Effects of An Advanced Tobacco Control Training on Healthcare Professionals’ Smoking Cessation Knowledge, Attitudes and Counseling

• Main Authors: Hsiu-Wen Tsai, 蔡琇文
• Other Authors: Yeur-Hur Lai
• Format: Others
• Language: zh-TW
• Published: 2018
• Online Access: http://ndltd.ncl.edu.tw/handle/dh348v

博士 === 國立臺灣大學 === 護理學研究所 === 106 === Introductions: Smoking not only poses a threat to health, but also results in substantial medical expenses and hinders economic development. Since nicotine dependence is a complex state that involves behavioral, cognitive, and physiological factors, smokers must be assisted by professionals to achieve successful smoking cessation (SC).Objectives: To (a) explore the influencing factors regarding offering SC counseling interventions among healthcare professionals; (b) explore the effects of an advanced tobacco control (TC) training for healthcare professionals with SC knowledge, attitudes and SC counseling interventions. Methods: A health outcomes research with pretest-post-test design was adopted. The research participants comprised healthcare professionals’ in Taiwan who had received training in the basic and intermediate courses of TC and intended to participate in the advanced course. This study distributed a total of 395 questionnaires and retrieved 383 valid questionnaires. The self-report questionnaire was used for data collection 3 and 6 months before and after the intervention. A generalized estimating equation was used for inferential statistics. Results: (1) The factors associated with SC counseling behaviors including SC knowledge, facilitation of TC, barriers regarding TC, and self-efficacy. Beside, SC counseling interventions subgroup (advanced, basic and refer) have the same influencing factors, that including facilitation of TC, barriers regarding TC, and self-efficacy. (2) The SC knowledge, barriers regarding TC, and SC counseling interventions mean scores significantly increased at post-test 3 and 6 months compared with pretest. And the self-efficacy mean scores significantly increased at post-test 3 months compared with pretest. Conclusion: The advanced TC training has short-term and delayed effects on smoking cessation counseling interventions. Further research need to explore the affect for the decline in self-efficacy. The outcome indicators should be established to assess the effectiveness of TC. The study also suggests that incentive mechanisms should be established in institutions to encourage implement TC.