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Ofori S, Rayner D, Mikhail D, Borges FK, Marcucci MM, Conen D, Mbuagbaw L, Devereaux PJ. Barriers and facilitators to perioperative smoking cessation: A scoping review. PLoS One 2024; 19:e0298233. [PMID: 38861527 PMCID: PMC11166293 DOI: 10.1371/journal.pone.0298233] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/27/2023] [Accepted: 01/19/2024] [Indexed: 06/13/2024] Open
Abstract
OBJECTIVE Smoking cessation interventions are underutilized in the surgical setting. We aimed to systematically identify the barriers and facilitators to smoking cessation in the surgical setting. METHODS Following the Joanna Briggs Institute (JBI) framework for scoping reviews, we searched 5 databases (MEDLINE, Embase, Cochrane CENTRAL, CINAHL, and PsycINFO) for quantitative or qualitative studies published in English (since 2000) evaluating barriers and facilitators to perioperative smoking cessation interventions. Data were analyzed using thematic analysis and mapped to the theoretical domains framework (TDF). RESULTS From 31 studies, we identified 23 unique barriers and 13 facilitators mapped to 11 of the 14 TDF domains. The barriers were within the domains of knowledge (e.g., inadequate knowledge of smoking cessation interventions) in 23 (74.2%) studies; environmental context and resources (e.g., lack of time to deliver smoking cessation interventions) in 19 (61.3%) studies; beliefs about capabilities (e.g., belief that patients are nervous about surgery/diagnosis) in 14 (45.2%) studies; and social/professional role and identity (e.g., surgeons do not believe it is their role to provide smoking cessation interventions) in 8 (25.8%) studies. Facilitators were mainly within the domains of environmental context and resources (e.g., provision of quit smoking advice as routine surgical care) in 15 (48.4%) studies, reinforcement (e.g., surgery itself as a motivator to kickstart quit attempts) in 8 (25.8%) studies, and skills (e.g., smoking cessation training and awareness of guidelines) in 5 (16.2%) studies. CONCLUSION The identified barriers and facilitators are actionable targets for future studies aimed at translating evidence informed smoking cessation interventions into practice in perioperative settings. More research is needed to evaluate how targeting these barriers and facilitators will impact smoking outcomes.
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Affiliation(s)
- Sandra Ofori
- Department of Medicine, McMaster University Canada, Hamilton, Canada
| | - Daniel Rayner
- Department of Health Research Methods, Evidence and Impact, McMaster University Canada, Hamilton, Canada
| | - David Mikhail
- Department of Health Sciences, McMaster University Canada, Hamilton, Canada
| | - Flavia K. Borges
- Department of Medicine, McMaster University Canada, Hamilton, Canada
| | - Maura M. Marcucci
- Department of Medicine, McMaster University Canada, Hamilton, Canada
| | - David Conen
- Department of Medicine, McMaster University Canada, Hamilton, Canada
| | - Lawrence Mbuagbaw
- Department of Health Research Methods, Evidence and Impact, McMaster University, Hamilton, Canada
| | - P. J. Devereaux
- Department of Medicine, McMaster University Canada, Hamilton, Canada
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Priya H, Deb Barma M, Purohit BM, Agarwal D, Bhadauria US, Tewari N, Gupta S, Mishra D, Morankar R, Mathur VP, Duggal R. Global Status of Knowledge, Attitude and Practice on Tobacco Cessation Interventions Among Dental Professionals: A Systematic Review. Tob Use Insights 2022; 15:1179173X221137218. [PMID: 36601000 PMCID: PMC9806401 DOI: 10.1177/1179173x221137218] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/11/2022] [Accepted: 10/19/2022] [Indexed: 12/28/2022] Open
Abstract
BACKGROUND With the emergence of the WHO Framework Convention on Tobacco Control, globally the use of tobacco has decreased notably, although, it still requires efforts at individual, organizational, community level to decrease the rate further. Dental professionals are at an excellent position to provide tobacco cessation counselling and interventions, however, it is not practiced much due to lack of training and lack of knowledge. Therefore, this systematic review was conducted to assess the global status of knowledge, attitude and practice on tobacco cessation interventions among dental professionals. MATERIALS AND METHOD A systematic search of 6 databases with no language restriction since 2000 was undertaken. Studies were included if they assessed knowledge, attitude and practice on tobacco cessation interventions among dental professionals using a validated or prevalidated tool. The data obtained for assessment of knowledge, attitude, practice, curriculum and barriers were represented through heatmaps. Quality assessment of the studies was done using Newcastle Ottawa scale. RESULTS Fifty six studies were included in this systematic review. Majority of the studies were found to be of moderate quality. Knowledge regarding the tobacco cessation interventions was more theoretical than practical. All the studies showed a favorable attitude among dental professionals towards tobacco cessation intervention. CONCLUSION The included studies lack homogeneity in assessing knowledge, attitude and practice on tobacco cessation interventions. The development and validation of a standardized questionnaire to assess knowledge, attitude and practice on tobacco cessation interventions could be a potentially effective way to uniformly gather data on the subject.
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Affiliation(s)
- Harsh Priya
- Division of Public Health
Dentistry, Centre for Dental Education and Research, All India Institute of Medical
Sciences, New Delhi, India. National Oral Health
Program, Centre for Dental Education and Research, All India Institute of Medical
Sciences, New Delhi, India. Division of Pedodontics
and Preventive Dentistry, Centre for Dental Education and Research, All India Institute of Medical
Sciences, New Delhi, India. Division of Oral Medicine
and Radiology, Centre for Dental Education and Research, All India Institute of Medical
Sciences, New Delhi, India. Division of Oral
Pathology, Centre for Dental Education and Research, All India Institute of Medical
Sciences, New Delhi, India. Chief, Centre for Dental
Education and Research, All India Institute of Medical
Sciences, New Delhi, India.,Harsh Priya, Division of Public Health
Dentistry, Centre for Dental Education and Research, All India Institute of
Medical Sciences, 110029, CDER, New Delhi 110029, India.
| | - Manali Deb Barma
- Division of Public Health
Dentistry, Centre for Dental Education and Research, All India Institute of Medical
Sciences, New Delhi, India. National Oral Health
Program, Centre for Dental Education and Research, All India Institute of Medical
Sciences, New Delhi, India. Division of Pedodontics
and Preventive Dentistry, Centre for Dental Education and Research, All India Institute of Medical
Sciences, New Delhi, India. Division of Oral Medicine
and Radiology, Centre for Dental Education and Research, All India Institute of Medical
Sciences, New Delhi, India. Division of Oral
Pathology, Centre for Dental Education and Research, All India Institute of Medical
Sciences, New Delhi, India. Chief, Centre for Dental
Education and Research, All India Institute of Medical
Sciences, New Delhi, India
| | - Bharathi M Purohit
- Division of Public Health
Dentistry, Centre for Dental Education and Research, All India Institute of Medical
Sciences, New Delhi, India. National Oral Health
Program, Centre for Dental Education and Research, All India Institute of Medical
Sciences, New Delhi, India. Division of Pedodontics
and Preventive Dentistry, Centre for Dental Education and Research, All India Institute of Medical
Sciences, New Delhi, India. Division of Oral Medicine
and Radiology, Centre for Dental Education and Research, All India Institute of Medical
Sciences, New Delhi, India. Division of Oral
Pathology, Centre for Dental Education and Research, All India Institute of Medical
Sciences, New Delhi, India. Chief, Centre for Dental
Education and Research, All India Institute of Medical
Sciences, New Delhi, India
| | - Deepali Agarwal
- Division of Public Health
Dentistry, Centre for Dental Education and Research, All India Institute of Medical
Sciences, New Delhi, India. National Oral Health
Program, Centre for Dental Education and Research, All India Institute of Medical
Sciences, New Delhi, India. Division of Pedodontics
and Preventive Dentistry, Centre for Dental Education and Research, All India Institute of Medical
Sciences, New Delhi, India. Division of Oral Medicine
and Radiology, Centre for Dental Education and Research, All India Institute of Medical
Sciences, New Delhi, India. Division of Oral
Pathology, Centre for Dental Education and Research, All India Institute of Medical
Sciences, New Delhi, India. Chief, Centre for Dental
Education and Research, All India Institute of Medical
Sciences, New Delhi, India
| | - Upendra Singh Bhadauria
- Division of Public Health
Dentistry, Centre for Dental Education and Research, All India Institute of Medical
Sciences, New Delhi, India. National Oral Health
Program, Centre for Dental Education and Research, All India Institute of Medical
Sciences, New Delhi, India. Division of Pedodontics
and Preventive Dentistry, Centre for Dental Education and Research, All India Institute of Medical
Sciences, New Delhi, India. Division of Oral Medicine
and Radiology, Centre for Dental Education and Research, All India Institute of Medical
Sciences, New Delhi, India. Division of Oral
Pathology, Centre for Dental Education and Research, All India Institute of Medical
Sciences, New Delhi, India. Chief, Centre for Dental
Education and Research, All India Institute of Medical
Sciences, New Delhi, India
| | - Nitesh Tewari
- Division of Public Health
Dentistry, Centre for Dental Education and Research, All India Institute of Medical
Sciences, New Delhi, India. National Oral Health
Program, Centre for Dental Education and Research, All India Institute of Medical
Sciences, New Delhi, India. Division of Pedodontics
and Preventive Dentistry, Centre for Dental Education and Research, All India Institute of Medical
Sciences, New Delhi, India. Division of Oral Medicine
and Radiology, Centre for Dental Education and Research, All India Institute of Medical
Sciences, New Delhi, India. Division of Oral
Pathology, Centre for Dental Education and Research, All India Institute of Medical
Sciences, New Delhi, India. Chief, Centre for Dental
Education and Research, All India Institute of Medical
Sciences, New Delhi, India
| | - Shalini Gupta
- Division of Public Health
Dentistry, Centre for Dental Education and Research, All India Institute of Medical
Sciences, New Delhi, India. National Oral Health
Program, Centre for Dental Education and Research, All India Institute of Medical
Sciences, New Delhi, India. Division of Pedodontics
and Preventive Dentistry, Centre for Dental Education and Research, All India Institute of Medical
Sciences, New Delhi, India. Division of Oral Medicine
and Radiology, Centre for Dental Education and Research, All India Institute of Medical
Sciences, New Delhi, India. Division of Oral
Pathology, Centre for Dental Education and Research, All India Institute of Medical
Sciences, New Delhi, India. Chief, Centre for Dental
Education and Research, All India Institute of Medical
Sciences, New Delhi, India
| | - Deepika Mishra
- Division of Public Health
Dentistry, Centre for Dental Education and Research, All India Institute of Medical
Sciences, New Delhi, India. National Oral Health
Program, Centre for Dental Education and Research, All India Institute of Medical
Sciences, New Delhi, India. Division of Pedodontics
and Preventive Dentistry, Centre for Dental Education and Research, All India Institute of Medical
Sciences, New Delhi, India. Division of Oral Medicine
and Radiology, Centre for Dental Education and Research, All India Institute of Medical
Sciences, New Delhi, India. Division of Oral
Pathology, Centre for Dental Education and Research, All India Institute of Medical
Sciences, New Delhi, India. Chief, Centre for Dental
Education and Research, All India Institute of Medical
Sciences, New Delhi, India
| | - Rahul Morankar
- Division of Public Health
Dentistry, Centre for Dental Education and Research, All India Institute of Medical
Sciences, New Delhi, India. National Oral Health
Program, Centre for Dental Education and Research, All India Institute of Medical
Sciences, New Delhi, India. Division of Pedodontics
and Preventive Dentistry, Centre for Dental Education and Research, All India Institute of Medical
Sciences, New Delhi, India. Division of Oral Medicine
and Radiology, Centre for Dental Education and Research, All India Institute of Medical
Sciences, New Delhi, India. Division of Oral
Pathology, Centre for Dental Education and Research, All India Institute of Medical
Sciences, New Delhi, India. Chief, Centre for Dental
Education and Research, All India Institute of Medical
Sciences, New Delhi, India
| | - Vijay Prakash Mathur
- Division of Public Health
Dentistry, Centre for Dental Education and Research, All India Institute of Medical
Sciences, New Delhi, India. National Oral Health
Program, Centre for Dental Education and Research, All India Institute of Medical
Sciences, New Delhi, India. Division of Pedodontics
and Preventive Dentistry, Centre for Dental Education and Research, All India Institute of Medical
Sciences, New Delhi, India. Division of Oral Medicine
and Radiology, Centre for Dental Education and Research, All India Institute of Medical
Sciences, New Delhi, India. Division of Oral
Pathology, Centre for Dental Education and Research, All India Institute of Medical
Sciences, New Delhi, India. Chief, Centre for Dental
Education and Research, All India Institute of Medical
Sciences, New Delhi, India
| | - Ritu Duggal
- Division of Public Health
Dentistry, Centre for Dental Education and Research, All India Institute of Medical
Sciences, New Delhi, India. National Oral Health
Program, Centre for Dental Education and Research, All India Institute of Medical
Sciences, New Delhi, India. Division of Pedodontics
and Preventive Dentistry, Centre for Dental Education and Research, All India Institute of Medical
Sciences, New Delhi, India. Division of Oral Medicine
and Radiology, Centre for Dental Education and Research, All India Institute of Medical
Sciences, New Delhi, India. Division of Oral
Pathology, Centre for Dental Education and Research, All India Institute of Medical
Sciences, New Delhi, India. Chief, Centre for Dental
Education and Research, All India Institute of Medical
Sciences, New Delhi, India
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