Brief Tobacco Cessation Counselling: Mini Train-the-trainers Program
Brief Tobacco Cessation Counselling: Mini Train-the-trainers Program Among Physicians in Guangdong, China
Physicians play a critical role in reducing tobacco use by advising smoking patients to quit. After receiving such advice to quit smoking, patients were more likely to report trying to quit, quitting for at least 24 hours, making more quit attempts, and having more successful quitting outcomes compared with those who received no such advice. On the other hand, most physicians are not performing smoking cessation counselling, and miss the opportunities to advise patients to quit smoking. One of the common reasons is the lack of time. Physicians are busy and cannot afford even one minute to advice their patients to quit smoking. Other barriers include lack of training and experience, lack of knowledge and skills, no awareness about the benefits and effects of physicians' advice, no incentives and no support or requirement from hospital management that they have to do it.
We designed a brief smoking cessation counselling model (AWARD) which takes only 10-20 seconds. We will train the physicians to perform the AWARD cessation counselling model in clinic, and encourage them to participate in our brief smoking cessation intervention project using the randomized controlled trail (RCT) design and to train more peer physicians to perform brief smoking cessation counseling. We propose to investigate the effect of the training program on physicians' knowledge of tobacco cessation, practice of performing cessation counselling, and attitudes toward tobacco control policies.
調査の概要
詳細な説明
Participating hospitals/clinics will invite 100-120 internal medicine physicians to take part in the brief smoking counselling intervention project and participate in a half-day mini TTT training program. The training will cover the following topics:
- Goal and the details of the brief smoking counselling intervention;
- Objective of the mini TTT training program;
- Tobacco epidemic and control measures in China and the world;
- Physicians' role in tobacco control;
- Health risks of smoking, secondhand smoke exposure;
- WHO FCTC (Framework Convention on Tobacco Control) and the MPOWER measures;
- Brief smoking cessation counselling (AWARD model), and counselling skill with practice;
- Placebo counselling and counselling skill with practice.
On the training day, the investigators will explain at the beginning of the workshop the purpose of the training, and the details of the brief smoking cessation intervention to all physicians who attend the training workshop. The investigators will explain that the participation is totally voluntary, and the participants will be invited to complete a paper-and-pencil survey before and right after the training workshop, perform smoking cessation counselling or placebo counselling among patients at their clinics, and complete online survey at 6- and 12-month follow-up. Agreement to participate in the training program will be considered as consent and participants are required to sign a written consent form.
At the end of the workshop, participants should be confident to perform brief smoking cessation counselling and placebo counselling for patients.
We hypothesize that the training program will increase the participants' knowledge level of smoking and secondhand smoke exposure and the important role of physicians in tobacco control, increase their skill and confidence of performing smoking cessation counselling, and generate stronger support for tobacco control policies.
研究の種類
入学 (予想される)
段階
- 適用できない
連絡先と場所
研究場所
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-
Guangdong
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Hong Kong、Guangdong、中国
- 募集
- 5/F William MW Mong Block, LKS Faculty of Medicine Building, 21 Sassoon Road, Pokfulam
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参加基準
適格基準
就学可能な年齢
健康ボランティアの受け入れ
受講資格のある性別
説明
Inclusion Criteria:
- Internal medicine physicians from participating hospitals/clinics.
Exclusion Criteria:
- N/A
研究計画
研究はどのように設計されていますか？
デザインの詳細
- 主な目的：ヘルスサービス研究
- 割り当て：なし
- 介入モデル：単一グループの割り当て
- マスキング：なし（オープンラベル）
武器と介入
参加者グループ / アーム |
介入・治療 |
|---|---|
|
他の：Physicians receiving smoking cessation training
On the training day, the investigators will explain at the beginning of the workshop the purpose of the training, and the details of the brief smoking cessation intervention to all physicians who attend the training workshop.
|
On the training day, the investigators will explain at the beginning of the workshop the purpose of the training, and the details of the brief smoking cessation intervention to all physicians who attend the training workshop.
|
この研究は何を測定していますか？
主要な結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
|
KAP change from baseline at 6-month follow-up
時間枠：6-month follow-up
|
Use questionnaire to measure the change of "Knowledge of smoking, secondhand smoke exposure, and the role of physicians in tobacco control", "Attitudes toward tobacco control policies" and "Practice of smoking cessation counseling" (KAP)
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6-month follow-up
|
|
KAP change from baseline at 12-month follow-up
時間枠：12-month follow-up
|
Use questionnaire to measure the change of "Knowledge of smoking, secondhand smoke exposure, and the role of physicians in tobacco control", "Attitudes toward tobacco control policies" and "Practice of smoking cessation counseling" (KAP)
|
12-month follow-up
|
二次結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
|
Satisfaction of the mini TTT workshop
時間枠：24 months
|
A questionnaire will be completed by workshop participants to measure satisfaction of mini TTT workshop after each workshop
|
24 months
|
|
Number of peer physicians the participants trained
時間枠：30 months
|
30 months
|
協力者と研究者
研究記録日
主要日程の研究
研究開始
一次修了 (予想される)
研究の完了 (予想される)
試験登録日
最初に提出
QC基準を満たした最初の提出物
最初の投稿 (見積もり)
学習記録の更新
投稿された最後の更新 (実際)
QC基準を満たした最後の更新が送信されました
最終確認日
詳しくは
本研究に関する用語
キーワード
その他の研究ID番号
- MiniTTT
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