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Tobacco Treatment Knowledge and Practices Among US Psychiatrists

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Abstract

This study explores the extent to which psychiatrists are familiar with, and utilize, the USPHS guidelines for treating tobacco use and dependence (i.e., the 5A’s), deliver cessation treatment, and the barriers they perceive to doing so. An original, national survey of 141 psychiatrists revealed that most Ask patients if they smoke (81.6%). Fewer Advise them to stop (78.7%) and Assess their willingness to quit (73.6%). A minority Assist with a quit plan (15.9%) and Arrange for follow-up (26.4%). Just 11.9% have used the USPHS guidelines in clinical practice; 37% have never heard of them. Even among those who say they have used the USPHS guidelines, implementation of the 5A’s is quite low. Time-related factors were the most common barriers to cessation delivery (51.4%). Patient factors (30%) and financial/resource factors (25%) were less common. There is a strong need for increased implementation of clinical guidelines for evidence-based tobacco treatments among psychiatrists.

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Data Availability

Data may be requested from Cristine Delnevo (ORCID 0000-0001-9597-4307) and should include a plan for its use. Data will be available to qualified researchers after the main findings are published in a peer-reviewed journal. All data sharing will comply with local, state, and federal laws and regulations and may be subject to appropriate human subjects institutional review board approvals.

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Funding

This work was supported by Grant R01CA190444 from the National Cancer Institute (NCI). The content of this manuscript is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health or the US Food and Drug Administration. The funder had no role in the design and conduct of the study; collection, management, analysis, and interpretation of the data; preparation, review, or approval of the manuscript; or decision to submit the manuscript for publication.

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Authors and Affiliations

  1. Rutgers Center for Tobacco Studies, Rutgers University, 303 George St., Suite 500, New Brunswick, NJ, 08901, USA

    William J. Young, Cristine D. Delnevo, Binu Singh & Michael B. Steinberg

  2. Department of Psychiatry, Robert Wood Johnson Medical School, Rutgers University, 317 George St., Suite 105, New Brunswick, NJ, 08901, USA

    Marc L. Steinberg & Jill M. Williams

  3. Department of Medicine, Robert Wood Johnson Medical School, Rutgers University, 125 Paterson St., Suite 2300, New Brunswick, NJ, 08901, USA

    Michael B. Steinberg

Authors
  1. William J. Young
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  2. Cristine D. Delnevo
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  3. Binu Singh
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  4. Marc L. Steinberg
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  5. Jill M. Williams
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  6. Michael B. Steinberg
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Contributions

BS had full access to study data and takes responsibility for the integrity of the data. WJY takes responsibility for the accuracy of the data analyses. Concept and design: CDD, MBS. Acquisition, analysis, or interpretation of data: All authors. Drafting of the manuscript: WJY, MBS, CDD. Critical revision of the manuscript for important intellectual content: All authors. Statistical analysis: WJY. Obtained funding: CDD, MBS. Administrative, technical, or material support: BS. Supervision: CDD.

Corresponding author

Correspondence to William J. Young.

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Conflict of interest

None reported.

Ethical Approval

The Rutgers Institutional Review Board approved study procedures. Study conducted in accordance with the 1964 Declaration of Helsinki.

Consent to Participate

Informed consent was obtained from all individual participants included in the study.

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Young, W.J., Delnevo, C.D., Singh, B. et al. Tobacco Treatment Knowledge and Practices Among US Psychiatrists. Community Ment Health J 59, 185–191 (2023). https://doi.org/10.1007/s10597-022-00997-9

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  • DOI: https://doi.org/10.1007/s10597-022-00997-9

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