Department of Cardiology and Pneumology, University Medical Centre Göttingen, Göttingen, Germany.
Wandsworth Medical Centre, London, UK.
Eur J Dent Educ. 2020 May;24(2):361-369. doi: 10.1111/eje.12507. Epub 2020 Feb 24.
Smoking is one of the world's major health problems and dental professionals are in a unique position to promote smoking cessation. However, according to the current literature, neither dental students nor dentists feel adequately prepared to counsel smokers. The purpose of this study was to develop and implement a teaching intervention on smoking cessation for fourth-year dental students and assess its effectiveness in terms of learning outcome on knowledge, communication skills and attitudes.
In this prospective intervention study, students in the intervention group (n = 28) participated in a teaching module consisting of a podcast, an interactive lecture, a seminar, and small-group sessions with role-play interactions. Knowledge, communication skills and attitudes were measured using written examinations and an objective structured clinical examination (OSCE) at the end of the module and 6 months later. Results were compared with data from a historical control group (n = 27) receiving standard teaching.
Compared with the control group, students in the intervention group had higher scores in the knowledge test (67.1% vs 41.8%; P < .001; d = 2.8) as well as in the OSCE (74.9% vs 44.7%; P < .001; d = 2.3) and also retained more knowledge (52.7% vs 36.5%; P < .001; d = 2.0) and skills (71.8% vs 47.6%; P < .001; d = 2.5) over a period of 6 months. Attitudes were similar across groups and time-points.
The teaching intervention equipped dental students with specific knowledge and skills required to effectively counsel smoking patients. Further research is required to assess the transfer of these skills to the clinical setting.
吸烟是全球主要的健康问题之一,而牙医在促进戒烟方面具有独特的地位。然而,根据现有文献,牙医学生和牙医都觉得自己没有充分准备好为吸烟者提供咨询。本研究的目的是为四年级牙医学生开发和实施一项关于戒烟的教学干预措施,并评估其在知识、沟通技巧和态度方面的学习效果。
在这项前瞻性干预研究中,干预组(n=28)的学生参加了一个教学模块,其中包括播客、互动讲座、研讨会和小组会议,以及角色扮演互动。在模块结束时和 6 个月后,使用书面考试和客观结构化临床考试(OSCE)来测量知识、沟通技巧和态度。结果与接受标准教学的历史对照组(n=27)的数据进行了比较。
与对照组相比,干预组学生的知识测试得分更高(67.1%对 41.8%;P<.001;d=2.8),OSCE 得分也更高(74.9%对 44.7%;P<.001;d=2.3),并且在 6 个月的时间内保留了更多的知识(52.7%对 36.5%;P<.001;d=2.0)和技能(71.8%对 47.6%;P<.001;d=2.5)。态度在两组和时间点之间相似。
教学干预使牙医学生具备了有效咨询吸烟患者所需的特定知识和技能。需要进一步研究评估这些技能在临床环境中的转移情况。