: 10.1016/s0738-3991(98)00122-0. [DOI] [PubMed] [Google Scholar]
  26. Rogers L. Q., Johnson K. C., Young Z. M., Graney M. Demographic bias in physician smoking cessation counseling. Am J Med Sci. 1997 Mar;313(3):153–158. doi: 10.1097/00000441-199703000-00005. [DOI] [PubMed] [Google Scholar]
  27. Roter D. L., Russell N. K. Validity of physician self-report in tracking patient education objectives. Health Educ Q. 1994 Spring;21(1):27–38. doi: 10.1177/109019819402100105. [DOI] [PubMed] [Google Scholar]
  28. Saywell R. M., Jay S. J., Lukas P. J., Casebeer L. L., Mybeck K. C., Parchman M. L., Haley A. J. Indiana family physician attitudes and practices concerning smoking cessation. Indiana Med. 1996 Mar-Apr;89(2):149–156. [PubMed] [Google Scholar]
  29. Starfield B., Wray C., Hess K., Gross R., Birk P. S., D'Lugoff B. C. The influence of patient-practitioner agreement on outcome of care. Am J Public Health. 1981 Feb;71(2):127–131. doi: 10.2105/ajph.71.2.127. [DOI] [PMC free article] [PubMed] [Google Scholar]
  30. Thorndike A. N., Rigotti N. A., Stafford R. S., Singer D. E. National patterns in the treatment of smokers by physicians. JAMA. 1998 Feb 25;279(8):604–608. doi: 10.1001/jama.279.8.604. [DOI] [PubMed] [Google Scholar]
  31. Ward J., Sanson-Fisher R. Does a 3-day workshop for family medicine trainees improve preventive care? A randomized control trial. Prev Med. 1996 Nov-Dec;25(6):741–747. doi: 10.1006/pmed.1996.0114. [DOI] [PubMed] [Google Scholar]
  32. Winkleby M. A., Schooler C., Kraemer H. C., Lin J., Fortmann S. P. Hispanic versus white smoking patterns by sex and level of education. Am J Epidemiol. 1995 Aug 15;142(4):410–418. doi: 10.1093/oxfordjournals.aje.a117649. [DOI] [PubMed] [Google Scholar]
  33. Yarnall K. S., Rimer B. K., Hynes D., Watson G., Lyna P. R., Woods-Powell C. T., Terrenoire J., Barber L. T. Computerized prompts for cancer screening in a community health center. J Am Board Fam Pract. 1998 Mar-Apr;11(2):96–104. doi: 10.3122/15572625-11-2-96. [DOI] [PubMed] [Google Scholar]
  34. Young J. M., Ward J. E. Influence of physician and patient gender on provision of smoking cessation advice in general practice. Tob Control. 1998 Winter;7(4):360–363. doi: 10.1136/tc.7.4.360. [DOI] [PMC free article] [PubMed] [Google Scholar]
  35. Zapka J. G., Pbert L., Stoddard A. M., Ockene J. K., Goins K. V., Bonollo D. Smoking cessation counseling with pregnant and postpartum women: a survey of community health center providers. Am J Public Health. 2000 Jan;90(1):78–84. doi: 10.2105/ajph.90.1.78. [DOI] [PMC free article] [PubMed] [Google Scholar]
  36. van Ryn M., Burke J. The effect of patient race and socio-economic status on physicians' perceptions of patients. Soc Sci Med. 2000 Mar;50(6):813–828. doi: 10.1016/s0277-9536(99)00338-x. [DOI] [PubMed] [Google Scholar]

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