Effectiveness of tobacco intervention education in health professional students’ practice

Hyndman, Kathryn; Patterson, Steve; Compton, Sharon M.; Schira, Rainer; Godfrey, Christina; Bradley, Jenifer; Chachula, Kathryn

doi:10.11124/jbisrir-2016-002655

Cited by 5 publications

(6 citation statements)

References 57 publications

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“…It is seen that our study ranks second with 19.4% (this rate was 22.8% if new beginners were not included). The studies here show that, although the average prevalence is relatively below 27.8%, one out of 4-5 physicians still smokes [9]. Additionally; we found that a peak similar to that seen in the grade-2 in our study was also present in Yaskiran's study (Yaskiran, 2020).…”

Section: Iii) Discussionsupporting

confidence: 77%

Smoking Prevalences of All Grades from Oldest Medical School in Turkey and Attitudes of Medical Students as a Potential Role Model

Bayramlar¹,

Karabey

Koci

et al. 2023

Preprint

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Background: Medical students are candidates for counseling tobacco addicts after graduation. In contrast, they have high rates of tobacco smoking. Aims: Therefore, we aimed to determine the prevalence and dynamics of tobacco smoking among medical students from all grades and to determine its relationship with sociodemographic factors and content of medical education in order to formulate effective tobacco control measures. Methods: A questionnaire prepared in cooperation with the 'World Health Organization' was applied as online to 697 medical students in 2020 as a randomized cross-sectional study covering all grades of the medical school. Tobacco Control lectures in school curriculum were also examined. Results: While 3.3% of the students smoked when they just started the school, smoking prevalence reached a peak value of 31% in the grade-2 and decreased to 23% in the grade-6. Of the 135 smokers, 43% smoked their first cigarette during their medical education. “Having smoker best friends” was the most important factor in starting smoking (OR:14.89, p<0.001). Of smokers 59.3% (n=80) want to quit smoking. Only 20.7% of students who tried to quit smoking received professional help. The smoking risk was 12.5-fold higher in students who tried to use hookahs than never tried (p<0.001). The students who are expected to receive sufficient quantity and quality education, took only 1-hour lecture on tobacco control in the first two years of school. Conclusion: Increased smoking rates indicate that psychosocial supporting mechanisms and tobacco control lectures should be developed to prevent students from starting smoking during the undergraduate medical education period.

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Section: Iii) Discussionsupporting

confidence: 77%

Smoking Prevalences of All Grades from Oldest Medical School in Turkey and Attitudes of Medical Students as a Potential Role Model

Bayramlar¹,

Karabey

Koci

et al. 2023

Preprint

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“…This systematic review followed an a priori published protocol [71]. The protocol was registered with the international prospective register of systematic reviews (PROSPERO) on 8 August 2016 as CRD42016044106.…”

Section: Methodsmentioning

confidence: 99%

“…Two independent reviewers critically appraised all eligible quantitative papers selected for retrieval using the Cochrane Collaboration risk-of-bias tool [73,74] and the JBI critical appraisal instrument [71,72]. The critical appraisal results are in Supplementary Table S1.…”

Section: Methodsmentioning

confidence: 99%

The Effectiveness of Tobacco Dependence Education in Health Professional Students’ Practice: A Systematic Review and Meta-Analysis of Randomized Controlled Trials

Hyndman

Schira

Bradley³

et al. 2019

IJERPH

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The objective of this study was to perform a systematic review to examine the effectiveness of tobacco dependence education versus usual or no tobacco dependence education on entry-level health professional student practice and client smoking cessation. Sixteen published databases, seven grey literature databases/websites, publishers’ websites, books, and pertinent reference lists were searched. Studies from 16 health professional programs yielded 28 RCTs with data on 4343 healthcare students and 3122 patients. Two researchers independently assessed articles and abstracted data about student knowledge, self-efficacy, performance of tobacco cessation interventions, and patient smoking cessation. All forms of tobacco were included. We did not find separate interventions for different kinds of tobacco such as pipes or flavoured tobacco. We computed effect sizes using a random-effects model and applied meta-analytic procedures to 13 RCTs that provided data for meta-analysis. Students’ counseling skills increased significantly following the 5As model (SMD = 1.03; 95% CI 0.07, 1.98; p < 0.00001, I2 94%; p = 0.04) or motivational interviewing approach (SMD = 0.90, 95% CI 0.59, 1.21; p = 0.68, I2 0%; p < 0.00001). With tobacco dependence counseling, 78 more patients per 1000 (than control) reported quitting at 6 months (OR 2.02; 95% CI 1.49, 2.74, I2 = 0%, p = 0.76; p < 0.00001), although the strength of evidence was moderate or low. Student tobacco cessation counseling improved guided by the above models, active learning strategies, and practice with standardized patients.

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“…12 Other health care curricula have implemented smoking cessation programs coined the 5A's model (Ask, Advise, Assess, Assist, and Arrange). 13 This model uses a mnemonic to guide health care professionals in initiating a brief 10 minute intervention session with patients on how to quit smoking cigarettes; however, the curriculum is taught with a wide variety of teaching styles due to professors expressing low self-confidence in knowledge and doubt in the ability to initiate change in patients. 13,14 This insecure foundation on the 5A's model has been shown to lead to improper use in health care practice.…”

Section: Literature Evaluationmentioning

confidence: 99%

“…13 This model uses a mnemonic to guide health care professionals in initiating a brief 10 minute intervention session with patients on how to quit smoking cigarettes; however, the curriculum is taught with a wide variety of teaching styles due to professors expressing low self-confidence in knowledge and doubt in the ability to initiate change in patients. 13,14 This insecure foundation on the 5A's model has been shown to lead to improper use in health care practice. 15,16 One study recorded 38 physicians during their tobacco cessation counseling sessions with 32% of physicians not asking or assessing the patient's current smoking status, thus defeating the purpose of the 5A's mnemonic.…”

Section: Literature Evaluationmentioning

confidence: 99%

The Need for Nationwide Electronic Cigarette Smoking Cessation Curricula Across the Healthcare Spectrum

Mitchell

Shah

Zink

2021

American Journal of Pharmaceutical Education

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The use of electronic nicotine delivery systems (ENDS) has become a stepping stone for smokers in their cessation of tobacco use. Students within the pharmacy curriculum and other health care programs have expressed varying responses as to how likely they are to recommend ENDS based on their knowledge of these devices. Due to varying degrees of education given on these products, student pharmacists responded with a greater sense of negativity in the recommendation of ENDS to current cigarette smokers. This commentary suggests why student pharmacists embody such recommendations and how students within the health care curricula require more adequate ENDS education in order to not recommend these products.

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Effectiveness of tobacco intervention education in health professional students’ practice

Cited by 5 publications

References 57 publications

Smoking Prevalences of All Grades from Oldest Medical School in Turkey and Attitudes of Medical Students as a Potential Role Model

Smoking Prevalences of All Grades from Oldest Medical School in Turkey and Attitudes of Medical Students as a Potential Role Model

The Effectiveness of Tobacco Dependence Education in Health Professional Students’ Practice: A Systematic Review and Meta-Analysis of Randomized Controlled Trials

The Need for Nationwide Electronic Cigarette Smoking Cessation Curricula Across the Healthcare Spectrum

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