CDC COMMUNITY GUIDE: Increasing Tobacco Use Cessation: Provider Reminders with Provider Education
CDC
An Evidence-Based Practice
Description
Provider reminder systems with provider education are multicomponent strategies to increase tobacco use cessation. These strategies include efforts to educate and to prompt providers to identify and intervene with tobacco-using clients, as well as to provide additional educational materials. The components of this intervention are a provider reminder system and a provider education program with or without client education materials such as self-help cessation manuals.
The Community Preventive Services Task Force recommends provider reminder systems with a provider education program with or without educational materials for tobacco- using clients based on strong evidence of effectiveness that this combination:
1. Increases provider delivery of advice to quit to tobacco using clients
2. Increases client tobacco use cessation
This recommendation reflects the evidence of effectiveness of the most common combination evaluated, as the contribution of the individual components to overall effectiveness of these interventions could not be determined.
Provider reminder systems are recommended:
1. Whether used alone or as part of a multicomponent intervention (Provider Reminder Systems with Provider Education)
2. Across a range of intervention characteristics (chart stickers, checklists, and flowcharts), and
3. In a variety of clinical settings and populations
The Community Preventive Services Task Force recommends provider reminder systems with a provider education program with or without educational materials for tobacco- using clients based on strong evidence of effectiveness that this combination:
1. Increases provider delivery of advice to quit to tobacco using clients
2. Increases client tobacco use cessation
This recommendation reflects the evidence of effectiveness of the most common combination evaluated, as the contribution of the individual components to overall effectiveness of these interventions could not be determined.
Provider reminder systems are recommended:
1. Whether used alone or as part of a multicomponent intervention (Provider Reminder Systems with Provider Education)
2. Across a range of intervention characteristics (chart stickers, checklists, and flowcharts), and
3. In a variety of clinical settings and populations
Results / Accomplishments
Results from the Systematic Reviews:
Thirty-one studies qualified for the review.
• For interventions that included at least a provider reminder system and a provider education program:
- The number of clients who received advice from a provider to quit tobacco use increased by a median of 20.0 percentage points.
- There was a median 4.7 percentage point increase in the number of clients who quit tobacco use.
• For interventions that included provider reminders, provider education and client education:
- Provider advice to quit increased by a median of 22.0 percentage points.
- The number of clients who quit increased by a median of 5.7 percentage points.
• These programs are applicable in different settings, populations, and with different forms of tobacco.
• Studies were carried out in a variety of healthcare settings including HMOs, private practices, physician training programs, and public health clinics as well as in provider populations such as primary care, internal, and family medicine.
Thirty-one studies qualified for the review.
• For interventions that included at least a provider reminder system and a provider education program:
- The number of clients who received advice from a provider to quit tobacco use increased by a median of 20.0 percentage points.
- There was a median 4.7 percentage point increase in the number of clients who quit tobacco use.
• For interventions that included provider reminders, provider education and client education:
- Provider advice to quit increased by a median of 22.0 percentage points.
- The number of clients who quit increased by a median of 5.7 percentage points.
• These programs are applicable in different settings, populations, and with different forms of tobacco.
• Studies were carried out in a variety of healthcare settings including HMOs, private practices, physician training programs, and public health clinics as well as in provider populations such as primary care, internal, and family medicine.
About this Promising Practice
Primary Contact
The Community Guide
1600 Clifton Rd, NE
MS E69
Atlanta, GA 30329
(404) 498-1827
communityguide@cdc.gov
https://www.thecommunityguide.org/
1600 Clifton Rd, NE
MS E69
Atlanta, GA 30329
(404) 498-1827
communityguide@cdc.gov
https://www.thecommunityguide.org/
Topics
Health / Alcohol & Drug Use
Source
Community Guide Branch Epidemiology and Analysis Program Office, Centers for Disease Control and Prevention
Location
USA
For more details
Target Audience
Adults