Stancic Nancy, Mullen Patricia Dolan, Prokhorov Alexander V, Frankowski Ralph F, McAlister Alfred L
Department of Behavioral Science, University of Texas M.D. Anderson Cancer Center, 1515 Holcombe Blvd., Box 243, Houston, TX 77030-4730, USA.
J Contin Educ Health Prof. 2003 Summer;23(3):162-7. doi: 10.1002/chp.1340230307.
Although physicians are in a unique position to prevent life-threatening outcomes by counseling patients to stop smoking, many of them miss the opportunity to intervene in their patients' use of tobacco. Nicotine Dependence Across the Lifespan was developed as a continuing medical education (CME) program to teach and encourage physicians to deliver effective tobacco prevention and tobacco cessation counseling.
This CME program was offered to Texas physicians, free of charge, in three formats: live lectures, videotapes, and World Wide Web-based training. The program targeted physicians in four rural areas of Texas (San Angelo, Harlingen, Tyler, and Lubbock), where high smoking rates are prevalent and the number of professional smoking cessation services is low. We examined the sociodemographic characteristics of the participating physicians, factors in their decisions to participate in the program, and the extent to which their reported CME format preferences were associated with age, gender, race, profession, and location.
The four factors identified--professional development, cost, personal control, and convenience/complexity--explained 76.9% of the variance describing the reasons physicians participated in the CME offering. The physicians' preferred CME format was live lectures; based on responses, this did not differ across age, gender, race/ethnicity, and location.
Live lecture continues to be a preferred format of CME for physicians in four rural areas of Texas, yet research continues to show that lecture results in only the lowest level of behavioral change.
尽管医生在通过建议患者戒烟来预防危及生命的后果方面具有独特地位，但他们中的许多人错失了干预患者烟草使用的机会。《生命周期中的尼古丁依赖》作为一项继续医学教育（CME）项目而开发，旨在教导并鼓励医生提供有效的烟草预防和戒烟咨询。
该CME项目免费提供给得克萨斯州的医生，有三种形式：现场讲座、录像带和基于万维网的培训。该项目针对得克萨斯州四个农村地区（圣安吉洛、哈林根、泰勒和拉伯克）的医生，这些地区吸烟率高且专业戒烟服务数量少。我们研究了参与医生的社会人口学特征、他们参与该项目的决定因素，以及他们报告的CME形式偏好与年龄、性别、种族、职业和地点的关联程度。
确定的四个因素——专业发展、成本、个人控制和便利性/复杂性——解释了描述医生参与CME项目原因的76.9%的差异。医生首选的CME形式是现场讲座；根据反馈，这在年龄、性别、种族/民族和地点方面没有差异。
现场讲座仍然是得克萨斯州四个农村地区医生首选的CME形式，但研究继续表明，讲座只能带来最低水平的行为改变。
