Question

Key questions for evaluation:

• What are effective smoking cessation strategies used by primary care physicians that lead to successful quit?
• What are the family rols in smoking cessation patient?

in related to question listed above answer the folowing question

Identify the method of each type of data collection. Respond to this item regarding each of your data collection methods

What are the advantages and disadvantages of the data collection method(s) you chose

Identify and defend the sampling method you would use.

Answer 1

SMOKING CESSATION STRATEGIES

Physicians should strongly advise patients to quit smoking, and use motivational interviewing techniques for patients.The most effective preventive intervention that a clinician can provide for tobacco using patients against heart disease,cancer, cerebrovascular disease, and chronic obstructive pulmonary disease is an empathic, personalized smoking cessation intervention program with extended assistance and follow-up. The goal of the intervention must be complete smoking cessation. Reduction provides no direct health benefits to the individual smoker. Interventions are readily available, but underutilized, in part due to lack of clinician training and organizational support.

Smoking cessation requires a behaviour change. Nicotine is fast acting, arriving in the brain within 7 seconds of inhalation. It stimulates the adrenal gland resulting in discharge of epinephrine, resultiy in the kick or fix experienced by the smoker. The rush of adrenaline causes a sudden release of glucose, an increase in blood pressure, and increased respiratory and heart rates. Nicotine also suppress insulin output creating a chronic slight hyperglycaemia. In the brain nicotine causes dopamine release and decreases the inhibitory response in regions controlling pressure and motivation. Pharmacotherapy can be divided into two groups; nicotine replacement therapy and non NRT. NRT increases abstinence rates by 2 to 3 times that of placebo. NRT is not advised for patients in immediate post myocardial infarction, patients with serious arrhythmias, worsening angina pectoris, or pregnant and lactating women. NRT works by supplanting nicotine from cigarettes and reliving or preventing nicotine withdrawal symptoms. Non NRT alters or alleviates withdrawal symptoms as well.

The sampling approaches in quantitative research focus on acquiring subjects who match the population of interest as closely as possible. To accomplish this goal, sampling strategies in quantitative research either attempt to remove extraneous variation from the study subjects or to use strategies that prevent the sample from being limited to any particular group or characteristics. A convenience sample for a qualitative study has the advantages of being relatively easy and inexpensive to acquire, but may have the disadvantages of yeilding a group of participants that is not as diverse and cannot provide as rich a detail about the phenomenon of interest.