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RESEARCH PAPER
Outcome of a four-hour smoking cessation counselling workshop for medical students
1
Division of Pulmonary Medicine, Internal Medicine, University Hospitals of Homburg/ Saar, Saarland University, Homburg/Saar, Germany
2
Clinic of Pulmonary Medicine and Respiratory Cell Research, University Hospital Basel, Basel, Switzerland
3
Division of Pain Medicine, Berufsgenossenschaftliches Universitätsklinikum Bergmannsheil GmbH, Bochum, Germany
4
Divison of Internal Medicine, Hospital of Münsingen, Münsingen, Switzerland
5
University Hospital of Psychiatry, Bern, Switzerland
6
Clinic of Internal Medicine, Lindenhofspital, Bern, Switzerland
7
Clinic Sonnenhalde, Riehen, Switzerland
8
Division of Assessment und Evaluation, Institute for Medical Teaching, University of Bern, Bern, Switzerland
9
Department of Cardiology and Pneumology, University Hospital Göttingen, Göttingen, Germany
10
Department of Behavioral Therapy and Psychosomatic Medicine, Rehabilitation Center Seehof, Federal German Pension Agency, Teltow, Germany
11
Medical Faculty, Saarland University Hospitals, Homburg/Saar, Germany
Submission date: 2016-04-05
Acceptance date: 2016-11-18
Publication date: 2016-11-25
Corresponding author
Jürg Hamacher
Division of Pulmonary Medicine, Internal Medicine, University Hospitals of Homburg/ Saar, Saarland University, Homburg/Saar, Germany
Division of Pulmonary Medicine, Internal Medicine, University Hospitals of Homburg/ Saar, Saarland University, Homburg/Saar, Germany
Tobacco Induced Diseases 2016;14(November):37
KEYWORDS
smoking cessation counsellingmedical educationcurriculumcommunication skillsmotivational interviewingknowledgeskillsattitudetobacco cessation education
ABSTRACT
Background:
Lack of smoking cessation education in undergraduate medical training hinders healthcare professionals in providing adequate tobacco cessation counselling. We developed a comprehensive 4-h smoking cessation counselling course for medical students that is easy to incorporate in a medical school curriculum, and assessed its short-term outcome for knowledge, skills, and attitudes.
Methods:
Eighty-eight medical students (53f, 35 m) were educated by a doctoral student in five identical 4-h courses. A 45-min theoretical introduction was followed by patient-physician role-playing by student pairs. Knowledge, skills, and attitude were assessed before and 4 weeks after the course by questionnaires, and by blinded analysis of pre- and post-course videos of a five-minute standardized patient situation.
Results:
Knowledge: Before the course 10.6 (mean, SD: 2.7) questions out of 29 were answered correctly, and increased to 19.2 (3.6) after the course (p < 0.0005). Major features of the students’ counselling skills improved. Significant and highly relevant attitude changes reflected increased motivation to counselling smokers.
Conclusions:
Implementing a four-hour smoking intervention workshop into a medical curriculum was highly effective in improving students’ knowledge, skills and attitudes towards smoking counselling, as well as providing them with additional clinical competencies.
Lack of smoking cessation education in undergraduate medical training hinders healthcare professionals in providing adequate tobacco cessation counselling. We developed a comprehensive 4-h smoking cessation counselling course for medical students that is easy to incorporate in a medical school curriculum, and assessed its short-term outcome for knowledge, skills, and attitudes.
Methods:
Eighty-eight medical students (53f, 35 m) were educated by a doctoral student in five identical 4-h courses. A 45-min theoretical introduction was followed by patient-physician role-playing by student pairs. Knowledge, skills, and attitude were assessed before and 4 weeks after the course by questionnaires, and by blinded analysis of pre- and post-course videos of a five-minute standardized patient situation.
Results:
Knowledge: Before the course 10.6 (mean, SD: 2.7) questions out of 29 were answered correctly, and increased to 19.2 (3.6) after the course (p < 0.0005). Major features of the students’ counselling skills improved. Significant and highly relevant attitude changes reflected increased motivation to counselling smokers.
Conclusions:
Implementing a four-hour smoking intervention workshop into a medical curriculum was highly effective in improving students’ knowledge, skills and attitudes towards smoking counselling, as well as providing them with additional clinical competencies.
REFERENCES (30)
1.
Bullen C. Impact of tobacco smoking and smoking cessation on cardiovascular risk and disease. Expert Rev Cardiovasc Ther. 2008;6:883–95.
2.
Fagerström K. The epidemiology of smoking: health consequences and benefits of cessation. Drugs. 2002;62 Suppl 2:1–9.
3.
Cornuz J, Humair J, Seematter L, Stoianov R, van Melle G, Stalder H, Pécoud A. Efficacy of resident training in smoking cessation: a randomized, controlled trial of a program based on application of behavioral theory and practice with standardized patients. Ann Intern Med. 2002;136:429–37.
4.
Rigotti N, Bitton A, Richards A, Reyen M, Wassum K, Raw M. An international survey of training programs for treating tobacco dependence. Addiction. 2009;104:288–96.
5.
Roche A, Eccleston P, Jordan D. Smoking-related knowledge and attitudes of senior Australian medical students. Tob Control. 1996;5:271–9.
6.
Scott C, Neighbor W. Preventive care attitudes of medical students. Soc Sci Med. 1985;21:299–305.
7.
Strobel L, Schneider NK, Krampe H, Beissbarth T, Pukrop T, Anders S, West R, Aveyard P, Raupach T. German medical students lack knowledge of how to treat smoking and problem drinking. Addiction. 2012;107:1878–82.
8.
Mounsey A, Bovbjerg V, White L, Gazewood J. Do students develop better motivational interviewing skills through role-play with standardised patients or with student colleagues? Med Educ. 2006;40:775–80.
9.
Dunn S, Ehrich L, Mylonas A, Hansford B. Students‘perceptions of field experience in professional development: a comparative study. J Nurs Educ. 2000;39:393–400.
10.
Eraker S, Becker M, Strecher V, Kirscht J. Smoking behavior, cessation techniques, and the health decision model. Am J Med. 1985;78:817–25.
11.
Clinical Practice Guideline Treating Tobacco Use and Dependence 2008 Update Panel La, and Staff. A clinical practice guideline for treating tobacco use and dependence: 2008 update. A U.S. Public Health Service report. Am J Prev Med. 2008;2008(35):158–76.
12.
Anthonisen N, Skeans M, Wise R, Manfreda J, Kanner R, Connett J. The effects of a smoking cessation intervention on 14.5-year mortality: a randomized clinical trial. Ann Intern Med. 2005;142:233–9.
13.
Humair J, Cornuz J. A new curriculum using active learning methods and standardized patients to train residents in smoking cessation. J Gen Intern Med. 2003;18:1023–7.
14.
Butler C, Rollnick S. Treatment of tobacco use and dependence. N Engl J Med. 2002;347:294–5. author reply 294-295.
15.
Prochaska JO, Velicer WF. The transtheoretical model of health behavior change. Am J Health Promot. 1997;12:38–48.
16.
Fiore MC. US public health service clinical practice guideline: treating tobacco use and dependence. Respir Care. 2000;45:1200–62.
17.
Kiehl C, Simmenroth-Nayda A, Goerlich Y, Entwistle A, Schiekirka S, Ghadimi BM, Raupach T, Koenig S. Standardized and quality-assured video-recorded examination in undergraduate education: informed consent prior to surgery. J Surg Res. 2014;191:64–73.
19.
Valentine JC, Cooper H. Effect size substantive interpretation guidelines: Issues in the interpretation of effect sizes. Washington: What Works Clearinghouse (WWC), Institute of Education Sciences(IES), U.S. Department of Education; 2003. p. 7.
20.
Cohen J. Statistical power analysis for the behavioral sciences. 2nd ed. Hillsdale: Lawrence Erlbaum; 1988. Auflage.
21.
Wolf FM. Meta-analysis: quantitative methods for research synthesis Sage. London: Newbury; 1986.
22.
Hamdy H, Prasad K, Anderson MB, Scherpbier A, Williams R, Zwierstra R, Cuddihy H. BEME systematic review: predictive values of measurements obtained in medical schools and future performance in medical practice. Med Teach. 2006;28:103–16.
23.
Torre DM, Simpson D, Sebastian JL, Elnicki DM. Learning/feedback activities and high-quality teaching: perceptions of third-year medical students during an inpatient rotation. Acad Med. 2005;80:950–4.
24.
Dunn C, Deroo L, Rivara F. The use of brief interventions adapted from motivational interviewing across behavioral domains: a systematic review. Addiction. 2001;96:1725–42.
25.
Bernstein S, Boudreaux E, Cabral L, Cydulka R, Schwegman D, Larkin G, Adams A, McCullough L, Rhodes K. Efficacy of a brief intervention to improve emergency physicians‘ smoking cessation counseling skills, knowledge, and attitudes. Subst Abus. 2009;30:158–81.
26.
Powers C, Zapka J, Bognar B, Dube C, Hyder Ferry L, Ferguson K, O'donnell J, Rigotti N, Conley Thomson C, White M, et al. Evaluation of current tobacco curriculum at 12 US medical schools. J Cancer Educ. 2004;19:212–9.
27.
Goldberg D, Hoffman A, Añel D. Understanding people who smoke and how they change: a foundation for smoking cessation in primary care, part 1. Dis Mon. 2002;48:385–439.
28.
Antypas K, Wangberg SC. Combining users‘ needs with health behavior models in designing an internet- and mobile-based intervention for physical activity in cardiac rehabilitation. JMIR Res Protoc. 2014;3:e4.
29.
Hauer KE, Carney PA, Chang A, Satterfield J. Behavior change counseling curricula for medical trainees: a systematic review. Acad Med. 2012;87:956–68.
30.
Epstein R, Hundert E. Defining and assessing professional competence. JAMA. 2002;287:226–35.
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5.
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8.
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9.
Perceptions and preparedness toward tobacco cessation counseling amongst clinical medical students in Chongqing, Southwest China: A cross-sectional study
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10.
A Text-Based Smoking Cessation Intervention for Sexual and Gender Minority Groups: Protocol for a Feasibility Trial
Irene Tami-Maury, Rebecca Klaff, Allison Hussin, Nathan Smith, Shine Chang, Lorna McNeill, Lorraine Reitzel, Sanjay Shete, Lorien Abroms
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11.
Tobacco Cessation Curriculum in Medical Schools: a Scoping Review
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Journal of Cancer Education
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Journal of Cancer Education
12.
Education for Tobacco Use Disorder Treatment: Current State, Evidence, and Unmet Needs
Anne Melzer, Zachary Reese, Lorraine Mascarhenas, Caitlin Clancy, Janaki Deepak, Hyma Gogineni, Yaron Gesthalter, Joanna Hart
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Anne Melzer, Zachary Reese, Lorraine Mascarhenas, Caitlin Clancy, Janaki Deepak, Hyma Gogineni, Yaron Gesthalter, Joanna Hart
ATS Scholar
13.
Towards a comprehensive tobacco-cessation approach: A pilot-training using simulation based-learning among
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