Using a Stage-of-Change Stamp to Identify and Advise College Smokers in a Student Health Clinic

2.50
Hdl Handle:
http://hdl.handle.net/10755/150087
Type:
Presentation
Title:
Using a Stage-of-Change Stamp to Identify and Advise College Smokers in a Student Health Clinic
Abstract:
Using a Stage-of-Change Stamp to Identify and Advise College Smokers in a Student Health Clinic
Conference Sponsor:Sigma Theta Tau International
Conference Year:2003
Author:Kelley, Frances J., PhD, RN, FNP
P.I. Institution Name:Georgetown University
Title:Coordinator Family Nurse Practitioner Program
Co-Authors:Sue A. Thomas, PhD, RN, FAAN; Erika Friedmann, PhD
Objective: To increase identification of students who smoke and to increase cessation advice by college health practitioners Design: Utilized retrospective chart reviews to assess effectiveness of system changes related to tobacco use identification and advice documentation Population, Sample, Setting: The study was conducted at a college student health clinic that supports a college population of 11,500 students. All undergraduate student medical charts were reviewed for visits in the year before and the year after stamp introduction Methods: Baseline data for current tobacco use and smoking cessation advice was obtained from chart review . Staff were instructed to stamp each record, ask every student about tobacco use and to ask smokers about plans to quit smoking. Providers were given pocket-sized cards defining stages of change and suggested stage-specific strategies for advisement. A second chart review evaluated the effectiveness of a vital sign and smoking identification stamp to increase identification of smokers and smoking cessation advice. Findings: Over 6000 records were reviewed each year. There was no significant increase in the identification of smokers after stamp initiation. There was a significant increase in the amount of smoking cessation advice given and documented. Conclusions: Identification of smokers remains a challenge in student health clinics. Only 17.7% of the students were identified as smokers. This is lower than 1999 national student college smoking rates of 28.4% . Frequency of identification of smoking status did not differ after initiation of stamp. After system changes, frequency of documentation of advice increased although documentation of advice continued to be low. Implications: Visits in student health clinics are symptom focused rather than well visits. Creative solutions are needed to increase smoking cessation advice with all encounters with primary care providers.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleUsing a Stage-of-Change Stamp to Identify and Advise College Smokers in a Student Health Clinicen_GB
dc.identifier.urihttp://hdl.handle.net/10755/150087-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Using a Stage-of-Change Stamp to Identify and Advise College Smokers in a Student Health Clinic</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2003</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Kelley, Frances J., PhD, RN, FNP</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Georgetown University</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Coordinator Family Nurse Practitioner Program</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">Kelleyj@georgetown.edu</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Sue A. Thomas, PhD, RN, FAAN; Erika Friedmann, PhD</td></tr><tr><td colspan="2" class="item-abstract">Objective: To increase identification of students who smoke and to increase cessation advice by college health practitioners Design: Utilized retrospective chart reviews to assess effectiveness of system changes related to tobacco use identification and advice documentation Population, Sample, Setting: The study was conducted at a college student health clinic that supports a college population of 11,500 students. All undergraduate student medical charts were reviewed for visits in the year before and the year after stamp introduction Methods: Baseline data for current tobacco use and smoking cessation advice was obtained from chart review . Staff were instructed to stamp each record, ask every student about tobacco use and to ask smokers about plans to quit smoking. Providers were given pocket-sized cards defining stages of change and suggested stage-specific strategies for advisement. A second chart review evaluated the effectiveness of a vital sign and smoking identification stamp to increase identification of smokers and smoking cessation advice. Findings: Over 6000 records were reviewed each year. There was no significant increase in the identification of smokers after stamp initiation. There was a significant increase in the amount of smoking cessation advice given and documented. Conclusions: Identification of smokers remains a challenge in student health clinics. Only 17.7% of the students were identified as smokers. This is lower than 1999 national student college smoking rates of 28.4% . Frequency of identification of smoking status did not differ after initiation of stamp. After system changes, frequency of documentation of advice increased although documentation of advice continued to be low. Implications: Visits in student health clinics are symptom focused rather than well visits. Creative solutions are needed to increase smoking cessation advice with all encounters with primary care providers.</td></tr></table>en_GB
dc.date.available2011-10-26T10:16:10Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T10:16:10Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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