Tobacco Treatment Specialist Training Program, Roswell Park Comprehensive Cancer Center, Buffalo, NY 14263, USA.
Tobacco Treatment Specialist Training and Certification Program at College of Medicine, Taibah University, Madinah 42353, Saudi Arabia.
Int J Environ Res Public Health. 2021 Mar 2;18(5):2416. doi: 10.3390/ijerph18052416.
Tobacco use is projected to kill 1 billion people in the 21st century. Tobacco Use Disorder (TUD) is one of the most common substance use disorders in the world. Evidence-based treatment of TUD is effective, but treatment accessibility remains very low. A dearth of specially trained clinicians is a significant barrier to treatment accessibility, even within systems of care that implement brief intervention models. The treatment of TUD is becoming more complex and tailoring treatment to address new and traditional tobacco products is needed. The Council for Tobacco Treatment Training Programs (Council) is the accrediting body for Tobacco Treatment Specialist (TTS) training programs. Between 2016 and 2019, = 7761 trainees completed Council-accredited TTS training programs. Trainees were primarily from North America (92.6%) and the Eastern Mediterranean (6.1%) and were trained via in-person group workshops in medical and academic settings. From 2016 to 2019, the number of Council-accredited training programs increased from 14 to 22 and annual number of trainees increased by 28.5%. Trainees have diverse professional backgrounds and work in diverse settings but were primarily White (69.1%) and female (78.7%) located in North America. Nearly two-thirds intended to implement tobacco treatment services in their setting; two-thirds had been providing tobacco treatment for 1 year or less; and 20% were sent to training by their employers. These findings suggest that the training programs are contributing to the development of a new workforce of TTSs as well as the development of new programmatic tobacco treatment services in diverse settings. Developing strategies to support attendance from demographically and geographically diverse professionals might increase the proportion of trainees from marginalized groups and regions of the world with significant tobacco-related inequities.
烟草使用预计将在 21 世纪导致 10 亿人死亡。烟草使用障碍（TUD）是世界上最常见的物质使用障碍之一。基于证据的 TUD 治疗是有效的，但治疗可及性仍然非常低。缺乏专门培训的临床医生是治疗可及性的一个重大障碍，即使在实施简短干预模式的护理系统中也是如此。TUD 的治疗变得更加复杂，需要针对新的和传统的烟草产品来调整治疗方法。烟草治疗培训计划理事会（理事会）是烟草治疗专家（TTS）培训计划的认证机构。在 2016 年至 2019 年间，共有 7761 名学员完成了理事会认可的 TTS 培训计划。学员主要来自北美（92.6%）和东地中海地区（6.1%），并在医疗和学术环境中通过现场小组研讨会接受培训。2016 年至 2019 年，理事会认可的培训计划数量从 14 个增加到 22 个，每年的学员人数增加了 28.5%。学员具有不同的专业背景，工作环境也不同，但主要是来自北美的白种人（69.1%）和女性（78.7%）。近三分之二的人打算在自己的工作场所实施烟草治疗服务；三分之二的人从事烟草治疗工作的时间为 1 年或更短；20%的人是受雇于他们的雇主来参加培训的。这些发现表明，培训计划有助于培养新的 TTS 劳动力，并在不同环境中开展新的项目性烟草治疗服务。制定支持来自不同人口统计学和地理区域的专业人员参加培训的战略，可能会增加来自世界上具有重大烟草相关不平等现象的边缘化群体和地区的学员比例。
