Bailey SR, Heintzman JD, Marino M, Jacob RL, Puro JE, DeVoe JE, Burdick TE, Hazlehurst BL, Cohen DJ, Fortmann SP. Smoking-Cessation Assistance: Before and After Stage 1 Meaningful Use Implementation. American Journal of Preventive Medicine 2017 Aug;53(2):192-200. doi: 10.1016/j.amepre.2017.02.006. Epub 2017 Mar 29.
NPM: 14-1: Smoking During Pregnancy
Intervention Components (click on component to see a list of all articles that use that intervention): PATIENT/CONSUMER, Educational Material, Incentives
Intervention Results:Non-pregnant patients had decreased odds of current smoking over time, odds for all other outcomes increased except for medication orders from 2010 to 2012. Among pregnant patients, odds of assessment and counseling increased across all years. Odds of discussing or ordering cessation medications increased from 2010 compared with the other 2 study years; however, medication orders did not change over time, and current smoking only decreased from 2010 to 2012. Though the overall decrease in current smoking was small, 30.3% in 2010 versus 27.2% in 2014, given the public healthcare costs and comorbidities associated with smoking, this change is highly significant from a public health perspective. Current smoking did not decrease over time, despite the increase in receipt of counseling. Given that medication plus counseling substantially increases cessation rates compared with counseling alone and only a little more than half of pregnant women received counseling, the insignificant change in smoking rates is not surprising, albeit it is concerning.