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Web-Based Training in Tobacco Cessation Interventions for Health ...

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<strong>Web</strong>-<strong>Based</strong> <strong>Tra<strong>in</strong><strong>in</strong>g</strong> <strong>in</strong> <strong>Tobacco</strong> <strong>Cessation</strong> <strong>Interventions</strong><br />

<strong>for</strong> <strong>Health</strong> Professionals<br />

Rossie KM, O'Bryan P, Metcalf M, Tanner TB.<br />

Cl<strong>in</strong>ical Tools, Inc., Chapel Hill, NC


Abstract<br />

<strong>Web</strong>-<strong>Based</strong> <strong>Tra<strong>in</strong><strong>in</strong>g</strong> <strong>for</strong> <strong>Health</strong> Professionals <strong>in</strong> <strong>Tobacco</strong> <strong>Cessation</strong><br />

<strong>Interventions</strong><br />

Rossie, K.M., O'Bryan, P., Metcalf, M., Tanner, T.B.<br />

Problem/Objective: To convert a tra<strong>in</strong><strong>in</strong>g program <strong>for</strong> health care<br />

professionals <strong>in</strong> tobacco cessation <strong>in</strong>terventions <strong>in</strong>to a website <strong>in</strong> order to<br />

improve the program's usability and ease of deployment.<br />

Methods: The successful National Cancer Institute slide/lecture program,<br />

“How to Help Your Patients Be <strong>Tobacco</strong> Free” (Mecklenburg 1998, revised<br />

2000) (which <strong>in</strong>cluded pr<strong>in</strong>ciples from the Public <strong>Health</strong> Service's Treat<strong>in</strong>g<br />

<strong>Tobacco</strong> Use and Dependence), was converted <strong>in</strong>to a comprehensive, webbased<br />

tra<strong>in</strong><strong>in</strong>g program: <strong>Tobacco</strong>FreePatients.com. The orig<strong>in</strong>al lecture was<br />

updated, expanded, and translated to language and graphics suitable <strong>for</strong><br />

onl<strong>in</strong>e learn<strong>in</strong>g. The result<strong>in</strong>g courses <strong>in</strong>clude: Basic <strong>Interventions</strong> (also<br />

suitable <strong>for</strong> tra<strong>in</strong><strong>in</strong>g staff), Team Approach, Nicot<strong>in</strong>e Addiction, Drug Therapy,<br />

and several case-based courses that illustrate the <strong>in</strong>terventions <strong>in</strong> practice<br />

and address the different needs of specific patient populations. A Resources<br />

section <strong>in</strong>cludes helpful l<strong>in</strong>ks, pr<strong>in</strong>table <strong>for</strong>ms, and patient educational<br />

materials.<br />

This Internet education solution has several advantages over the<br />

slide/lecture presentation. Few post-development costs are <strong>in</strong>curred and the<br />

material can be updated more readily. <strong>Health</strong> care providers can take courses<br />

and refer back to them at their convenience. Cont<strong>in</strong>u<strong>in</strong>g education credit is<br />

obta<strong>in</strong>ed <strong>for</strong> free with no wait<strong>in</strong>g.<br />

A prototype version of this program was evaluated by 20 medical<br />

residents us<strong>in</strong>g a pretest/post-test methodology.<br />

Evaluation Results: Knowledge and attitudes toward self-efficacy improved<br />

significantly and satisfaction levels were high.<br />

Conclusions: A successful tobacco cessation <strong>in</strong>tervention slide/lecture<br />

tra<strong>in</strong><strong>in</strong>g program can be adapted <strong>for</strong> the Internet effectively, ga<strong>in</strong><strong>in</strong>g<br />

advantages of convenience and lower cost <strong>for</strong> both the tra<strong>in</strong>er and tra<strong>in</strong>ee as<br />

well as greater content depth.


Conclusion<br />

The results suggest that onl<strong>in</strong>e<br />

tobacco cessation education <strong>for</strong><br />

physicians is likely to have a<br />

positive effect on the frequency<br />

and quality of physician<br />

<strong>in</strong>tervention <strong>in</strong> tobacco use,<br />

which has been shown to be an<br />

important component of<br />

decreas<strong>in</strong>g tobacco use. Thus,<br />

a tobacco cessation <strong>in</strong>tervention<br />

slide/lecture tra<strong>in</strong><strong>in</strong>g program<br />

was successfully translated to<br />

the Internet. Advantages to this<br />

translation <strong>in</strong>clude convenience,<br />

lower cost <strong>for</strong> both tra<strong>in</strong>er and<br />

tra<strong>in</strong>ee, as well as the potential<br />

to offer more depth of content.

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