The Effectiveness of Tobacco Dependence Education in Health Professional Students' Practice: A Systematic Review and Meta-Analysis of Randomized Controlled Trials

Autor: H Rainer Schira, Jenifer Bradley, Kathryn Chachula, Kathryn Hyndman, Sharon M. Compton, Steven Patterson, Roger E. Thomas
Rok vydání: 2019
Předmět:
Counseling
medicine.medical_specialty
Health Knowledge
Attitudes
Practice
Health
Toxicology and Mutagenesis
medicine.medical_treatment
education
Psychological intervention
Motivational interviewing
lcsh:Medicine
Motivational Interviewing
Review
law.invention
03 medical and health sciences
0302 clinical medicine
Randomized controlled trial
systematic review
law
Health care
medicine
Humans
030212 general & internal medicine
Randomized Controlled Trials as Topic
Tobacco Use Cessation
tobacco dependence intervention
Health professionals
business.industry
lcsh:R
Public Health
Environmental and Occupational Health
030206 dentistry
Tobacco Use Disorder
Self Efficacy
health professional students
smoking cessation
Health Occupations
Family medicine
Meta-analysis
Active learning
randomized controlled trials
Smoking cessation
business
Zdroj: International Journal of Environmental Research and Public Health
International Journal of Environmental Research and Public Health, Vol 16, Iss 21, p 4158 (2019)
ISSN: 1660-4601
Popis: The objective of this study was to perform a systematic review to examine the effectiveness of tobacco dependence education versus usual or no tobacco dependence education on entry-level health professional student practice and client smoking cessation. Sixteen published databases, seven grey literature databases/websites, publishers’ websites, books, and pertinent reference lists were searched. Studies from 16 health professional programs yielded 28 RCTs with data on 4343 healthcare students and 3122 patients. Two researchers independently assessed articles and abstracted data about student knowledge, self-efficacy, performance of tobacco cessation interventions, and patient smoking cessation. All forms of tobacco were included. We did not find separate interventions for different kinds of tobacco such as pipes or flavoured tobacco. We computed effect sizes using a random-effects model and applied meta-analytic procedures to 13 RCTs that provided data for meta-analysis. Students’ counseling skills increased significantly following the 5As model (SMD = 1.03; 95% CI 0.07, 1.98; p < 0.00001, I2 94%; p = 0.04) or motivational interviewing approach (SMD = 0.90, 95% CI 0.59, 1.21; p = 0.68, I2 0%; p < 0.00001). With tobacco dependence counseling, 78 more patients per 1000 (than control) reported quitting at 6 months (OR 2.02; 95% CI 1.49, 2.74, I2 = 0%, p = 0.76; p < 0.00001), although the strength of evidence was moderate or low. Student tobacco cessation counseling improved guided by the above models, active learning strategies, and practice with standardized patients.
Databáze: OpenAIRE
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