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Content and Methods used to Train Tobacco Cessation Treatment Providers: An International Survey

Published online by Cambridge University Press:  03 October 2016

Gina R. Kruse ,
Nancy A. Rigotti ,
Martin Raw ,
Ann McNeill ,
Rachael Murray ,
Hembadoon Piné-Abata ,
Asaf Bitton  and
Andy McEwen
Gina R. Kruse*
Affiliation:
Division of General Internal Medicine, Department of Medicine, Massachusetts General Hospital, Boston, Massachusetts Harvard Medical School, Boston, Massachusetts Tobacco Research and Treatment Center, Department of Medicine, Massachusetts General Hospital, Boston, Massachusetts
Nancy A. Rigotti
Affiliation:
Division of General Internal Medicine, Department of Medicine, Massachusetts General Hospital, Boston, Massachusetts Harvard Medical School, Boston, Massachusetts Tobacco Research and Treatment Center, Department of Medicine, Massachusetts General Hospital, Boston, Massachusetts
Martin Raw
Affiliation:
UK Centre for Tobacco and Alcohol Studies, London, UK Division of Epidemiology and Public Health, University of Nottingham, Nottingham, UK
Ann McNeill
Affiliation:
UK Centre for Tobacco and Alcohol Studies, London, UK King's College London, London, UK
Rachael Murray
Affiliation:
UK Centre for Tobacco and Alcohol Studies, London, UK Division of Epidemiology and Public Health, University of Nottingham, Nottingham, UK
Hembadoon Piné-Abata
Affiliation:
UK Centre for Tobacco and Alcohol Studies, London, UK Division of Epidemiology and Public Health, University of Nottingham, Nottingham, UK
Asaf Bitton
Affiliation:
Harvard Medical School, Boston, Massachusetts Division of General Medicine and Primary Care, Brigham and Women's Hospital, Boston, Massachusetts Ariadne Labs, Brigham and Women's Hospital and Harvard T.H. Chan School of Public health, Boston, Massachusetts
Andy McEwen
Affiliation:
National Centre for Smoking Cessation and Training, London, UK Cancer Research UK Health Behaviour Research Centre, University College London, London, UK
*
Address for correspondence: Gina R. Kruse, 50 Staniford Street, 9th Floor, Boston, MA 02114, USA. Email: gkruse@mgh.harvard.edu
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Abstract

Introduction: There are limited existing data describing the training methods used to educate tobacco cessation treatment providers around the world.

Aims: To measure the prevalence of tobacco cessation treatment content, skills training, and teaching methods reported by tobacco treatment training programmes around the world.

Methods: Web-based survey in May–September 2013 amongst tobacco cessation training experts across six geographic regions and four World Bank income levels. In total, 104 individual training programmes responded.

Results: Of 104 individual programmes, most reported teaching brief advice (78%) and one-to-one counselling (74%); telephone counselling was uncommon (33%). Overall, teaching of knowledge topics was more commonly reported than skills training. Programmes in lower income countries less often reported teaching about medications, behavioural treatments and biomarkers and less often reported skills-based training about interviewing clients, medication management, biomarker measurement, assessing client outcomes, and assisting clients with co-morbidities. Programmes reported a median 15 hours of training. Face-to-face training was common (85%); online programmes were rare (19%). Almost half (47%) included no learner assessment. Most (65%) offered no continuing education.

Conclusions: Nearly all programmes reported teaching evidence-based treatment modalities in a face-to-face format. Few programmes delivered training online or offered continuing education. Skills-based training was less common amongst low- and middle-income countries (LMICs). There is an unmet need for tobacco treatment training protocols which emphasise practical skills and which are more rapidly scalable than face-to-face training in LMICs.

Type
Original Articles
Information
Journal of Smoking Cessation , Volume 12 , Issue 4 , December 2017 , pp. 213 - 220
Copyright
Copyright © The Author(s) 2016 

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