Main Article Content
Abstract
Background: Physiotherapists regularly manage conditions affected by smoking, providing an opportunity to support smoking cessation efforts. This study examined physiotherapists’ perceptions of smoking cessation counseling and identified barriers affecting their practice in Benin City, Nigeria.
Methods: A cross-sectional survey was administered to licensed physiotherapists across three local government areas of the Benin city municipality. Data were analyzed descriptively, and Likert scale responses were merged into agreement and disagreement categories.
Results: All respondents recognized smoking as harmful, and 74% believed that cessation counselling should be part of physiotherapy practice. The key barriers included low personal motivation and negative personal experiences. Patient nonadherence and doubts regarding cessation strategies were also frequently cited.
Conclusion: Physiotherapists support smoking cessation counselling but require additional training and organizational reinforcement. Integrating smoking cessation content into professional education may strengthen clinical practice.
Keywords
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Copyright (c) 2025 Chukwubuikem I. Nzeka

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References
- Chido-Amajuoyi, O. G., Mantey, D. S., Osei, A., & Oloruntoba, O. O. (2021). Age at smoking initiation and prevalence of cigarette use among youths in sub-Saharan Africa, 2014–2017. JAMA Network Open, 4(5), e217968. https://doi.org/10.1001/jamanetworkopen.2021.7968
- Dai X., Morgan B., Sorio L. (2025). Morbidity and mortality attributable to tobacco exposure: An analysis from the Global Burden of Disease Study. Tobacco Induced Diseases. https://doi.org/10.18332/tid/206601
- Darabseh M. Z., Aburub A., & Fayed E. E. (2023). The role of physiotherapists in smoking cessation management: A scoping review. Healthcare, 11(3), 336. https://doi.org/10.3390/healthcare11030336
- Devine, A., Parrish, J., & Walsh, S. (2014). Physiotherapists’ perceptions of their role in health promotion in acute settings. Physiotherapy Research International, 19(1), 17–25. https://doi.org/10.1002/pri.1555
- Huang, Y., He, X., Li, Y., Feng, L., Tang, Y., & Li, Y. (2025). Second-hand smoke attributable disease burden in 204 countries and territories, 1990–2021: a systematic analysis from the Global Burden of Disease Study 2021. Respiratory Research, 26, 174. https://doi.org/10.1186/s12931-025-03228-3
- Jørgensen, C. U., Løkke, A., Hjorth, P., Pisinger, C., & Farver Vestergaard, I. (2024). Barriers to implementation of smoking cessation support among healthcare professionals in the secondary healthcare sector: A qualitative and quantitative evaluation. Tobacco Prevention & Cessation, 10, 12. https://doi.org/10.18332/tpc/183775
- Labarre, R., Gosset, M., & Lutgens, L. (2023). Barriers to implementation of smoking cessation support among hospital-based healthcare professionals: A quantitative and qualitative evaluation. BMC Health Services Research, 23, 645.
- Luxton, N., & Redfern, J. (2020). The role of physiotherapists in smoking cessation. Journal of Physiotherapy, 66(4), 207–210. https://doi.org/10.1016/j.jphys.2020.09.007
- Mokdad A.H., Forouzanfar M.H., Daoud F. (2023). Global tobacco smoking-attributable mortality and life expectancy analysis, 1990–2020. Lancet Public Health. 8(1): e35–e45.
- O’Donovan, G., Frawley, H., & Shilton, T. (2017). Barriers to health promotion practice among physiotherapists: A systematic review. Physiotherapy Theory and Practice, 33(8), 607–616. https://doi.org/10.1080/09593985.2017.1346033
- Okeke, C., Umeh, C., & Anosike, U. (2020). Knowledge and attitudes toward smoking cessation among Nigerian health workers. Pan African Medical Journal, 36, 112.
- Okonji, A. M., Onigbinde, A. T., & Odetunde, M. O. (2017). Practices of Nigerian physiotherapists with respect to lifestyle risk factor assessment and intervention: A national cross‑sectional survey. Physiotherapy Theory and Practice, 33(4), 274–283.
- Onyeso, O. K., Umunnah, J. O., & Amaeze, F. E. (2022). Physiotherapists’ involvement in lifestyle counselling in Nigeria. BMC Medical Education, 22, 41.
- Onyeso, O. K., Umunnah, J. O., & Ezema, C. I. (2019). Health promotion practice among Nigerian physiotherapists. BMC Health Services Research, 19, 575.
- Setia, M. S. (2016). Methodology series: Cross-sectional studies. Indian Journal of Dermatology, 61(3), 261–264.
- Wong, A. Y. L., Karppinen, J., & Samartzis, D. (2020). Low back pain and smoking: Systematic review and meta-analysis. European Spine Journal, 29(8), 1750–1761.
- World Health Organization. (2023). Tobacco fact sheet. https://www.who.int/news-room/fact-sheets/detail/tobacco
References
Chido-Amajuoyi, O. G., Mantey, D. S., Osei, A., & Oloruntoba, O. O. (2021). Age at smoking initiation and prevalence of cigarette use among youths in sub-Saharan Africa, 2014–2017. JAMA Network Open, 4(5), e217968. https://doi.org/10.1001/jamanetworkopen.2021.7968
Dai X., Morgan B., Sorio L. (2025). Morbidity and mortality attributable to tobacco exposure: An analysis from the Global Burden of Disease Study. Tobacco Induced Diseases. https://doi.org/10.18332/tid/206601
Darabseh M. Z., Aburub A., & Fayed E. E. (2023). The role of physiotherapists in smoking cessation management: A scoping review. Healthcare, 11(3), 336. https://doi.org/10.3390/healthcare11030336
Devine, A., Parrish, J., & Walsh, S. (2014). Physiotherapists’ perceptions of their role in health promotion in acute settings. Physiotherapy Research International, 19(1), 17–25. https://doi.org/10.1002/pri.1555
Huang, Y., He, X., Li, Y., Feng, L., Tang, Y., & Li, Y. (2025). Second-hand smoke attributable disease burden in 204 countries and territories, 1990–2021: a systematic analysis from the Global Burden of Disease Study 2021. Respiratory Research, 26, 174. https://doi.org/10.1186/s12931-025-03228-3
Jørgensen, C. U., Løkke, A., Hjorth, P., Pisinger, C., & Farver Vestergaard, I. (2024). Barriers to implementation of smoking cessation support among healthcare professionals in the secondary healthcare sector: A qualitative and quantitative evaluation. Tobacco Prevention & Cessation, 10, 12. https://doi.org/10.18332/tpc/183775
Labarre, R., Gosset, M., & Lutgens, L. (2023). Barriers to implementation of smoking cessation support among hospital-based healthcare professionals: A quantitative and qualitative evaluation. BMC Health Services Research, 23, 645.
Luxton, N., & Redfern, J. (2020). The role of physiotherapists in smoking cessation. Journal of Physiotherapy, 66(4), 207–210. https://doi.org/10.1016/j.jphys.2020.09.007
Mokdad A.H., Forouzanfar M.H., Daoud F. (2023). Global tobacco smoking-attributable mortality and life expectancy analysis, 1990–2020. Lancet Public Health. 8(1): e35–e45.
O’Donovan, G., Frawley, H., & Shilton, T. (2017). Barriers to health promotion practice among physiotherapists: A systematic review. Physiotherapy Theory and Practice, 33(8), 607–616. https://doi.org/10.1080/09593985.2017.1346033
Okeke, C., Umeh, C., & Anosike, U. (2020). Knowledge and attitudes toward smoking cessation among Nigerian health workers. Pan African Medical Journal, 36, 112.
Okonji, A. M., Onigbinde, A. T., & Odetunde, M. O. (2017). Practices of Nigerian physiotherapists with respect to lifestyle risk factor assessment and intervention: A national cross‑sectional survey. Physiotherapy Theory and Practice, 33(4), 274–283.
Onyeso, O. K., Umunnah, J. O., & Amaeze, F. E. (2022). Physiotherapists’ involvement in lifestyle counselling in Nigeria. BMC Medical Education, 22, 41.
Onyeso, O. K., Umunnah, J. O., & Ezema, C. I. (2019). Health promotion practice among Nigerian physiotherapists. BMC Health Services Research, 19, 575.
Setia, M. S. (2016). Methodology series: Cross-sectional studies. Indian Journal of Dermatology, 61(3), 261–264.
Wong, A. Y. L., Karppinen, J., & Samartzis, D. (2020). Low back pain and smoking: Systematic review and meta-analysis. European Spine Journal, 29(8), 1750–1761.
World Health Organization. (2023). Tobacco fact sheet. https://www.who.int/news-room/fact-sheets/detail/tobacco
