Corelli Robin L, Kroon Lisa A, Chung Eunice P, Sakamoto Leanne M, Gundersen Berit, Fenlon Christine M, Hudmon Karen Suchanek
Department of Clinical Pharmacy, School of Pharmacy, University of California, San Francisco, USA.
Prev Med. 2005 Jun;40(6):888-95. doi: 10.1016/j.ypmed.2004.10.003.
Previous studies suggest that healthcare professionals are inadequately trained to treat tobacco use and dependence. Because even brief interventions from clinicians improve patient quit rates, widespread implementation of effective tobacco cessation training programs for health professional students is needed.
Pharmacy students received 7-8 h of comprehensive tobacco cessation training. Participants completed pre- and post-program surveys assessing perceived overall abilities for cessation counseling, skills for key facets of cessation counseling (Ask, Advise, Assess, Assist, Arrange), and self-efficacy for counseling.
A total of 493 students (82.3%) completed linkable pre- and post-training evaluations. Self-reported abilities, measured on a five-point scale, increased significantly from 1.89 +/- 0.89 to 3.53 +/- 0.72 (P < 0.001). Twenty-two percent of students rated their overall counseling abilities as good, very good, or excellent before the training versus 94% of students after the training. Eighty-seven percent of students indicated the training will increase the number of patients that they counsel; 97% believed it will increase the quality of their cessation counseling.
Comprehensive training significantly improved pharmacy students' perceived confidence and ability to provide tobacco cessation counseling. The curriculum is applicable to other health professional training programs and currently is being used to train pharmacy, medical, nursing, and dental students.
先前的研究表明,医护人员在治疗烟草使用和依赖方面的培训不足。由于临床医生即使进行简短干预也能提高患者戒烟率,因此需要为卫生专业学生广泛实施有效的戒烟培训项目。
药学专业学生接受了7 - 8小时的全面戒烟培训。参与者完成了培训前和培训后的调查,评估了他们对戒烟咨询的总体感知能力、戒烟咨询关键方面的技能(询问、建议、评估、协助、安排)以及咨询的自我效能感。
共有493名学生(82.3%)完成了可关联的培训前和培训后评估。自我报告的能力采用五点量表测量,从1.89±0.89显著提高到3.53±0.72(P < 0.001)。培训前22%的学生将他们的总体咨询能力评为良好、非常好或优秀,而培训后这一比例为94%。87%的学生表示培训将增加他们咨询的患者数量;97%的学生认为这将提高他们戒烟咨询的质量。
全面培训显著提高了药学专业学生提供戒烟咨询的感知信心和能力。该课程适用于其他卫生专业培训项目,目前正用于培训药学、医学、护理和牙科专业的学生。