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Grant Details

Grant Number: 5R01CA129312-03 Interpret this number
Primary Investigator: Hudmon, Karen
Organization: Purdue University
Project Title: Ask, Advise, Refer: Promoting Pharmacy-Based Referrals to Tobacco Quitlines
Fiscal Year: 2010


Abstract

DESCRIPTION (provided by applicant): Community pharmacies, as a key interface between the health-care system and the general public, have the potential to substantially reduce the prevalence of tobacco use-particularly among key population groups for which tobacco use is a major risk factor for development or exacerbation of diseases requiring prescription medications. While the busy community pharmacy environment is not typically conducive to comprehensive tobacco cessation counseling, it might be ideal for widespread implementation of brief interventions, such as asking about tobacco use, advising patients to quit, and referring patients to toll-free tobacco quitlines. In the proposed study, we will expand upon our ongoing collaboration with the UCSF Smoking Cessation Leadership Center and will team with Free & Clear, a nationally recognized provider of telephone-based counseling services. We propose a randomized trial to estimate the impact of two intervention approaches for generating pharmacy-based referrals to tobacco quitlines: MINIMAL INTERVENTION: pharmacies are provided, by mail, with printed quitline materials to be distributed by pharmacy personnel to patients who smoke, and ACADEMIC DETAILING: pharmacy personnel receive, via brief on-site training, print materials that parallel the minimal intervention group and DVD demonstrations that model the referral procedures. Community pharmacies in Connecticut (n=24) and Washington (n=24) will comprise the study population. Intervention impact will be assessed through measures of (a) the number of quitline referral cards provided to patients, (b) the number of incoming calls to the quitline originating from each participating pharmacy, and (c) the number of quitline counseling registrants that originate from each pharmacy. In addition, we will conduct a longitudinal survey of pharmacists and pharmacy clerks/technicians at each site, to assess self-reported tobacco cessation counseling and patient referral behavior and to identify factors associated with self-reported quitline referral practices. The Ask-Advise-Refer model to be advocated in this community-based intervention study is a feasible approach for integration into routine pharmacy practice. Nationwide, more than 50,000 community pharmacies employ approximately 144,000 pharmacists. If each pharmacist were to refer just one patient per week to a quitline, this would result in nearly 7.5 million referrals annually. PUBLIC HEALTH RELEVANCE: Community pharmacies, as a key interface between the health-care system and the general public, have the potential to substantially reduce the prevalence of tobacco use-particularly among key population groups for which tobacco use is a major risk factor for development or exacerbation of diseases requiring prescription medications (e.g., cardiovascular disease, pulmonary disease, and diabetes). The proposed project will evaluate an intervention to promote pharmacy-based referrals to tobacco quitlines, thereby engaging the pharmacy profession in taking a more active role toward reducing the prevalence of tobacco use in the United States.



Publications

Promoting pharmacy-based referrals to the tobacco quitline: a pilot study of academic detailing administered by pharmacy students.
Authors: Wahl K.R. , Woolf B.L. , Hoch M.A. , Zillich A.J. , Hudmon K.S. .
Source: Journal of pharmacy practice, 2015 Apr; 28(2), p. 162-5.
EPub date: 2013-12-18.
PMID: 24352809
Related Citations

Tobacco and alcohol sales in community pharmacies: policy statements from U.S. professional pharmacy associations.
Authors: Corelli R.L. , Chai T. , Karic A. , Fairman M. , Baez K. , Hudmon K.S. .
Source: Journal of the American Pharmacists Association : JAPhA, 2014 May-Jun; 54(3), p. 285-8.
PMID: 24770374
Related Citations

Tobacco cessation education for pharmacists: Face-to-face presentations versus live webinars.
Authors: Hudmon K.S. , Hoch M.A. , Vitale F.M. , Wahl K.R. , Corelli R.L. , de Moor C. .
Source: Journal of the American Pharmacists Association : JAPhA, 2014 Jan-Feb; 54(1), p. 42-4.
PMID: 24407740
Related Citations

Public perceptions of the ban on tobacco sales in San Francisco pharmacies.
Authors: Kroon L.A. , Corelli R.L. , Roth A.P. , Hudmon K.S. .
Source: Tobacco control, 2013 Nov; 22(6), p. 369-71.
EPub date: 2012-11-21.
PMID: 23172399
Related Citations

Recruitment of community pharmacies in a randomized trial to generate patient referrals to the tobacco quitline.
Authors: Corelli R.L. , Zillich A.J. , de Moor C. , Giuliano M.R. , Arnold J. , Fenlon C.M. , Douglas C.L. , Magnusson B. , Zbikowski S.M. , Prokhorov A.V. , et al. .
Source: Research in social & administrative pharmacy : RSAP, 2013 Jul-Aug; 9(4), p. 396-404.
EPub date: 2012-07-27.
PMID: 22841641
Related Citations

A randomized trial evaluating 2 approaches for promoting pharmacy-based referrals to the tobacco quitline: methods and baseline findings.
Authors: Zillich A.J. , Corelli R.L. , Zbikowski S.M. , Magnusson L.B. , Fenlon C.M. , Prokhorov A.V. , de Moor C. , Hudmon K.S. .
Source: Research in social & administrative pharmacy : RSAP, 2013 Jan-Feb; 9(1), p. 27-36.
EPub date: 2012-05-02.
PMID: 22554394
Related Citations

Pharmacists' perceptions of participation in a community pharmacy-based nicotine replacement therapy distribution program.
Authors: Hoch M.A. , Hudmon K.S. , Lee L. , Cupp R. , Aragon L. , Tyree R.A. , Corelli R.L. .
Source: Journal of community health, 2012 Aug; 37(4), p. 848-54.
PMID: 22143162
Related Citations

Availability of tobacco and alcohol products in Los Angeles community pharmacies.
Authors: Corelli R.L. , Aschebrook-Kilfoy B. , Kim G. , Ambrose P.J. , Hudmon K.S. .
Source: Journal of community health, 2012 Feb; 37(1), p. 113-8.
PMID: 21644021
Related Citations

Current approaches to pharmacotherapy for smoking cessation.
Authors: Hudmon K.S. , Corelli R.L. , Prokhorov A.V. .
Source: Therapeutic advances in respiratory disease, 2010 Feb; 4(1), p. 35-47.
EPub date: 2010-01-07.
PMID: 20056740
Related Citations

Outcomes of a randomized trial evaluating two approaches for promoting pharmacy-based referrals to the tobacco quitline.
Authors: Hudmon K.S. , Corelli R.L. , de Moor C. , Zillich A.J. , Fenlon C. , Miles L. , Prokhorov A.V. , Zbikowski S.M. .
Source: Journal of the American Pharmacists Association : JAPhA, 2018 Jul - Aug; 58(4), p. 387-394.
EPub date: 2018-05-18.
PMID: 29779983
Related Citations




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