Surgeon behaviors related to engaging patients in smoking cessation at the time of elective surgery

Despite the abundance of evidence supporting smoking cessation before elective surgery, there is wide variation in surgeon adherence to these best practices. This qualitative study used convenience sampling to recruit General Surgery trained surgeons. Surgeons participated in semi-structured intervi...

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Bibliographic Details
Published in:The American journal of surgery 2023-08, Vol.226 (2), p.218-226
Main Authors: Lussiez, Alisha, Zondlak, Allyse, Hsu, Phillip J., Delaney, Lia, Vitous, C. Ann, Telem, Dana, Rubyan, Michael
Format: Article
Language:English
Subjects:
Best practice
Cigarette smoking
Content analysis
Data analysis
Decision making
Demographics
Drug addiction
Elective surgery
Health behavior
Health promotion
Implementation science
Intervention
Interviews
Patients
Qualitative research
Smoking
Smoking cessation
Surgeon behavior
Surgeons
Surgery
Surgical outcomes
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Summary:Despite the abundance of evidence supporting smoking cessation before elective surgery, there is wide variation in surgeon adherence to these best practices. This qualitative study used convenience sampling to recruit General Surgery trained surgeons. Surgeons participated in semi-structured interviews based on domains from the Theoretical Domains Framework (TDF). Content analysis was guided by the TDF. Of the 14 TDF domains, social or professional role/identity, memory, attention and decision processes, environmental context and resources, and beliefs about consequences emerged most frequently. Mapping these domains to the Behavior Change Wheel identified education, enablement, and incentivization as effective intervention functions. Using the TDF, this study identified a widespread sense of responsibility among surgeons to engage patients in perioperative smoking cessation despite workplace barriers and lacking resources. These findings provide valuable insight to facilitate surgeon participation in health promotion through targeted, theory-based interventions informed by surgeon identified barriers to perioperative smoking cessation. •Surgeon adherence to perioperative smoking cessation best practices varies widely.•Surgeons endorsed a sense of responsibility to promote smoking cessation.•Surgical providers perceive a lack of infrastructure/resources.
ISSN:0002-9610
1879-1883
DOI:10.1016/j.amjsurg.2023.04.008