{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,10]],"date-time":"2025-11-10T20:41:08Z","timestamp":1762807268755,"version":"3.40.5"},"reference-count":14,"publisher":"Cambridge University Press (CUP)","license":[{"start":{"date-parts":[[2024,1,1]],"date-time":"2024-01-01T00:00:00Z","timestamp":1704067200000},"content-version":"unspecified","delay-in-days":365,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J. Smok Cessat"],"published-print":{"date-parts":[[2023]]},"abstract":"<jats:p><jats:italic>Background<\/jats:italic>. Primary care providers play a key role in screening for tobacco use and assessing desire to quit. Tobacco treatment specialists (TTS) are certified in helping patients who desire tobacco cessation. A primary care nurse practitioner within one Midwestern healthcare organization obtained TTS certification and integrated specialized tobacco cessation visits within a primary care clinic from February 2021 to February 2022. <jats:italic>Purpose<\/jats:italic>. To determine the efficiency and effectiveness of an integrated TTS-certified nurse practitioner (TTS-NP) in a primary care setting 1-year postimplementation. <jats:italic>Method<\/jats:italic>. This program evaluation utilized retrospective electronic health record review and included thirty-three patients. The logic model served as a framework to define efficiency and effectiveness. <jats:italic>Results<\/jats:italic>. Patients were referred by a provider (57.6%), nurse (15.2%), or self (27.3). Patients opted for in-person initial visits (81.8%) more than virtual (18.2%). Of a total of 73 scheduled visits, 8 (11%) were no-showed. Patients who self-referred had the lowest no-show rate (5.6%) compared to those referred by a provider (12.8%) or nurse (12.5%). Of the patients included, 87.9% set a goal quit date. Average time until first and second follow-up was 34.6 and 130.4 days after goal quit date. Follow-up was defined as the date of the patient\u2019s first message reply to the TTS-NP, or first visit following the goal quit date. A total of 51.9% (<jats:italic>n<\/jats:italic> = 14) and 63% (<jats:italic>n<\/jats:italic> = 17) reported cessation at the first and second follow-up. TTS-NP visit\u2019s cost, independent of any other coverage, was less than other specialty visits in primary care. <jats:italic>Conclusion<\/jats:italic>. TTS-NP visits in primary care enabled patients to benefit from lower cost and longitudinal follow-up within a familiar setting. Over half of patients achieved cessation. Results of this program evaluation suggest support for TTS-certified providers in primary care.<\/jats:p>","DOI":"10.1155\/2023\/9200402","type":"journal-article","created":{"date-parts":[[2023,9,19]],"date-time":"2023-09-19T23:20:26Z","timestamp":1695165626000},"source":"Crossref","is-referenced-by-count":1,"title":["The Evaluation of an Integrated Tobacco Treatment Specialist in Primary Care"],"prefix":"10.1017","volume":"2023","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-7042-1852","authenticated-orcid":false,"given":"Rachel E.","family":"Miller","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-7089-4382","authenticated-orcid":false,"given":"Jennifer M.","family":"Hill","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7541-9795","authenticated-orcid":false,"given":"Amanda F.","family":"Meyer","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kenneth","family":"Ward","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2024,1,1]]},"reference":[{"key":"S183426120060049X_B9","doi-asserted-by":"publisher","DOI":"10.1155\/2022\/9330393"},{"volume-title":"The Health Consequences of Smoking \u2013 50 Years of Progress","year":"2014","key":"S183426120060049X_B1"},{"key":"S183426120060049X_B8","doi-asserted-by":"publisher","DOI":"10.1017\/jsc.2014.30"},{"key":"S183426120060049X_B10","unstructured":"[10] Centers for Disease Control and Prevention, \u201cProgram evaluation framework checklist for step 2\u201d, 2018, https:\/\/www.cdc.gov\/evaluation\/steps\/step2\/index.htm."},{"key":"S183426120060049X_B14","unstructured":"[14] Mayo Clinic Nicotine Dependence Center, \u201cNicotine dependence center: referrals\u201d, 2022, https:\/\/www.mayoclinic.org\/departments-centers\/nicotine-dependence-center\/resources-medical-professionals\/mpc-20457547."},{"volume-title":"Treating Tobacco Use and Dependence: 2008 Update","year":"2008","author":"Fiore","key":"S183426120060049X_B5"},{"key":"S183426120060049X_B3","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.mm6552a1"},{"key":"S183426120060049X_B12","first-page":"1","article-title":"Prevalence, predictors and economic consequences of no-shows","volume":"16","author":"Kheirkhah","year":"2016","journal-title":"BMC Health Services Research"},{"key":"S183426120060049X_B11","unstructured":"[11] Mayo Clinic Nicotine Dependence Center, \u201cTobacco treatment specialist (TTS) qualification for certification by Mayo Clinic\u201d, https:\/\/www.mayo.edu\/research\/documents\/tts-brief-descriptionpdf\/doc-10027581?_ga=1.44985959.2144533262.1437484049."},{"volume-title":"What Happens When You Quit Smoking?","year":"2018","author":"Nall","key":"S183426120060049X_B4"},{"volume-title":"Smoking Cessation: A Report of the Surgeon General","year":"2020","key":"S183426120060049X_B13"},{"key":"S183426120060049X_B2","unstructured":"[2] Centers for Disease Control and Prevention, \u201cSmoking & tobacco use: fast facts\u201d, 2021, https:\/\/www.cdc.gov\/tobacco\/data_statistics\/fact_sheets\/fast_facts\/index.htm#cigarette-smoking."},{"volume-title":"Tobacco Treatment Specialist (TTS) Core Training","key":"S183426120060049X_B7"},{"key":"S183426120060049X_B6","unstructured":"[6] National Association for Alcoholism and Drug Abuse Counselors, \u201cNational certificate in tobacco treatment practice (NCTTP)\u201d, https:\/\/www.naadac.org\/NCTTP."}],"container-title":["Journal of Smoking Cessation"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/downloads.hindawi.com\/journals\/josc\/2023\/9200402.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/josc\/2023\/9200402.xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S183426120060049X","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,1,1]],"date-time":"2024-01-01T17:29:33Z","timestamp":1704130173000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S183426120060049X\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023]]},"references-count":14,"alternative-id":["S183426120060049X"],"URL":"https:\/\/doi.org\/10.1155\/2023\/9200402","relation":{},"ISSN":["1834-2612"],"issn-type":[{"type":"electronic","value":"1834-2612"}],"subject":[],"published":{"date-parts":[[2023]]},"article-number":"e1"}}