Training Tobacco Treatment Specialists through Virtual Asynchronous Learning
Abstract
:1. Introduction
1.1. Description of the BREATHE Accredited TTS Training Program
1.2. Purpose and Objectives
2. Materials and Methods
2.1. Study Design
2.2. Study Population and Sample
2.3. Methods and Measures
2.4. Data Analysis
3. Results
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
- Carter, B.D.; Abnet, C.C.; Feskanich, D.; Freedman, N.D.; Hartge, P.; Lewis, C.E.; Ockene, J.K.; Prentice, R.L.; Speizer, F.E.; Thun, M.J.; et al. Smoking and mortality—Beyond established causes. N. Engl. J. Med. 2015, 372, 631–640. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Kruse, G.R.; Rigotti, N.A.; Raw, M.; McNeill, A.; Murray, R.; Pine-Abata, H.; Bitton, A.; McEwen, A. Content and methods used to train tobacco cessation treatment providers: An international survey. J. Smok. Cessatm 2017, 12, 213–220. [Google Scholar] [CrossRef] [PubMed]
- Vick, C.C.; Graham, L.A.; Henderson, W.G.; Houston, T.K., II; Hawn, M.T. Translating preoperative smoking cessation interventions into routine clinical care of veterans: Provider beliefs. Transl. Behav. Med. 2011, 1, 604–608. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Kalkhoran, S.; Thorndike, A.N.; Rigotti, N.A.; Fung, V.; Baggett, T.P. Cigarette smoking and quitting-related factors among us adult health center patients with serious mental illness. J. Gen. Intern. Med. 2019, 34, 986–991. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Cinciripini, P.M.; Karam-Hage, M.; Kypriotakis, G.; Robinson, J.D.; Rabius, V.; Beneventi, D.; Minnix, J.A.; Blalock, J.A. Association of a comprehensive smoking cessation program with smoking abstinence among patients with cancer. JAMA Netw. Open 2019, 2, e1912251. [Google Scholar] [CrossRef] [Green Version]
- Kalkhoran, S.; Benowitz, N.L.; Rigotti, N.A. Prevention and treatment of tobacco use: JACC health promotion series. J. Am. Coll. Cardiol. 2018, 72, 1030–1045. [Google Scholar] [CrossRef] [PubMed]
- Diamanti, A.; Papadakis, S.; Schoretsaniti, S.; Rovina, N.; Vivilaki, V.; Gratziou, C.; Katsaounou, P.A. Smoking cessation in pregnancy: An update for maternity care practitioners. Tob. Induc. Dis. 2019, 17, 57. [Google Scholar] [CrossRef] [PubMed]
- World Health Organization. WHO Framework Convention on Tobacco Control. 2005. Available online: http://apps.who.int/iris/bitstream/handle/10665/42811/9241591013.pdf;jsessionid=BEA8067AD00C32A909A04B8E3174E856?sequence=1 (accessed on 22 November 2021).
- Park, E.R.; Perez, G.K.; Regan, S.; Muzikansky, A.; Levy, D.E.; Temel, J.S.; Rigotti, N.A.; Pirl, W.E.; Irwin, K.E.; Partridge, A.H.; et al. Effect of sustained smoking cessation counseling and provision of medication vs shorter-term counseling and medication advice on smoking abstinence in patients recently diagnosed with cancer: A randomized clinical trial. JAMA 2020, 324, 1406–1418. [Google Scholar] [CrossRef]
- Song, F.; Maskrey, V.; Blyth, A.; Brown, T.J.; Barton, G.R.; Aveyard, P.; Notley, C.; Holland, R.; Bachman, M.O.; Sutton, S.; et al. Differences in longer-term smoking abstinence after treatment by specialist or nonspecialist advisors: Secondary analysis of data from a relapse prevention trial. Nicotine Tob. Res. 2016, 18, 1061–1066. [Google Scholar] [CrossRef] [Green Version]
- Rigotti, N.A. Training Future Physicians to Deliver Tobacco Cessation Treatment. J. Gen. Intern. Med. 2016, 31, 144–146. [Google Scholar] [CrossRef] [Green Version]
- Armstrong, G.W.; Veronese, G.; George, P.F.; Montroni, I.; Ugolini, G. Assessment of tobacco habits, attitudes, and education among medical students in the United States and Italy: A cross-sectional survey. J. Prev. Med. Public Health 2017, 50, 177–187. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Jradi, H.; Al-Shehri, A. Knowledge about tobacco smoking among medical students in Saudi Arabia: Findings from three medical schools. J. Epidemiol. Glob. Health 2014, 4, 269–276. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Fiore, M.C.; Baker, T.B. Clinical practice. Treating smokers in the health care setting. NEJM 2011, 365, 1222–1231. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Schauer, G.L.; Wheaton, A.G.; Malarcher, A.M.; Croft, J.B. Health-care provider screening and advice for smoking cessation among smokers with and without COPD: 2009–2010 National Adult Tobacco Survey. Chest 2016, 149, 676–684. [Google Scholar] [CrossRef] [PubMed]
- Pateman, K.; Ford, P.; Fizgerald, L.; Mutch, A.; Yuke, K.; Bonevski, B.; Gartner, C. Stuck in the catch 22: Attitudes towards smoking cessation among populations vulnerable to social disadvantage. Addiction 2016, 111, 1048–1056. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Twyman, L.; Bonevski, B.; Paul, C.; Bryant, J. Perceived barriers to smoking cessation in selected vulnerable groups: A systematic review of the qualitative and quantitative literature. BMJ Open 2014, 4, e006414. [Google Scholar] [CrossRef] [Green Version]
- Borrelli, B.; Bartlett, Y.K.; Tooley, E.; Armitage, C.J.; Wearden, A. Prevalence and frequency of mHealth and eHealth use among US and UK smokers and differences by motivation to quit. J. Med. Internet Res. 2015, 17, e164. [Google Scholar] [CrossRef] [Green Version]
- Joseph, A.M.; Rothman, A.J.; Almirall, D.; Begnaud, A.; Chiles, C.; Cinciripini, P.M.; Fu, S.S.; Graham, A.L.; Lindgren, B.R.; Melzer, A.C.; et al. Lung cancer screening and smoking cessation clinical trials. SCALE (Smoking Cessation within the Context of Lung Cancer Screening) collaboration. Am. J. Respir. Crit. Care Med. 2018, 197, 172–182. [Google Scholar] [CrossRef]
- Li, J.; Chung, S.; Martinez, M.C.; Luft, H.S. Smoking-cessation interventions after lung cancer screening guideline change. Am. J. Prev. Med. 2020, 59, 88–97. [Google Scholar] [CrossRef]
- Association for Treating Tobacco Use and Dependence. Core Competencies for Evidence-Based Treatment of Tobacco Dependence. Available online: https://www.attud.org/pdf/Standards.pdf (accessed on 22 November 2021).
- Sheffer, C.E.; Payne, T.; Ostroff, J.S.; Jolicoeur, D.; Steinberg, M.; Czabafy, S.; Foulds, J.; Bars, M.; Wassum, K.; Perry, B.; et al. Increasing the quality and availability of evidence-based treatment for tobacco dependence through unified certification of tobacco treatment specialists. J. Smok. Cessat. 2016, 11, 229–235. [Google Scholar] [CrossRef] [Green Version]
- The Council for Tobacco Treatment Training Programs. Accredited Programs. Available online: https://ctttp.org/accredited-programs/ (accessed on 22 November 2021).
- Sheffer, C.E.; Al-Zalabani, A.; Aubrey, A.; Bader, R.; Beltrez, C.; Bennett, S.; Carl, E.; Cranos, C.; Darville, A.; Greyber, J.; et al. The emerging global tobacco treatment workforce: Characteristics of tobacco treatment specialists trained in council-accredited training programs from 2017 to 2019. Int. J. Environ. Res. Public Health 2021, 18, 2416. [Google Scholar] [CrossRef] [PubMed]
- Meyer, K.A. Student Engagement in Online Learning: What Works and Why. ASHE High. Educ. Rep. 2014, 40, 1–114. [Google Scholar] [CrossRef]
- Roughgarden, K.L.; Toll, B.A.; Tanner, N.T.; Frazier, C.C.; Silvestri, G.A.; Rojewski, A.M. Tobacco treatment specialist training for lung cancer screening providers. Am. J. Prev. Med. 2021, 61, 765–768. [Google Scholar] [CrossRef] [PubMed]
- Jolicoeur, D.; Cranos, C.L.; Frisard, C.; Pbert, L. Evaluation of a Train-the-Trainer Program to build capacity for training tobacco treatment specialists. Nicotine Tob. Res. 2019, 21, 1480–1487. [Google Scholar] [CrossRef] [Green Version]
Check List for Course Completion | |
---|---|
Weeks 1–3 | Welcome/Add a Picture/Email Preferences |
Pre-Test | |
Module 1 | |
Module 1 Evaluation | |
Module 2 | |
Module 2 Evaluation | |
Weeks 3–5 | Module 3 (including the Assessment and Treatment Assignments) |
Module 3 Evaluation | |
Weeks 5–7 | Module 4 (including the Pharmacology Quiz) |
Module 4 Evaluation | |
Module 5 (including the Relapse Case Study and Written Assignment) | |
Module 5 Evaluation | |
Week 8 | Post-Test |
Video Simulated Patient (via Zoom) | |
TTS Simulation Self Reflection | |
Written Case Study | |
TTS Program Effectiveness and Satisfaction Survey | |
TTS Final Exam | |
Receive Completion Certificate |
Total Sample (n= 197) n (%) | Completed (n = 181) n (%) | Did Not Complete (n = 16) n (%) | p | |
---|---|---|---|---|
Gender | 0.43 a | |||
Female | 156 (86.2%) | 146 (86.9%) | 10 (76.9%) | |
Male | 24 (13.3%) | 21 (12.5%) | 3 (23.1%) | |
Other | 1 (0.5%) | 1 (0.6%) | 0 (0.0%) | |
Race/Ethnicity | 0.99 a | |||
White, non-Hispanic | 158 (86.3%) | 146 (85.9%) | 12 (92.3%) | |
Other race/ethnicity (Hispanic, Asian, Black or African American, Alaskan Native, Mixed) | 25 (13.7%) | 24 (14.1%) | 1 (7.7%) | |
Education | 0.95 b | |||
High school or Associate’s degree | 30 (16.1%) | 28 (16.5%) | 2 (12.5%) | |
Bachelor’s degree | 72 (38.7%) | 65 (38.2%) | 7 (443.8%) | |
Master’s degree or above | 84 (45.2%) | 77 (45.3%) | 7 (43.8%) | |
Workplace setting | 0.41 a | |||
Direct patient care | 136 (70.8%) | 127 (71.7%) | 9 (60.0%) | |
Public or community health | 49 (25.5%) | 43 (24.3%) | 6 (40.0%) | |
Academia | 7 (3.7%) | 7 (4.0%) | 0 (0.0%) | |
Frequency discussing quitting tobacco with patients or others | 0.012 b | |||
Never or very little | 53 (27.7%) | 51 (29.1%) | 2 (12.5%) | |
Often (1–4 times per week) | 46 (24.1%) | 45 (25.7%) | 1 (6.2%) | |
Daily | 92 (48.2%) | 79 (45.1%) | 13 (81.3%) |
Attribute (n = 137) | Mean (SD) * |
---|---|
Helpfulness of training in developing/improving motivational counseling, accessing tobacco use and dependence, knowledge of cessation medications and/or delivery of evidence-based treatment in the clinical setting | 4.61 (0.45) |
Usefulness of the information for your clinical setting | 4.69 (0.61) |
Satisfaction with support materials | 4.47 (0.60) |
Satisfaction with your ability to effectively provide tobacco treatment | 4.42 (0.59) |
Publisher’s Note: MDPI stays neutral with regard to jurisdictional claims in published maps and institutional affiliations. |
© 2022 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
Share and Cite
Darville, A.; Rademacher, K.; Wiggins, A.T.; Lenhof, M.G.; Hahn, E.J. Training Tobacco Treatment Specialists through Virtual Asynchronous Learning. Int. J. Environ. Res. Public Health 2022, 19, 3201. https://doi.org/10.3390/ijerph19063201
Darville A, Rademacher K, Wiggins AT, Lenhof MG, Hahn EJ. Training Tobacco Treatment Specialists through Virtual Asynchronous Learning. International Journal of Environmental Research and Public Health. 2022; 19(6):3201. https://doi.org/10.3390/ijerph19063201
Chicago/Turabian StyleDarville, Audrey, Kathy Rademacher, Amanda T. Wiggins, Mary Grace Lenhof, and Ellen J. Hahn. 2022. "Training Tobacco Treatment Specialists through Virtual Asynchronous Learning" International Journal of Environmental Research and Public Health 19, no. 6: 3201. https://doi.org/10.3390/ijerph19063201