School of Human Kinetics, Trinity Western University, 7600 Glover Rd, Langley, British Columbia V2Y 1Y1, Canada.
Phys Ther. 2011 Jul;91(7):1051-62. doi: 10.2522/ptj.20100245. Epub 2011 May 5.
Physical therapists are uniquely positioned in health care to initiate or support smoking cessation (SC). Little is known, however, about their knowledge and views of SC as part of their practices. Objective The purpose of this study was to assess Canadian physical therapists' knowledge about the health effects of smoking, their views about addressing SC in practice, and their self-efficacy in enabling patients to quit smoking. Design This study was a cross-sectional survey.
Licensed physical therapists in Canada were surveyed with postal methods.
A total of 738 survey questionnaires were returned. The mean age and years of clinical experience of the respondents were 41.9 (SD=10.8) years and 17.4 (SD=11.0), respectively. Most respondents (78.6%) were women. Canadian physical therapists are largely informed about the negative effects of smoking on health. Although 76.9% of the physical therapists agreed or strongly agreed that the profession should be more involved in helping people who smoke quit, only 56.8% of the physical therapists agreed or strongly agreed that they should receive training on SC. More than 70% of the physical therapists reported that they were not prepared to provide counseling and, overall, the level of self-efficacy regarding counseling about SC was low. Lack of resources and time were reported to be key barriers to counseling patients to quit smoking. Limitations The findings of this study are limited to Canadian physical therapists. Response bias and social desirability bias also are potential limiters in this study.
Overall, the majority of physical therapists expressed the view that advising people who smoke to quit is a clinical responsibility and endorsed greater involvement of the profession in helping people who smoke quit. Discordance existed, however, between these views and the physical therapists' interest in receiving training on counseling about SC. This is a benchmark study that has practical implications for targeting training consistent with the profession's mission to improve health by increasing physical therapists' preparedness and self-efficacy regarding counseling about SC.
物理治疗师在医疗保健中处于独特的地位，可以启动或支持戒烟（SC）。然而，对于他们作为实践的一部分对 SC 的知识和观点知之甚少。目的：本研究旨在评估加拿大物理治疗师对吸烟对健康影响的了解，他们对在实践中解决 SC 的看法，以及他们使患者戒烟的自我效能感。设计：本研究是一项横断面调查。
用邮寄方法对加拿大持照物理治疗师进行调查。
共回收了 738 份调查问卷。受访者的平均年龄和临床经验年限分别为 41.9（SD=10.8）岁和 17.4（SD=11.0）年。大多数受访者（78.6%）为女性。加拿大物理治疗师对吸烟对健康的负面影响有了广泛的了解。尽管 76.9%的物理治疗师同意或强烈同意该专业应更多地参与帮助吸烟人群戒烟，但只有 56.8%的物理治疗师同意或强烈同意他们应该接受 SC 培训。超过 70%的物理治疗师报告称他们不准备提供咨询，并且总体而言，关于 SC 咨询的自我效能感水平较低。缺乏资源和时间被报告为咨询患者戒烟的关键障碍。局限性：本研究的结果仅限于加拿大物理治疗师。在这项研究中，还存在响应偏差和社会期望偏差的潜在限制。
总的来说，大多数物理治疗师表示，建议吸烟人士戒烟是临床责任，并支持该专业更多地参与帮助吸烟人士戒烟。然而，这些观点与物理治疗师对 SC 咨询培训的兴趣之间存在分歧。这是一项基准研究，对针对培训具有实际意义，以提高物理治疗师对 SC 咨询的准备程度和自我效能感，从而通过提高健康水平来实现该专业的使命。
