The impact of brief tobacco treatment training on practice behaviours, self-efficacy and attitudes among healthcare providers

Payne, Thomas J.; Gaughf, Natalie White; Sutton, Monica J.; Sheffer, Christine E.; Elci, Okan U.; Cropsey, Karen L.; Taylor, S. Martin; Netters, Tiffany; Whitworth, Catherine; Deutsch, Peter; Crews, Karen M.

doi:10.1111/ijcp.12386

Cited by 23 publications

(30 citation statements)

References 20 publications

(35 reference statements)

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“…This present study recorded significant improvements in knowledge, attitude and self-efficacy after the SCOPE training. It is in agreement with previous studies in which healthcare providers have reported improvements in knowledge, attitude and self-efficacy in smoking cessation intervention after training 3 10 33 42–48. This study suggests that the smoking status among SCOPE participants is essential, whereby there are no current smokers among the doctors, pharmacists and the nurses.…”

Section: Discussionsupporting

confidence: 92%

“…In addition, a higher degree of coordinated clinic system is needed to ‘Arrange’ follow-up cases for clinicians. There is a need for an integrated system-based approach involving multiple top-down stakeholders and environmental factors with the goal of connecting administrators, clinicians and staff to develop effective strategies to provide smokers with smoking cessation intervention 47. Apart from that, updated CPGs for treating tobacco use and dependence have emphasised the increasing evidence that the healthcare system significantly affects the likelihood that smokers receive effective smoking cessation intervention 9.…”

Section: Discussionmentioning

confidence: 99%

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Empowering healthcare providers through smoking cessation training in Malaysia: a preintervention and postintervention evaluation on the improvement of knowledge, attitude and self-efficacy

et al. 2019

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ObjectivesHealthcare providers are ideally positioned to advise their patients to quit smoking by providing effective smoking cessation intervention. Thus, we evaluate the effectiveness of a 1-day training programme in changing the knowledge, attitude and self-efficacy of healthcare providers in smoking cessation intervention.MethodsA prepost study design was conducted in 2017. The 8-hour Smoking Cessation Organising, Planning and Execution (SCOPE) training comprised lectures, practical sessions and role-play sessions to 218 healthcare providers. A validated evaluation tool, Providers’ Smoking Cessation Training Evaluation, was administered to assess the impact of training on knowledge, attitude and self-efficacy on smoking cessation intervention.ResultsAfter SCOPE training, the knowledge score increased significantly from 7.96±2.34 to 10.35±1.57 (p<0.001). Attitude and self-efficacy in smoking cessation intervention also increased significantly from 34.32±4.12 to 37.04±3.92 (p<0.001) and 40.31±8.61 to 54.67±7.45 (p<0.001) respectively. Pretraining and post-training scores improved significantly for all professions, and each measure, particularly self-efficacy.ConclusionThis study demonstrates that SCOPE training could improve healthcare providers’ knowledge, attitude and self-efficacy on smoking cessation intervention. Future training is recommended to equip healthcare providers with current knowledge, positive attitude and high self-efficacy to integrate what they have learned into practice successfully.

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Section: Discussionsupporting

confidence: 92%

Section: Discussionmentioning

confidence: 99%

Empowering healthcare providers through smoking cessation training in Malaysia: a preintervention and postintervention evaluation on the improvement of knowledge, attitude and self-efficacy

et al. 2019

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“…However, one must note that unlike our study, almost all participants (80.8%) had previous tobacco cessation training 26 . Training, which is known to have a positive impact on delivery of the 5As 29 - 31 , could have impacted on the above-mentioned results, eliminating differences by gender and years of experience. Although in our study professionals with more years of experience were more likely to see smoking cessation counselling as an inefficient use of their time, it could be that they had other nonclinical roles such as in management.…”

Section: Discussionmentioning

confidence: 99%

Brief tobacco cessation interventions: Practices, opinions, and attitudes of healthcare professionals

Grech¹,

Sammut²,

Buontempo³

et al. 2020

Tob. Prev. Cessation

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INTRODUCTION Although brief smoking cessation interventions that follow the 5As algorithm (Ask, Advise, Assess, Assist, Arrange) can trigger smokers to quit, routine delivery remains low in Europe. This study aimed to identify the extent of smoking cessation practices of healthcare professionals interested in tobacco cessation, and their opinions and attitudes. METHODS A quantitative, cross-sectional survey design was adopted. Healthcare professionals (n=133) who attended one of ten training sessions on brief interventions for smoking cessation, held every month between September 2018 and June 2019 in Malta, were recruited. Univariate logistic regression and non-parametric tests were carried out to identify associations by participants' characteristics. Potential confounders were ruled out following multivariate analyses. RESULTS Most participants were female nurses who had never smoked. While most professionals reportedly asked (76.3%), advised (83.5%) and assessed (70.5%) patients for cessation, fewer provided assistance (40.9%) and arranged followup (24.2%). Compared to other participants, doctors were more likely to have counselled patients over the previous week. Most professionals were favourably disposed towards counselling patients to quit, however, they claimed they had insufficient time to do so. Although most found it difficult to get clients to quit, former smokers were more likely to disagree when compared to those who never smoked (OR=6.86; 95% CI: 2.17-21.71; p=0.001). CONCLUSIONS While more initiatives to train healthcare professionals in providing smoking cessation interventions are recommended, lack of sufficient time, being an organisational barrier, requires healthcare management exploration and action. Given that former smokers were more confident in helping patients quit, engaging them in training activities would be of added value.

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“…Given the opportunities provided by a significant reach into the smoking population, the clinical practice guidelines in many countries strongly recommend that health care practitioners briefly discuss evidence-based treatment options with all tobacco users at every visit (CAN-ADAPTT, 2011;Fiore et al, 2008;Health, 2007;NICE, 2013;). Practitioners, however, are generally unprepared to effectively discuss treatment options and are unfamiliar with the high intensity of treatment provided by TTSs (Applegate, Sheffer, Crews, Payne, & Smith, 2008;Payne et al, 2014;Sheffer, Anders, Brackman, Steinberg, & Barone, 2012;Steinberg, Alvarez, Delnevo, Kaufman, & Cantor, 2006).…”

mentioning

confidence: 99%

Increasing the Quality and Availability of Evidence-based Treatment for Tobacco Dependence through Unified Certification of Tobacco Treatment Specialists

et al. 2014

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Each year, tobacco use causes over 6 million deaths and is responsible for hundreds of billions of dollars in health care and economic costs in the world (WHO, 2011). If current trends continue, tobacco is expected to kill over 1 billion people in the 21st century, making it one of the single greatest causes of preventable death and disease in history (WHO, 2011). Long-term abstinence from tobacco use dramatically improves individuals’ health, reduces the incidence of tobacco-related disease, and is clearly responsible for saving lives (Anthonisen et al., 2005). Most tobacco users express a desire to achieve long-term abstinence from tobacco use and make numerous unsuccessful quit attempts over the course of many years (Borland, Partos, Yong, Cummings, & Hyland, 2012; CDC, 2011). Evidence-based treatments for tobacco use and dependence greatly improve the chances that quit attempts result in long-term abstinence (Chambless & Hollon, 1998; Chambless et al., 1998; Compas, Haaga, Keefe, Leitenberg, & Williams, 1998; Fiore et al., 2008; Zwar et al., 2004). Increasing the availability of high-quality evidence-based treatment for tobacco use and dependence will make it more likely that tobacco users use evidence-based treatments and that quit attempts translate into long-term abstinence. The professionalisation of treatment for tobacco dependence by the development of a rigorous, unified Tobacco Treatment Specialist (TTS) certification process will increase the availability of high-quality evidence-based treatment for tobacco use and dependence for all tobacco users.

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The impact of brief tobacco treatment training on practice behaviours, self-efficacy and attitudes among healthcare providers

Abstract: The value of a structured training experience was confirmed, and findings served to clarify the specific nature of training program impact.

Cited by 23 publications

References 20 publications

Empowering healthcare providers through smoking cessation training in Malaysia: a preintervention and postintervention evaluation on the improvement of knowledge, attitude and self-efficacy

Empowering healthcare providers through smoking cessation training in Malaysia: a preintervention and postintervention evaluation on the improvement of knowledge, attitude and self-efficacy

Brief tobacco cessation interventions: Practices, opinions, and attitudes of healthcare professionals

Increasing the Quality and Availability of Evidence-based Treatment for Tobacco Dependence through Unified Certification of Tobacco Treatment Specialists

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