Skip to main content

Advertisement

SpringerLink
Log in

Evidence-Based Practices to Promote Tobacco Cessation During Pregnancy in a Sample of Romanian General Practitioners

  • Original Paper
  • Published:
Journal of Community Health Aims and scope Submit manuscript

Abstract

Changes in confidence in implementing smoking cessation support for pregnant women was assessed among Romanian General Practitioners (GPs) before and after a training program of evidence-based clinical practices to promote quitting. The total number of physicians participating in the study was 69. Before training, 51% of GPs felt somewhat/very confident asking pregnant women about tobacco use, 39% assisted smokers with a quit plan, 38% arranged follow-up for patients. After training, 85–90% found the training informative/very informative on: how to ask patients if they smoke (89%), advising patients to quit (88%), talking about the benefits of quitting (85%), assessing patients readiness to quit (87%), assisting patients in setting a quit date (87%).

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1

Similar content being viewed by others

References

  1. Aryayev, M., Lowe, J. B., & Kuzmenko, T. (2014). The prevalence of and knowledge about tobacco use among physicians in the Odessa region Ukraine. European Journal of Public Health,24(3), 474–476.

    Article  Google Scholar 

  2. Centers for Disease Control and Prevention (CDC). (2013). Health-care provider screening for tobacco smoking and advice to quit—17 countries, 2008–2011. Morbidity and Mortality Weekly Report,62(46), 920–927.

    Google Scholar 

  3. Klein, D., Guenther, C., & Ross, S. (2016). Do as I say, not as I do. Lifestyles and counseling practices of physician faculty at the University of Alberta. The Official Journal of the College of Physician of Canada,62(7), e393–e399.

    Google Scholar 

  4. Lando, H. A. (2016). Promoting tobacco cessation in low- and middle-income countries. Journal of Smoking Cessation,11(2), 66–69.

    Article  Google Scholar 

  5. Man, M. A., Bondor, C., Pop, M., Râjnoveanu, R., Alexandrescu, D., & Rusu, G. (2009). Why do doctors smoke? Pneumologia,58(3), 195–200.

    PubMed  Google Scholar 

  6. Meghea, C. I., Rus, I. A., & Rus, D. (2012). Risk factors associated with nicotine dependence in a sample of Romanian pregnant smokers. European Journal of Obstetrics, Gynecology, and Reproductive Biology,163(1), 22–26.

    Article  CAS  Google Scholar 

  7. Ministry of Health Romania. (2012). Global Adult Tobacco Survey. Ed. Eikon; Cluj Napoca.

  8. Panaitescu, C., Moffat, M. A., Williams, S., Pinnock, H., Boros, M., Oana, C. S., et al. (2014). Barriers to the provision of smoking cessation assistance: A qualitative study among Romanian family physicians. NPJ Primary Care Respiratory Medicine,24, 14–22.

    Article  Google Scholar 

  9. Parascandola, M., & Bloch, M. (2016). The global laboratory of tobacco control: Research to advance tobacco cessation in LMICs. Journal of Smoking Cessation,11(2), 70–77.

    Article  Google Scholar 

  10. Romanian Society of Pneumology. (2008). Smoker’s guide to smoking and specialist smoking assistance (GREF). Retrieved October, 2018 from http://www.srp.ro/Tabacologie/Ghid-Renuntare-Fumat-GREFA.pdf.

  11. Ruta, F., Avram, C., Voidazan, S., Marginean, C., Bacarea, V., Abram, Z., et al. (2016). Active smoking and associated behavioural risk factors before and during pregnancy-prevalence and attitudes among newborns mothers in Mures County, Romania. Central European Journal of Public Health,24(4), 276–280.

    Article  Google Scholar 

  12. Smedberg, J., Lupattelli, A., Mårdby, A. C., & Nordeng, H. (2014). Characteristics of women who continue smoking during pregnancy: A cross-sectional study of pregnant women and new mothers in 15 European countries. BMC Pregnancy Childbirth,14, 213. https://doi.org/10.1186/1471-2393-14-213.

    Article  PubMed  PubMed Central  Google Scholar 

  13. Ulbricht, S., Meyer, C., Schumann, A., Rumpf, H. J., Hapke, U., & John, U. (2006). Provision of smoking cessation counseling by general practitioners assisted by training and screening procedure. Patient Education and Counseling,63(1–2), 232–238.

    Article  Google Scholar 

  14. Ulbricht, S., Meyer, C., Schumann, A., Rumpf, H. J., Bischof, G., Hapke, U., et al. (2004). Promoting the intention to quit smoking among patients in family medicine practice. Gesundheitswesen,66(8–9), 518–521.

    Article  CAS  Google Scholar 

  15. van Rossem, C., Spigt, M. G., Kleijsen, J. R., Hendricx, M., van Schayck, C. P., & Kotz, D. (2015). Smoking cessation in primary care: Exploration of barriers and solutions in current daily practice from the perspective of smokers and healthcare professionals. European Journal of General Practice,21(2), 111–117.

    PubMed  Google Scholar 

  16. Verbiest, M. E., Crone, M. R., Scharloo, M., Chavannes, N. H., van der Meer, V., Kaptein, A. A., et al. (2014). One-hour training for general practitioners in reducing the implementation gap of smoking cessation care: A cluster-randomized controlled trial. Nicotine & Tobacco Research,16(1), 1–10. https://doi.org/10.1093/ntr/ntt100.

    Article  Google Scholar 

  17. Ward, K. D. (2016). Tobacco intervention research in low-and middle-income countries: Lessons learned and future directions. Journal of Smoking Cessation,11(2), 61–64.

    Article  Google Scholar 

  18. World Health Organization (WHO). (2010). Guidelines for implementation of Article 14 of the WHO framework convention on tobacco control. Retrieved November 8, 2017 from http://www.who.int/fctc/Guidelines.pdf?ua=1.

  19. World Health Organization (WHO). (2014). Reporting instrument of the who framework convention on tobacco control. Retrieved October, 2018 from http://apps.who.int/fctc/implementation/database/sites/implementation/files/documents/reports/romania_2014_report_final.pdf.

Download references

Funding

This work was supported by the Fogarty International Center and the National Cancer Institute of the National Institutes of Health under Award Numbers R01 TW009280-01 and K01TW009654. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health.

Author information

Authors and Affiliations

  1. Department of Community Nutrition, University of Medicine, Pharmacy, Sciences and Technology “George Emil Palade” of Targu Mureș, Targu Mureș, Romania

    F. Ruta & M. Tarcea

  2. Department of Epidemiology, University of Medicine, Pharmacy, Sciences and Technology “George Emil Palade” of Targu Mureș, Targu Mureș, Romania

    S. Voidăzan

  3. Department of Gynecology, University of Medicine, Pharmacy, Sciences and Technology “George Emil Palade” of Targu Mureș, Romania, Targu Mureș, Romania

    C. Marginean & C. Molnar

  4. Department of Medical informatics and biostatistics, University of Medicine, Pharmacy, Sciences and Technology “George Emil Palade” of Targu Mureș, Romania, Targu Mureș, Romania

    C. Avram

  5. Department of Anatomy, University of Medicine, Pharmacy, Sciences and Technology “George Emil Palade” of Targu Mureș, Targu Mureș, Romania

    R. Sipos

  6. Institute of Public Health, Semmelweis University, Budapest, Hungary

    M. Penzes & A. Fogarasi-Grenczer

  7. Department of Obstetrics, Gynecology, and Reproductive Biology, College of Human Medicine, Michigan State University, East Lansing, USA

    C. Meghea

  8. Wake Forest School of Medicine, Winston-Salem, NC, USA

    K. L. Foley

Authors
  1. F. Ruta
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. S. Voidăzan
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. C. Marginean
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. C. Avram
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. R. Sipos
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. C. Molnar
    View author publications

    You can also search for this author in PubMed Google Scholar

  7. M. Tarcea
    View author publications

    You can also search for this author in PubMed Google Scholar

  8. M. Penzes
    View author publications

    You can also search for this author in PubMed Google Scholar

  9. A. Fogarasi-Grenczer
    View author publications

    You can also search for this author in PubMed Google Scholar

  10. C. Meghea
    View author publications

    You can also search for this author in PubMed Google Scholar

  11. K. L. Foley
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to S. Voidăzan.

Ethics declarations

Conflict of interest

All authors declare that they have no conflict of interest.

Ethical Approval

The authors assert that all procedures contributing to this work comply with the ethical standards of the relevant national and institutional committees on human experimentation and with the Helsinki Declaration of 1975, as revised in 2008. This study was approved by the Scientific Ethics Committee Board at the University of Medicine and Pharmacy Tirgu-Mures.

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Ruta, F., Voidăzan, S., Marginean, C. et al. Evidence-Based Practices to Promote Tobacco Cessation During Pregnancy in a Sample of Romanian General Practitioners. J Community Health 45, 440–445 (2020). https://doi.org/10.1007/s10900-019-00754-2

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10900-019-00754-2

Keywords

Search

Navigation