The Effects of a Theory-Based Training Program on Nurses' Self-Efficacy and Behavior for Smoking Cessation Counseling

Objective. To assess the effectiveness and acceptability of incorporating the National Cancer Institute (NCI) Guide to Preventing Tobacco Use During Childhood and Adolescence into pediatric training. Design. Preintervention and postintervention self-reported surveys for residents receiving training and postintervention baseline surveys for those residents not receiving training. Measures include: (1) a self-reported knowledge, attitude, and behavior survey of residents; and (2) physician behavior reports from parent exit interviews. Setting. A hospital-based pediatric residency program and continuity clinic. Subjects. Pediatric residents and parents of pediatricpatients seen for well child examinations. Interventions. Structured NCI smoking cessation curriculum modified for delivery during scheduled teaching activities. Results. The NCI training was acceptable and perceived as important by residents. Many did not recall receiving the materials or training. Trained residents who remembered the intervention improved their smoking cessation counseling effectiveness. Most patients' parents think it appropriate for physicians to ask; however, most reported not having been asked about smoking or environmental smoke exposure. Conclusions. For residents to learn effective prevention counseling strategies, systematic, reinforced preventive educational curricula must become an institutionalized part of residency training.

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Self-Efficacy for Smoking Cessation Counseling Parents in Primary Care: An Office-Based Intervention for Pediatricians and Family Physicians

Clinical Pediatrics ◽

10.1177/0009922806290694 ◽

2007 ◽

Vol 46 (3) ◽

pp. 252-257 ◽

Cited By ~ 18

Author(s):

Arvin Garg ◽

Janet R. Serwint ◽

Susan Higman ◽

Ann Kanof ◽

Dottie Schell ◽

...

Keyword(s):

Primary Care ◽

Smoking Cessation ◽

Self Efficacy ◽

Family Physicians ◽

Smoking Cessation Counseling

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Smoking cessation and counseling: A mixed methods study of pediatricians and parents

PLoS ONE ◽

10.1371/journal.pone.0246231 ◽

2021 ◽

Vol 16 (2) ◽

pp. e0246231

Author(s):

Tregony Simoneau ◽

Jessica P. Hollenbach ◽

Christine R. Langton ◽

Chia-Ling Kuo ◽

Michelle M. Cloutier

Keyword(s):

Smoking Cessation ◽

Mixed Methods ◽

Self Efficacy ◽

Electronic Cigarettes ◽

Smoking Behavior ◽

Mixed Methods Study ◽

Smoking Cessation Counseling ◽

Convenience Sample ◽

Quitting Smoking ◽

Smoking Behaviors

Objective Pediatric providers play an important role in parental and youth smoking cessation. The goal of this study was to understand smoking cessation attitudes of parents and the behaviors, confidence and self-efficacy of pediatricians related to providing smoking cessation counseling to parents and youth. Methods A mixed methods study was conducted in a convenience sample of families (n = 1,549) and pediatric primary care clinicians (n = 95) in Connecticut using surveys and focus groups from April, 2016 to January, 2017. Results The smoking rate (cigarettes or electronic cigarettes) among all households surveyed was 21%. Interest in quitting smoking was high (71%) and did not differ based on smoking amount, duration, type of community of residence (urban, rural, etc), or race/ethnicity. For example, compared to participants who smoked for <10 years, those who smoked ≥20 years had a similar interest in quitting (OR = 1.12; 95% CI: 0.85–1.48). Ninety percent of clinicians surveyed asked parents about their smoking behavior at least annually but 36% offered no smoking cessation counseling services or referral. Clinicians almost always reported counseling youth about the dangers of nicotine and tobacco use (99%), were more confident about counseling youth than parents (p<0.01) and reported low self-efficacy about smoking cessation and prevention counseling of parents and youth. Ninety-three percent of clinicians opined that electronic cigarettes were equally or more dangerous than cigarettes but 34% never counseled youth about the dangers of electronic cigarettes. Conclusions Clinicians frequently screen parents about their smoking behaviors, but rarely provide smoking cessation counseling and express low confidence in this activity. Clinicians are more confident counseling youth than parents. Clinicians also recognize the dangers of electronic cigarettes, yet they infrequently counsel youth about these dangers.

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Effects of education methods on self-efficacy of smoking cessation counseling among medical students

PeerJ ◽

10.7717/peerj.11408 ◽

2021 ◽

Vol 9 ◽

pp. e11408

Author(s):

Ara Cho ◽

Jeonggyu Lee ◽

YunJin Kim ◽

Byung Mann Cho ◽

Sang Yeoup Lee ◽

...

Keyword(s):

Smoking Cessation ◽

Medical Students ◽

Blended Learning ◽

Self Efficacy ◽

Medical Knowledge ◽

Cross Sectional Study ◽

Smoking Cessation Counseling ◽

Cross Sectional ◽

Smoking Cessation Treatment ◽

Factors Affecting

Background Medical students need to receive training in providing smoking cessation counseling to provide effective smoking cessation interventions to smokers when they become doctors. This study examined the smoking cessation education curricula and factors affecting counseling self-efficacy (CSE) in smoking cessation treatment among medical students. Methods In a multicenter cross-sectional study, we obtained demographic information, personal history of tobacco use and intention to quit smoking, exposure to secondhand smoke in the school premises during the past week, the experience of learning about tobacco in each medical school, tobacco-related medical knowledge, and self-efficacy in smoking cessation counseling on medical students of four Korean medical schools. Results Among 1,416 medical students eligible, 313 (22.1%) students completed a self-administered questionnaire. Only 20.3% of the students reported positive CSE on smoking cessation. The factors affecting positive CSE were scores of ≥ 60 on tobacco-related medical knowledge, smoking experience, and blended learning (p = 0.014, 0.005, and 0.015, respectively). Conclusion This study shows that high scores in tobacco-related medical knowledge and blended learning are correlated with positive CSE for smoking cessation counseling.

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