评估新南威尔士州 SmokeCheck：针对在原住民健康领域工作的卫生专业人员的特定文化的戒烟培训计划。

Evaluating NSW SmokeCheck: a culturally specific smoking cessation training program for health professionals working in Aboriginal health.

机构信息

Sydney School of Public Health, University of Sydney, New South Wales.

出版信息

Health Promot J Austr. 2011 Dec;22(3):189-95. doi: 10.1071/he11189.

DOI:10.1071/he11189

PMID:22497062

Abstract

ISSUE ADDRESSED

This paper reports on the evaluation of a culturally specific smoking cessation training program (SmokeCheck) for health professionals working in Aboriginal health in NSW. Training aimed to increase professionals' knowledge, skills and confidence to offer an evidence-based quit smoking brief intervention to Aboriginal clients.

METHODS

Using a quasi-experimental pre-post with 165 matched intervention participants, surveys were completed immediately before (baseline) and 6-months post training. The control group were on a waiting list for 6 months before receiving the intervention, and completed surveys at baseline, immediately before training and 3-6 months following training. Surveys assessed knowledge, skills and confidence to deliver the intervention, availability of resources, and smoke-free status of homes.

RESULTS

Post training, a higher proportion of intervention group participants were more confident talking about health effects (22%, p=0.001), offering quit advice (27%, p=0.001), assessing readiness to quit (31%, p=0.001) and initiating a conversation about smoking (24%, p=0.001). After training, more participants reported providing advice about NRT (15%, p=0.001), ETS (12%, p=0.006), and reducing tobacco use (10%, p=0.034), but no changes were reported in smoking or intention to quit. Conversely, the control group showed no significant changes.

CONCLUSIONS

SmokeCheck training strengthened participants' knowledge, skills and confidence to deliver a smoking cessation intervention to Aboriginal clients.'

摘要

问题解决

本文报告了针对在新南威尔士州从事原住民健康工作的卫生专业人员进行的一项特定于文化的戒烟培训计划（SmokeCheck）的评估。培训旨在提高专业人员的知识、技能和信心，以便为原住民客户提供基于证据的戒烟简短干预。

方法

采用准实验前后对照设计，对 165 名匹配的干预参与者进行了研究。参与者在培训前（基线）和 6 个月后完成了调查。对照组在接受干预前等待 6 个月，并在基线、培训前和培训后 3-6 个月完成了调查。调查评估了提供干预、资源可用性以及家庭无烟状态的知识、技能和信心。

结果

培训后，更多的干预组参与者更有信心谈论健康影响（22%，p=0.001）、提供戒烟建议（27%，p=0.001）、评估戒烟准备情况（31%，p=0.001）和开始谈论吸烟（24%，p=0.001）。培训后，更多的参与者报告提供了关于尼古丁替代疗法（NRT）（15%，p=0.001）、ETS（12%，p=0.006）和减少烟草使用（10%，p=0.034）的建议，但吸烟或戒烟意愿没有变化。相比之下，对照组没有显示出显著变化。