Evaluation of a Web-Based Training in Smoking Cessation Counseling Targeting U.S. Eye-Care Professionals

Autor/inn/en	Asfar, Taghrid; Lee, David J.; Lam, Byron L.; Murchison, Ann P.; Mayro, Eileen L.; Owsley, Cynthia; McGwin, Gerald; Gower, Emily W.; Friedman, David S.; Saaddine, Jinan
Titel	Evaluation of a Web-Based Training in Smoking Cessation Counseling Targeting U.S. Eye-Care Professionals
Quelle	In: Health Education & Behavior, 45 (2018) 2, S.181-189 (9 Seiten) PDF als Volltext Verfügbarkeit
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	1090-1981
DOI	10.1177/1090198117709883
Schlagwörter	Web Based Instruction; Smoking; Optometry; Allied Health Personnel; Counseling Objectives; Counseling Techniques; Program Effectiveness; Program Evaluation; Pretests Posttests; Participant Characteristics; Capacity Building; Self Efficacy; Training Methods; Surveys; Statistical Analysis; Florida (Miami); Maryland (Baltimore); Alabama (Birmingham); Pennsylvania (Philadelphia) + Suchen Sie Ihr Suchwort? Web Based Training; Rauchen; Counseling technique; Counselling technique; Counselling techniques; Beratungsmethode; Programme evaluation; Programmevaluation; Self-efficacy; Selbstwirksamkeit; Didaktik; Trainingsmaßnahme; Survey; Umfrage; Befragung; Statistische Analyse
Abstract	Background: Smoking causes blindness-related diseases. Eye-care providers are uniquely positioned to help their patients quit smoking. Aims: Using a pre-/postevaluation design, this study evaluated a web-based training in smoking cessation counseling targeting eye-care providers. Method: The training was developed based on the 3A1R protocol: "Ask about smoking, Advise to quit, Assess willingness to quit, and Refer to tobacco quitlines," and made available in the form of a web-based video presentation. Providers (n = 654) at four academic centers were invited to participate. Participants completed pretraining, posttraining, and 3-month follow-up surveys. Main outcomes were self-reported improvement in their motivation, confidence, and counseling practices at 3-month follow-up. Generalized linear mixed models for two time-points (pretraining and 3-month) were conducted for these outcomes. Results: A total of 113 providers (54.0% males) participated in the study (17.7% response rate). At the 3-month evaluation, 9.8% of participants reported improvement in their motivation. With respect to the 3A1R, 8% reported improvement in their confidence for Ask, 15.5% for Advise, 28.6% for Assess, and 37.8% for Refer. Similarly, 25.5% reported improvement in their practices for Ask, 25.5% for Advise, 37.2% for Assess, and 39.4% for Refer to tobacco quitlines (p < 0.001 for all except for Refer confidence p = 0.05). Discussion: Although participation rate was low, the program effectively improved providers' smoking cessation counseling practices. Conclusions: Including training in smoking cessation counseling in ophthalmology curriculums, and integrating the 3A1R protocol into the electronic medical records systems in eye-care settings, might promote smoking cessation practices in these settings. (As Provided).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2020/1/01