{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,14]],"date-time":"2026-07-14T16:45:34Z","timestamp":1784047534722,"version":"3.55.0"},"reference-count":25,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2025,2,16]],"date-time":"2025-02-16T00:00:00Z","timestamp":1739664000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000054","name":"National Cancer Institute","doi-asserted-by":"publisher","award":["P30CA016672"],"award-info":[{"award-number":["P30CA016672"]}],"id":[{"id":"10.13039\/100000054","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["acrjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Arthritis Care &amp; Research"],"published-print":{"date-parts":[[2025,6]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>In this study, we explored physicians\u2019 level of experience with patients with rheumatoid arthritis (RA) who used tobacco, their views on the effects of tobacco use on the efficacy of RA treatments, and their experiences and attitudes with respect to tobacco\u2010cessation programs.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We conducted qualitative, semistructured interviews of 20 physicians (10 primary care physicians [PCPs] and 10 rheumatologists).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The physicians had been in clinical practice for a mean of 9.9 years. Research themes included (1) risk perception of smoking, (2) cessation aids used, (3) preferences to deliver cessation programs, and (4) barriers and facilitators for tobacco cessation. For the first theme, many PCPs did not perceive smoking as influencing RA disease activity. For the second theme, most physicians supported the use of nicotine\u2010replacement therapy and agreed that cessation\u2010drug therapy (eg, varenicline, bupropion) worked better than nicotine\u2010replacement therapy or other cessation strategies, especially in patients with failed cessation attempts. For the third theme, some physicians recommended that patients join the Quitline cessation program and enroll in peer support communities; others found educational programs informing patients about the benefits of quitting and tailored with messages according to patients\u2019 specific clinical characteristics to be useful. For the fourth theme, PCPs and rheumatologists reported similar barriers to offering smoking\u2010cessation programs (eg, lack of time, training in tobacco cessation, and financial motivation).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Physicians agreed with the need for tailored, multifaceted interventions to support tobacco cessation in patients with RA. However, many perceived major barriers to helping their patients quit, some of which could be overcome by training.<\/jats:p><\/jats:sec>","DOI":"10.1002\/acr.25500","type":"journal-article","created":{"date-parts":[[2025,1,20]],"date-time":"2025-01-20T00:41:40Z","timestamp":1737333700000},"page":"767-776","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Physician Views and Attitudes Regarding Tobacco\u2010Cessation Strategies for Patients with Rheumatoid Arthritis"],"prefix":"10.1002","volume":"77","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5165-8393","authenticated-orcid":false,"given":"Maria A.","family":"Lopez\u2010Olivo","sequence":"first","affiliation":[{"name":"The University of Texas MD Anderson Cancer Center  Houston"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Johncy J.","family":"Kachira","sequence":"additional","affiliation":[{"name":"The University of Texas MD Anderson Cancer Center  Houston"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sheneze","family":"Madramootoo","sequence":"additional","affiliation":[{"name":"The University of Texas MD Anderson Cancer Center  Houston"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5350-3934","authenticated-orcid":false,"given":"Kaleb","family":"Michaud","sequence":"additional","affiliation":[{"name":"FORWARD, The National Databank for Rheumatic Diseases, Wichita, Kansas, and University of Nebraska Medical Center  Omaha"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rebecca","family":"Schumacher","sequence":"additional","affiliation":[{"name":"FORWARD, The National Databank for Rheumatic Diseases, Wichita  Kansas"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paul","family":"Cinciripini","sequence":"additional","affiliation":[{"name":"The University of Texas MD Anderson Cancer Center  Houston"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5381-5797","authenticated-orcid":false,"given":"Maria E.","family":"Suarez\u2010Almazor","sequence":"additional","affiliation":[{"name":"The University of Texas MD Anderson Cancer Center  Houston"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,2,16]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1186\/ar4498"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1136\/ard.60.3.223"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.3389\/fmed.2021.689698"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0279065"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1093\/rheumatology\/kel149"},{"key":"e_1_2_7_7_1","first-page":"8","article-title":"Effectiveness of stop smoking interventions among adults: protocol for an overview of systematic reviews and an updated systematic review","author":"Hersi M","year":"2019","journal-title":"Syst Rev\u2010London"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1002\/msc.1209"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10067-023-06593-w"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1097\/ACM.0000000000000388"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1177\/0959353515614115"},{"key":"e_1_2_7_12_1","article-title":"Revisions to the Standards for the Classification of Federal Data on Race and Ethnicity","author":"Office of Management and Budget Standards","year":"1997","journal-title":"Office of Information and Regulatory Affairs"},{"key":"e_1_2_7_13_1","volume-title":"Web application for managing, analyzing, and presenting qualitative and mixed method research data","author":"Dedoose version 7.0.23"},{"key":"e_1_2_7_14_1","volume-title":"Toolkit for delivering the 5A's and 5R's brief tobacco interventions in primary care","author":"World Health Organization","year":"2014"},{"key":"e_1_2_7_15_1","unstructured":"Agency for Healthcare Research and Quality.The \u201c5 A's\u201d Model for Treating Tobacco Use and Dependence. Content last reviewed October 2014 Rockville MD 2008. Accessed December 2024.https:\/\/www.ahrq.gov\/prevention\/guidelines\/tobacco\/clinicians\/presentations\/2008update-overview\/slide43.html"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamainternmed.2013.3751"},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.1002\/acr.24589"},{"key":"e_1_2_7_18_1","doi-asserted-by":"publisher","DOI":"10.1002\/acr.25349"},{"key":"e_1_2_7_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pmedr.2018.07.012"},{"key":"e_1_2_7_20_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.299.17.2083"},{"key":"e_1_2_7_21_1","article-title":"Physician advice for smoking cessation","author":"Stead LF","year":"2013","journal-title":"Cochrane Database Syst Rev"},{"key":"e_1_2_7_22_1","doi-asserted-by":"publisher","DOI":"10.1097\/RHU.0000000000000559"},{"key":"e_1_2_7_23_1","first-page":"68","article-title":"Developing a staff\u2010driven electronic smoking cessation referral program in rheumatology clinics","author":"Panyard D","year":"2016","journal-title":"Arthritis Rheumatol"},{"key":"e_1_2_7_24_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10067-021-05607-9"},{"key":"e_1_2_7_25_1","doi-asserted-by":"publisher","DOI":"10.1002\/acr.23858"},{"key":"e_1_2_7_26_1","volume-title":"Patients not ready to make a quit attempt now (The \u201c5 R's\u201d)","author":"Agency for Healthcare Research and Quality","year":"2012"}],"container-title":["Arthritis Care &amp; Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/acrjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/acr.25500","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,2]],"date-time":"2025-10-02T16:57:55Z","timestamp":1759424275000},"score":1,"resource":{"primary":{"URL":"https:\/\/acrjournals.onlinelibrary.wiley.com\/doi\/10.1002\/acr.25500"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,2,16]]},"references-count":25,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2025,6]]}},"alternative-id":["10.1002\/acr.25500"],"URL":"https:\/\/doi.org\/10.1002\/acr.25500","archive":["Portico"],"relation":{},"ISSN":["2151-464X","2151-4658"],"issn-type":[{"value":"2151-464X","type":"print"},{"value":"2151-4658","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,2,16]]},"assertion":[{"value":"2024-09-05","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-01-05","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-02-16","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}