Assistant Professor, Department of Pediatrics, University of California, San Francisco, School of Medicine.
Clinical Instructor, Department of Medicine, Stanford University Medical Center; Postdoctoral Research Fellow, Stanford Cardiovascular Institute, Stanford University.
MedEdPORTAL. 2023 May 23;19:11313. doi: 10.15766/mep_2374-8265.11313. eCollection 2023.
Children's exposure to secondhand smoke is an underaddressed public health threat. The Clinical Effort Against Secondhand Smoke Exposure (CEASE) is a validated framework that trains pediatric providers to screen, counsel, refer to quitlines, and prescribe tobacco cessation medications to adult caregivers of children.
A physician champion at a major urban academic center delivered a longitudinal didactic curriculum of CEASE principles to medical and nurse practitioner students and pediatrics and family medicine residents. At the end of each session, participants completed an anonymous survey measuring changes in self-perceived knowledge, comfort, and familiarity with smoking cessation skills and concepts. Using a separate end-of-year questionnaire, we also surveyed a group of pediatric residents to compare the impact of CEASE training on clinical practice. Finally, we tracked the number of referrals to the state's quitline for the duration of the training.
Fifty-two trainees (55% students, 45% residents) responded to the evaluation survey administered immediately following training. There were statistically significant improvements in median scores after CEASE training for comfort in screening, counseling, motivational interviewing, referring to smokers' helplines, and providing caregivers with nicotine replacement therapy (NRT) prescriptions. Fifty-one percent of pediatric residents (41 of 80) responded to the end-of-year survey, which showed statistically significant differences in the number of patients/caregivers offered a referral to California's quitline and prescription of NRT according to completion of CEASE training.
CEASE training successfully improved the self-efficacy of health professions students and residents in smoking cessation techniques for adult caregivers of children.
儿童接触二手烟是一个未得到充分重视的公共卫生威胁。临床努力对抗二手烟暴露（CEASE）是一个经过验证的框架，它培训儿科医生对儿童的成年照顾者进行筛查、咨询、转介到戒烟热线和开具烟草戒烟药物。
在一个主要的城市学术中心，一位医生冠军向医学生和护士从业者以及儿科和家庭医学住院医师提供了 CEASE 原则的纵向教学课程。在每次会议结束时，参与者完成了一项匿名调查，衡量他们对戒烟技能和概念的自我感知知识、舒适度和熟悉度的变化。使用单独的年终问卷，我们还调查了一组儿科住院医师，以比较 CEASE 培训对临床实践的影响。最后，我们在培训期间跟踪了向该州戒烟热线的转介人数。
52 名受训者（55%的学生，45%的住院医师）对培训后立即进行的评估调查做出了回应。在接受 CEASE 培训后，在筛查、咨询、动机访谈、转介给吸烟者帮助热线以及为照顾者提供尼古丁替代疗法（NRT）处方方面的舒适度方面，中位数评分均有显著提高。51%的儿科住院医师（80 名中的 41 名）对年终调查做出了回应，该调查显示，根据 CEASE 培训的完成情况，向加利福尼亚戒烟热线提供转介和开具 NRT 处方的患者/照顾者人数存在统计学显著差异。
CEASE 培训成功地提高了卫生专业学生和住院医师在为儿童的成年照顾者提供戒烟技术方面的自我效能感。
