Cofta-Woerpel Ludmila, Lam Cho, Reitzel Lorraine R, Wilson William, Karam-Hage Maher, Beneventi Diane, Cofer Jennifer, Baker Ellen, Wetter David W, Cinciripini Paul M, Blalock Janice
HEALTH Research Institute, University of Houston, Houston, TX, USA.
Department of Population Health Sciences and the Huntsman Cancer Institute, University of Utah, Salt Lake City, UT, USA.
Cogent Med. 2018;5(1). doi: 10.1080/2331205X.2018.1430652. Epub 2018 Feb 8.
Smoking prevalence among individuals with mental and behavioral health needs is considerably higher compared to the general population, but evidence-based smoking cessation therapies are underutilized in mental and behavioral healthcare settings, despite the fact that these treatments are both safe and effective. The goal of this paper is to present the background, design and pilot of Project TEACH (Tobacco Education and Cessation in the Health System) developed to improve clinical practice by offering specialized training in the provision of smoking cessation interventions to care providers in community mental health centers in Texas. This is achieved through engaging the expertise of clinicians at the MD Anderson Cancer Center's Tobacco Treatment Program and disseminating this expertise to care providers by means of a novel tele-mentoring approach called Project ECHO (Extension for Community Healthcare Outcomes). Evaluation of our pilot ECHO training project demonstrated that the training was very well received and resulted in self-reported enhancement of the providers' professional practice. This is the first project to extend the collaborative ECHO model to train healthcare providers in smoking cessation. This approach has potential to reduce smoking rates among smokers with mental and behavioral health needs, and consequently contribute to the prevention of cancer and other chronic diseases in this vulnerable population.
与普通人群相比，有精神和行为健康需求的人群吸烟率要高得多。尽管基于证据的戒烟疗法安全有效，但在精神和行为医疗环境中却未得到充分利用。本文的目的是介绍“TEACH项目”（健康系统中的烟草教育与戒烟）的背景、设计和试点情况。该项目旨在通过为德克萨斯州社区心理健康中心的护理人员提供戒烟干预的专业培训，来改善临床实践。这是通过利用MD安德森癌症中心烟草治疗项目临床医生的专业知识，并通过一种名为“ECHO项目”（社区医疗成果推广）的新型远程指导方法，将这些专业知识传播给护理人员来实现的。对我们的ECHO培训试点项目的评估表明，该培训受到了广泛好评，并使护理人员自我报告其专业实践能力得到了提高。这是将协作式ECHO模式扩展到培训戒烟医疗服务提供者的首个项目。这种方法有可能降低有精神和行为健康需求的吸烟者的吸烟率，从而有助于预防这一弱势群体中的癌症和其他慢性病。
