Verbiest, M;
Brakema, E;
van der Kleij, R;
Sheals, K;
Allistone, G;
Williams, S;
McEwen, A;
(2017)
National guidelines for smoking cessation in primary care: a literature review and evidence analysis.
npj Primary Care Respiratory Medicine
, 27
, Article 2. 10.1038/s41533-016-0004-8.
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Abstract
National guidelines for smoking cessation in primary care can be effective in improving clinical practice. This study assessed which parties are involved in the development of such guidelines worldwide, which national guidelines address primary care, what recommendations are made for primary care settings, and how these recommendations correlate with each other and with current evidence. We identified national guidelines using an online resource. Only the most recent version of a guideline was included. If an English version was not available, we requested a translation or summary of the recommendations from the authors. Two researchers independently extracted data on funding sources, development methodologies, involved parties, and recommendations made within the guidelines. These recommendations were categorised using the pile-sort method. Each recommendation was cross-checked with the latest evidence and was awarded an evidence-rating. We identified 43 guidelines from 39 countries and after exclusion, we analysed 26 guidelines (22 targeting general population, 4 targeted subpopulations). Twelve categories of recommendations for primary care were identified. There was almost universal agreement regarding the need to identify smokers, advice them to quit and offer behavioural and pharmacological quit smoking support. Discrepancies were greatest for specific recommendations regarding behavioural and pharmacological support, which are likely to be due to different interpretations of evidence and/or differences in contextual health environments. Based on these findings, we developed a universal checklist of guideline recommendations as a practice tool for primary care professionals and future guideline developers.
| Type: | Article |
|---|---|
| Title: | National guidelines for smoking cessation in primary care: a literature review and evidence analysis |
| Open access status: | An open access version is available from UCL Discovery |
| DOI: | 10.1038/s41533-016-0004-8 |
| Publisher version: | http://dx.doi.org/10.1038/s41533-016-0004-8 |
| Language: | English |
| Additional information: | © The Author(s) 2017. This work is licensed under a Creative Commons Attribution 4.0 International License. The images or other third party material in this articleareincludedinthearticle ’ sCreativeCommonslicense,unlessindicatedotherwise in the credit line; if the material is not included under the Creative Commons license, users will need to obtain permission from the license holder to reproduce the material. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/ |
| Keywords: | Science & Technology, Life Sciences & Biomedicine, Primary Health Care, Respiratory System, General & Internal Medicine, Countries, Services, Lifestyle modification, Public health |
| UCL classification: | UCL |
| URI: | https://discovery.ucl.ac.uk/id/eprint/1542474 |
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