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Barriers and Pathways to Changing Smoking and Risky Drinking in Primary Care Patients With Chronic Conditions Who Failed to Respond to Brief Advice
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Overview
Many individuals who smoke tobacco or consume alcohol at hazardous levels have chronic conditions that are caused or exacerbated by these behaviors. How might you help these patients to change?
Read the whole article at psychiatrist.com here:
Barriers and Pathways to Changing Smoking and Risky Drinking in Primary Care Patients With Chronic Conditions Who Failed to Respond to Brief Advice
© Copyright 2021 Physicians Postgraduate Press, Inc.
Target Audience
Primary care clinicians
Learning Objectives
Educate patients about the link(s) between their smoking and/or risky drinking and specific problems resulting from associated health conditions
CME Background
Articles are selected for credit designation based on an assessment of the educational needs of CME participants, with the purpose of providing readers with a curriculum of CME articles on a variety of topics throughout each volume. Activities are planned using a process that links identified needs with desired results.
CME Objective
After studying this article, you should be able to:
- Educate patients about the link(s) between their smoking and/or risky drinking and specific problems resulting from associated health conditions
Statement of Need and Purpose
Providers need education on an intervention designed to target patients who have failed to respond to brief advice on smoking and drinking. Such an intervention should incorporate the recognition that reasons for not changing are motivational and educational in nature. A potential effective intervention may involve (1) briefly discussing with the patient specific health concerns, (2) providing information regarding the link between the patient’s smoking/drinking and their health conditions, and (3) discussing specific barriers to the patient making a change.
Release, Expiration, and Review Dates
This educational activity was published in August 2021 and is eligible for AMA PRA Category 1 Credit™ through August 23, 2023. The latest review of this material was August 2021.
Disclosure of Off-Label Usage
The authors have determined that, to the best of their knowledge, no investigational information about pharmaceutical agents or device therapies that is outside US Food and Drug Administration–approved labeling has been presented in this article.
Funding/Support
This study was supported by a VA Center for Integrated Healthcare Pilot Program grant in the amount of $14,577. Writing of this manuscript was supported in part by the Department of Veterans Affairs Office of Academic Affiliations, Advanced Fellowship Program in Mental Illness Research and Treatment, the VA Center for Integrated Healthcare, VA Western New York Healthcare System at Buffalo. Dr Gass is supported by the VA Office of Research and Development, Health Services Research and Development Career Development Award Program (grant K2 HX002610).
Role of the Sponsor
The sponsor (VA Center for Integrated Healthcare) provided feedback on study design prior to funding this project.
Disclaimer
The views expressed in this article are those of the authors alone and do not represent the US Federal Government or the Department of Veterans Affairs.
Previous presentation
Portions of this study have been presented at the 2019 Annual Meeting at the Research Society on Alcoholism; June 22–26, 2019; Minneapolis Minnesota.
Additional information
The data underlying this article cannot be shared publicly due to it including protected federally regulated VHA-electronic medical record data. All procedures in this study were approved by the VA Western New York Healthcare System Institutional Review Board.
Faculty Affiliation
Julie C. Gass, PhD*
VA Center for Integrated Healthcare, Western New York VA Healthcare System, and University at Buffalo, State University of New York, Department of Psychology, Buffalo, New York
Jennifer S. Funderburk, PhD
VA Center for Integrated Healthcare, Syracuse VA Medical Center; Department of Psychology, Syracuse University, Syracuse, New York; and Department of Psychiatry University of Rochester, Rochester, New York
Stephen A. Maisto, PhD
VA Center for Integrated Healthcare, Syracuse VA Medical Center, Syracuse, and Department of Psychology, Syracuse University, Syracuse, New York
*Corresponding author: Julie C. Gass, PhD, 3495 Bailey Ave, 116(N), Buffalo, NY 14215 (julie.gass@va.gov).
Financial Disclosure
All individuals in a position to influence the content of this activity were asked to complete a statement regarding all relevant personal financial relationships between themselves or their spouse/partner and any commercial interest. The CME Institute has resolved any conflicts of interest that were identified. In the past year, Marlene P. Freeman, MD, Editor in Chief of The Journal of Clinical Psychiatry, has received research funding from JayMac and Sage; has been a member of the advisory boards for Otsuka, Alkermes, and Sunovion; has been a member of the Independent Data Safety and Monitoring Committee for Janssen; has been a member of the Steering Committee for Educational Activities for Medscape; and, as a Massachusetts General Hospital (MGH) employee, works with the MGH National Pregnancy Registry, which is sponsored by Teva, Alkermes, Otsuka, Actavis, and Sunovion, and works with the MGH Clinical Trials Network and Institute, which receives research funding from multiple pharmaceutical companies and the National Institute of Mental Health. No member of the CME Institute staff reported any relevant personal financial relationships.
The authors have no personal affiliations or financial relationships with any commercial interest to disclose relative to this article.
Accreditation Statement
The CME Institute of Physicians Postgraduate Press, Inc., is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
Credit Designation
The CME Institute of Physicians Postgraduate Press, Inc., designates this journal-based CME activity for a maximum of 1.00 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Note: The American Nurses Credentialing Center (ANCC) and the American Academy of Physician Assistants (AAPA) accept certificates of participation for educational activities certified for AMA PRA Category 1 Credit™ from organizations accredited by the ACCME.
Available Credit
- 1.00 AMA PRA Category 1 Credit™
- 1.00 Participation