Department of Pediatrics, University of Mississippi Medical Center, Jackson, Mississippi, U.S.A.
Laryngoscope. 2013 Dec;123(12):3005-9. doi: 10.1002/lary.23513. Epub 2013 Oct 1.
OBJECTIVES/HYPOTHESIS: Although one in five U.S. adults continue to smoke, healthcare providers often fail to provide basic, effective interventions. This is particularly true for physician specialists. This study sought to investigate perceived role, self-efficacy, practice behaviors, and attitudes among otolaryngologists as they relate to the delivery of tobacco treatment services.
This study involved a single administration of a survey questionnaire to current members of the American Academy of Otolaryngology Head and Neck Surgery (AAO-HNS).
A questionnaire was mailed up to three times to active members.
Survey response rate was 39% (N = 2127). Based on an evaluation of treatment factors categorized according to the National Cancer Institute's 5A's approach, trained providers generally rated themselves consistently higher than untrained providers across areas of clinical activity. Minimal differences were noted for Ask and Advise, moderate for Assess, and the greatest for Assist and Arrange. Trained providers also indicated more positive attitudes towards treatment.
While the level of performance was reasonable for otolaryngologists relative to other specialists in the published literature, overall tobacco treatment activity remains unacceptably low. This study suggests the positive impact of training and the potential value of making such experiences widely available.
目的/假设：尽管五分之一的美国成年人仍在吸烟，但医疗保健提供者经常未能提供基本、有效的干预措施。这对于医师专家来说尤其如此。本研究旨在调查耳鼻喉科医生在提供烟草治疗服务方面的感知角色、自我效能、实践行为和态度。
本研究涉及向美国耳鼻喉科学会（AAO-HNS）的现任成员单次管理问卷调查。
向活跃成员邮寄了多达三次问卷。
调查回复率为 39%（N=2127）。根据根据美国国家癌症研究所的 5A 方法对治疗因素进行分类评估，经过培训的提供者在临床活动的各个领域普遍自我评估高于未经培训的提供者。在询问和建议方面差异最小，在评估方面差异适中，在协助和安排方面差异最大。经过培训的提供者也对治疗表现出更积极的态度。
尽管与已发表文献中的其他专家相比，耳鼻喉科医生的表现水平合理，但整体烟草治疗活动仍然低得令人无法接受。本研究表明培训的积极影响以及广泛提供此类经验的潜在价值。
