Zubair Afzal1, Elizabeth Pogge2, Virginia Boomershine3. 1. 1 Walgreens Specialty Pharmacy, Phoenix, AZ, USA. 2. 2 Department of Pharmacy Practice, Midwestern University College of Pharmacy-Glendale, Glendale, AZ, USA. 3. 3 Ambulatory Clinical Pharmacy System Senior Manager, Banner Pharmacy Services, Phoenix, AZ, USA.
Abstract
PURPOSE: To evaluate the efficacy of a smoking cessation program led by a pharmacist and a nurse practitioner. METHODS: During a 6-month period, patients attended 7 one-on-one face-to-face smoking cessation counseling sessions with a pharmacist and 1 to 2 one-on-one face-to-face smoking cessation counseling sessions with a nurse practitioner. The primary outcome was smoking cessation point prevalence rates at months 1, 3, and 5 post-quit date. Secondary outcomes included medication adherence rates at months 1, 3, and 5 post-quit date, nicotine dependence at baseline versus program end, and patient satisfaction. RESULTS: Nine (47%) of 19 total participants completed the program. Seven of the 9 patients who completed the program were smoke-free upon study completion. Point prevalence rates at months 1, 3, and 5 post-quit date were 66%, 77%, and 77%, respectively, based on patients who completed the program. Medication adherence rates were 88.6%, 54.6%, and 75% at months 1, 3, and 5 post-quit date, respectively. Based on the Fagerstrom test, nicotine dependence decreased from baseline to the end of the study, 4.89 to 0.33 ( P < .001). Overall, participants rated the program highly. CONCLUSION: A joint pharmacist and nurse practitioner smoking cessation program can assist patients in becoming smoke-free.
PURPOSE: To evaluate the efficacy of a smoking cessation program led by a pharmacist and a nurse practitioner. METHODS: During a 6-month period, patients attended 7 one-on-one face-to-face smoking cessation counseling sessions with a pharmacist and 1 to 2 one-on-one face-to-face smoking cessation counseling sessions with a nurse practitioner. The primary outcome was smoking cessation point prevalence rates at months 1, 3, and 5 post-quit date. Secondary outcomes included medication adherence rates at months 1, 3, and 5 post-quit date, nicotine dependence at baseline versus program end, and patient satisfaction. RESULTS: Nine (47%) of 19 total participants completed the program. Seven of the 9 patients who completed the program were smoke-free upon study completion. Point prevalence rates at months 1, 3, and 5 post-quit date were 66%, 77%, and 77%, respectively, based on patients who completed the program. Medication adherence rates were 88.6%, 54.6%, and 75% at months 1, 3, and 5 post-quit date, respectively. Based on the Fagerstrom test, nicotine dependence decreased from baseline to the end of the study, 4.89 to 0.33 ( P < .001). Overall, participants rated the program highly. CONCLUSION: A joint pharmacist and nurse practitioner smoking cessation program can assist patients in becoming smoke-free.
Authors: Brian C Shonesy; Donald Williams; Damian Simmons; Erin Dorval; Stuart Gitlow; Richard M Gustin Journal: J Addict Med Date: 2019 Sep/Oct Impact factor: 3.702