Ergebnisbericht des Institus für Therapieforschung (IFT)

10 Kröger & Heppekausen, 2002, Förderung des Nichtrauchens bei jungen Rauchern
Aims of the study were (1) to implement the short intervention in physicians´ offices
and (2) to evaluate the intervention by questioning the young smokers that participated
in the study.
The first target of the project was to establish the intervention in at least 120 offices. In
order to obtain this target the profession associations of the gynaecologists, general
practicioners and pediatricians in Bavaria were contacted. Physicians were also informed
by publications, short messages, newsletters and oral representations. The
project and the material were published in the internet (chapter 4.1.1).
The Bundesverband Deutscher Allgemeinärzte (BDA) mailed the material to almost
3.500 physicians (36% of the Bavarian general practicioners). Because the physicians
for young people were engaged in another study on smoking, they did not participate in
this project. The support of the profession association of the gynaecologists could not
be achieved despite of several contacts and different initiatives that were started (chapter
4.1.2). The highest interest in the material could be achieved by the BDA mailing.
423 physicians (12.1% exhaustion quote) asked for the broschures and some of them
for additional information material. Being informed by different information channels
another 50 physicians asked for the material (chapter 4.1.3). Because of the high interest
not all offices could receive the material.
In order to evaluate the use and the acceptance of the material, 428 physicians who
received the material were questioned. The flyback was about 20% and within the expected
range. Half of the physicians had used the checklist and 80% the broschure.
The users rated the material mostly positive or very positive (table 7 and 8). 90% of the
physicians reported that the project motivated them to start interventions for young
smokers or to intensify these. 98% would like to receive the broschure furthermore.
The physicians judged that they see in average 46 young patients per week, of which
one third are smokers. The physicians of the study see about 7.500 young smokers
each week.
As an obstacle for their intervention with smokers 48% of the physicians named that
the adolescents have no or only little interest in the topic of smoking. 37% saw no obstacles
at all. Further problems concerning the treatment of young smokers the physicians
see in insufficient payment (24%), little prospect of success and too much effort
of time. The interest to assist young smokers in quitting is expressed by physicians that
participated in the questioning (chapter 4.2).