Evaluation of a Pharmacist and Nurse Practitioner Smoking Cessation Program

摘要

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.