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Effect of a tobacco cessation continuing professional education program on pharmacists' confidence, skills, and practice-change behaviors
Open accessAbstract
Objective To evaluate the impact of a tobacco cessation training program on pharmacists' confidence, skills, and practice-change behaviors.Design Quasi-experimental study.Setting Wisconsin during 2002-2003.Participants 25 community pharmacists.Intervention A continuing education training program was developed and implemented using home and live training components consisting of the national tobacco cessation guidelines, including the 5A's counseling process. The home study component included lectures and readings in CD-ROM format. Consistent with self-efficacy theory, the live training was based on exercises that included modeling, rehearsal, and feedback to learners.Main outcome measures Knowledge assessment, pre- and post-surveys assessing confidence and skill levels, and service provision indicators.Results Self-efficacy and perceived ability to counsel patients to quit using tobacco improved significantly after the combined program. No significant change in confidence or perceived skills occurred following home study alone, suggesting value in using a combination of teaching strategies (problem solving, modeling, rehearsal, and feedback). Of participants, 92% received a passing knowledge score and 75% attempted to implement a tobacco cessation service posttraining; more than 50% assisted patients up to 1 year post-training. A relationship between self-efficacy and service provision was found when practice settings were considered.Conclusion This program increased pharmacists' knowledge and self-efficacy to counsel patients on tobacco use. Further, the majority of pharmacy participants attempted to implement a tobacco cessation service.
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“The remaining four studies demonstrated a statistically significant, positive effects on primary outcomes [47,50,52,65].”
From Systematic review of knowledge translation strategies in the allied health professions (2012) · cites this paper as [65]
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“Of these studies, one study demonstrated a consistent, statistically significant, positive effect [65]”
From Systematic review of knowledge translation strategies in the allied health professions (2012) · cites this paper as [65]
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“including multiple interventions (n = 7; 58%) [45,49,55-58,62,65]”
From Systematic review of knowledge translation strategies in the allied health professions (2012) · cites this paper as [65]
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“Martin et al. [65] conducted a before-after study that examined a group of pharmacists (n = 25) attempting to change tobacco cessation counseling by using multiple, education-only interventions (i.e., educational meetings and educational material). The pharmacists in this study reported a statistically significant increase in self-efficacy measures and current skill measures for the 5A’s”
From Systematic review of knowledge translation strategies in the allied health professions (2012) · cites this paper as [65]
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“two disciplines contained the four quantitative studies that consistently demonstrated consistent, statistically significant, positive effects on primary outcome measures: pharmacy (n = 2) [50,65] and physiotherapy (n = 2) [47,52].”
From Systematic review of knowledge translation strategies in the allied health professions (2012) · cites this paper as [65]
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Metadata
- Authors
- Martin, B. A., Bruskiewitz, R. H., & Chewning, B. A.
- Affiliations
- University of Wisconsin–Madison (US)
- Corresponding author
- Martin, Beth A.
- Venue
- Journal of the American Pharmacists Association
- Publisher
- Elsevier BV
- Published
- 2010-01
- Volume
- 50
- Issue
- 1
- Pages
- 9-18a
- ISSN
- 1544-3191 (ISSN-L)
- PMC
- PMC2863290
- OpenAlex
- W2079024529
- Cited by
- 67
- References
- 23
- Citations by year
- 2026: 2 · 2024: 4 · 2023: 1 · 2022: 8 · 2021: 7 · 2020: 3 · 2019: 3 · 2018: 4 · 2017: 4 · 2016: 5 · 2015: 5 · 2014: 3 · 2013: 5 · 2012: 9
- FWCI
- 3.89
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Journal of the American Pharmacists Association (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Center for Research Resources (UL1RR025011)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Smoking Behavior and Cessation
- Social Sciences › Education › Innovations in Medical Education
- Health Sciences › Health Professions › Pharmacy › Pharmacy and Medical Practices
- Keywords
- tobacco cessation, community pharmacists, continuing professional development, self-efficacy, smoking cessation counseling, pharmacist confidence, practice change, smoking cessation services
- MeSH terms
- Adult, Attitude of Health Personnel, Clinical Competence, Community Pharmacy Services, Counseling, Education, Pharmacy, Continuing, Female, Humans, Male, Middle Aged, Patient Education as Topic, Wisconsin, Tobacco Use Cessation, Self Efficacy, Young Adult
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