Age-Related Macular Degeneration and Smoking Cessation Advice by Eye Care Providers: A Pilot Study
Alberto J. Caban-Martinez, MPH, CPH; Evelyn P. Davila, PhD, MPH; Byron L. Lam, MD; Sander R. Dubovy, MD; Kathryn E. McCollister, PhD; Lora E. Fleming, MD, PhD; Diane D. Zheng, MS; David J. Lee, PhD
Suggested citation for this article: Caban-Martinez AJ, Davila EP, Lam BL, Dubovy SR, McCollister KE, Fleming LE, et al. Age-related macular degeneration and smoking cessation advice by eye care providers: a pilot study. Prev Chronic Dis 2011;8(6):A147. http://www.cdc.gov/pcd/issues/2011/nov/10_0179.htm. Accessed [date].
During the same time, study team interviewers approached AMD patients who were visiting a BPEI retinal clinic in the patient waiting area to explain study objectives, assess interest in participating, and obtain verbal consent. Inclusionary participant criteria included having a diagnosis of AMD, being aged 18 years or older, and being fluent in English or Spanish. Interviewers administered an anonymous, language-sensitive (English or Spanish), 43-item paper questionnaire developed on the basis of standard tobacco use questions from the Centers for Disease Control and Prevention’s Behavioral Risk Factor Surveillance System survey and the Tobacco Use Supplement of the National Cancer Institute’s Current Population Survey, as well as selected study-specific vision health and eye disease questions (4,5). No participant incentives were provided. Analyses were performed using Predictive Analytics Software (SPSS, Inc, Chicago, Illinois) version 18.0.
Eye care provider responsesThe response rate for the eye care provider questionnaire was 51% (46 of 90). Forty-six percent of providers were women, 65% were faculty members, 17% were fellows, and 17% were residents; the most common age group was 30 to 39 years. Most eye care providers indicated that they seldom or periodically asked about their patients’ smoking status, assessed their willingness to quit, and advised them to quit smoking (Table 1). The proportion of providers who indicated that they always engaged in these activities ranged from 7% to 28%. Eye care providers were aware that individual counseling for smoking cessation was available at the institution (94%) but were less aware that group counseling (7%) and multilingual resources were available (13%) (Table 2). Most eye care providers indicated that they would recommend these services if readily available in the clinic.
When prompted to identify which smoking cessation training or information the eye care provider would like to use, 46% wanted training on how to select self-help materials to give their patients and 39% wanted to learn how to provide social support to their patients as part of their cessation treatment. Most eye care providers indicated that their medical school education did not provide adequate training to effectively provide smoking cessation assistance to their patients (65%).
Preventing Chronic Disease: November 2011: 10_0179