Potential impact of a pilot training program on smoking cessation intervention for tuberculosis DOTS providers in Malaysia

Awaisu, Ahmed; Mohamed, Mohamad Haniki Nik; Noordin, Noorliza Mohamad; Aziz, Noorizan Abd; Sulaiman, Syed Azhar Syed; Muttalif, Abdul Razak; Mahayiddin, Aziah Ahmad

doi:10.1007/s10389-009-0302-5

Cited by 11 publications

(9 citation statements)

References 14 publications

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“…Consistent with other TB HCP training evaluations that assessed knowledge improvement immediately after training, our study showed an increase in the proportion of participants with higher test scores in the immediate post-training test, which adds to the evidence that training programmes are effective in improving factual TB/MDR-TB knowledge in short term 33–35. Because no previous evaluation has assessed long-term knowledge retention of TB HCP training programmes, we were unable to compare the knowledge changes observed a year after training in our study with other similar assessments.…”

Section: Discussionsupporting

confidence: 76%

Is knowledge retained by healthcare providers after training? A pragmatic evaluation of drug-resistant tuberculosis management in China

et al. 2019

BMJ Open

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ObjectivesConsidering the urgent need of training to improve standardised management of drug-resistant infectious disease and the lack of evidence on the impact of training, this study evaluates whether training participants’ knowledge on multidrug-resistant tuberculosis (MDR-TB) is improved immediately and a year after training.Setting and participantsThe study involved 91 MDR-TB healthcare providers (HCPs), including clinical doctors, nurses and CDC staff, who attended a new MDR-TB HCP training programme in Liaoning and Jiangxi provinces, China.Main outcome measuresA phone-based assessment of participants’ long-term retention of knowledge about MDR-TB management was conducted in July 2017, approximately 1 year after training. The proportion of correct responses in the long-term knowledge assessment was compared with a pretraining test and an immediate post-training test using a χ2 test. Factors influencing participants’ performance in the long-term knowledge assessment were analysed using linear regression.ResultsAcross both provinces, knowledge of definitions of drug-resistant TB, standardised MDR-TB case detection protocols and laboratory diagnosis was improved 1 year after the training by 14.5% (p=0.037), 32.4% (p<0.001) and 31% (p<0.001) relative to pretraining. However, compared with immediately after training, the knowledge of the three topics declined by 26.5% (p=0.003), 19.8% (p=0.018) and 52.7% (p<0.001) respectively in Jiangxi, while no significant decline was observed in Liaoning. Additionally, we found that obtaining a higher score in the long-term knowledge assessment was associated with longer years of clinical experience (coefficient=0.51; 95 CI% 0.02 to 0.99; p=0.041) and attending training in Liaoning (coefficient=0.50; 95% CI 0.14 to 0.85; p=0.007).ConclusionOur study, the first to assess knowledge retention of MDR-TB HCPs 1 year after training, showed an overall positive long-term impact of lecture-style group training on participants’ knowledge. Knowledge decline 1 year after training was observed in one province, Jiangxi, and this may be partly addressed by targeted support to HCPs with fewer years of clinical experience.

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Section: Discussionsupporting

confidence: 76%

Is knowledge retained by healthcare providers after training? A pragmatic evaluation of drug-resistant tuberculosis management in China

et al. 2019

BMJ Open

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“…Patients were identified based on their self-reported tobacco use during TB diagnosis. They were then referred at the point of initiating DOTS regimen by the attending physician to TB DOTS providers who were specially trained to provide SCI in TB setting [ 34 ]. Patients were recruited into the study upon fulfillment of eligibility criteria and written informed consent.…”

Section: Methodsmentioning

confidence: 99%

The SCIDOTS Project: Evidence of benefits of an integrated tobacco cessation intervention in tuberculosis care on treatment outcomes

Awaisu

Mohamed

Noordin

et al. 2011

Subst Abuse Treat Prev Policy

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BackgroundThere is substantial evidence to support the association between tuberculosis (TB) and tobacco smoking and that the smoking-related immunological abnormalities in TB are reversible within six weeks of cessation. Therefore, connecting TB and tobacco cessation interventions may produce significant benefits and positively impact TB treatment outcomes. However, no study has extensively documented the evidence of benefits of such integration. SCIDOTS Project is a study from the context of a developing nation aimed to determine this.MethodsAn integrated TB-tobacco intervention was provided by trained TB directly observed therapy short-course (DOTS) providers at five chest clinics in Malaysia. The study was a prospective non-randomized controlled intervention using quasi-experimental design. Using Transtheoretical Model approach, 120 eligible participants who were current smokers at the time of TB diagnosis were assigned to either of two treatment groups: conventional TB DOTS plus smoking cessation intervention (integrated intervention or SCIDOTS group) or conventional TB DOTS alone (comparison or DOTS group). At baseline, newly diagnosed TB patients considering quitting smoking within the next 30 days were placed in the integrated intervention group, while those who were contemplating quitting were assigned to the comparison group. Eleven sessions of individualized cognitive behavioral therapy with or without nicotine replacement therapy were provided to each participant in the integrated intervention group. The impacts of the novel approach on biochemically validated smoking cessation and TB treatment outcomes were measured periodically as appropriate.ResultsA linear effect on both 7-day point prevalence abstinence and continuous abstinence was observed over time in the intervention group. At the end of 6 months, patients who received the integrated intervention had significantly higher rate of success in quitting smoking when compared with those who received the conventional TB treatment alone (77.5% vs. 8.7%; p < 0.001). Furthermore, at the end of TB treatment (6 months or later), there were significantly higher rates of treatment default (15.2% vs. 2.5%; p = 0.019) and treatment failure (6.5% vs. 0%; p = 0.019) in the DOTS group than in the SCIDOTS group.ConclusionThis study provides evidence that connecting TB-tobacco treatment strategy is significant among TB patients who are smokers. The findings suggest that the integrated approach may be beneficial and confer advantages on short-term outcomes and possibly on future lung health of TB patients who quit smoking. This study may have important implications on health policy and clinical practice related to TB management among tobacco users.

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“…9 Despite these opportunities, Malaysian pharmacists were not contributing optimally in this area. 10,11 Lack of comprehensive tobacco-related courses and training in most universities' curricula was cited as a major contributing factor, as well as lack of in-service training and continuing professional development (CPD) programs focusing on the subject. 10 The latter issue was addressed through the initiation of the Certified Smoking Cessation Service Provider (CSCSP) program in 2004.…”

Section: Introductionmentioning

confidence: 99%

“…10,11 Lack of comprehensive tobacco-related courses and training in most universities' curricula was cited as a major contributing factor, as well as lack of in-service training and continuing professional development (CPD) programs focusing on the subject. 10 The latter issue was addressed through the initiation of the Certified Smoking Cessation Service Provider (CSCSP) program in 2004. The main objective of CSCSP was to provide Malaysian health care professionals with additional, specialized counseling skills to help smokers quit the habit.…”

Section: Introductionmentioning

confidence: 99%

Training Malaysian Pharmacy Undergraduates with Knowledge and Skills on Smoking Cessation

Simansalam

Brewster

Mohamed

2015

American Journal of Pharmaceutical Education

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Objective. To evaluate the feasibility of an online training module, Certified Smoking Cessation Service Provider (CSCSP), developed for practicing pharmacists to equip pharmacy students with knowledge necessary for smoking cessation counseling and to assess the changes in student knowledge and skills regarding smoking cessation following training. Design. Sixty third-year and 80 fourth-year pharmacy undergraduates (N5140) were given access to an online module, the main intervention in the study. Two linkable questionnaires were administered to assess students' preintervention and postintervention knowledge. For the third-year students, an additional role-play training component was incorporated, and student skills were assessed during week 14 with an Objective Structured Clinical Examination (OSCE). Assessment. Preintervention and postintervention knowledge assessments were completed by 130 (92.8%) students. Sixty-six students scored above 50% for the knowledge component postintervention, compared to 13 at preintervention, demonstrating significant improvement (x2(1, N5130)532, p50.003). All third-year students completed the intervention, and 66.7% were able to counsel excellently for smoking cessation, scoring more than 80%. Conclusion. The CSCSP online module developed for practicing professionals was found suitable for equipping pharmacy undergraduates with knowledge on smoking cessation topics. The module, along with role-play training, also equipped students with knowledge and skills to provide smoking cessation counseling.

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Potential impact of a pilot training program on smoking cessation intervention for tuberculosis DOTS providers in Malaysia

Cited by 11 publications

References 14 publications

Is knowledge retained by healthcare providers after training? A pragmatic evaluation of drug-resistant tuberculosis management in China

Is knowledge retained by healthcare providers after training? A pragmatic evaluation of drug-resistant tuberculosis management in China

The SCIDOTS Project: Evidence of benefits of an integrated tobacco cessation intervention in tuberculosis care on treatment outcomes

Training Malaysian Pharmacy Undergraduates with Knowledge and Skills on Smoking Cessation

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