Sc08.02 Training Health Professionals In Smoking Cessation

Conference: 
Author(s): 
M. E. A. Verbiest1, K. V. Carson2, M. R. Crone1, M. P. Brinn2, A. J. Esterman3, W. J. J. Assendelft1, B. J. Smith4;
1Leiden University Medical Centre, Leiden, Netherlands, 2The Queen Elisabeth Hospital, Adelaide, Australia, 3University of South Australia, Adelaide, Australia, 4University of Adelaide, Adelaide, Australia.
Marjolein E. Verbiest
Leiden University Medical Centre
Leiden
Zip: 9600
Netherlands
Email: m.e.a.verbiest@lumc.nl
Phone: 0031715268464
Text: 
Background
The first systematic review on training health professionals (HPs) in smoking cessation was published over a decade ago and showed a positive effect on professional performance. However, there was no strong evidence that it changed smoking behaviour. Since then, new training programs to support HPs in overcoming frequent mentioned barriers and in helping patients to quit smoking have been developed.
Objectives
To assess the effectiveness of training HPs to deliver smoking cessation interventions to their patients through systematic review.
Method
The Cochrane Tobacco Addiction Group register for randomized controlled trials was searched, for interventions in which one of the interventions was training of HP in methods to promote smoking cessation. Outcome measures included point prevalence of smoking cessation after at least six months follow-up in patients smoking at baseline, continued abstinence of smoking cessation, and professional performance of the HPs, such as the number of smokers counselled, receiving self-help materials or nicotine replacement therapy (NRT) and asked to set a quit date. Two reviewers independently assessed studies for inclusion, extracted data on characteristics of the HPs, training, outcome measures, and design and scored methodological quality using a standardized template.
Main results
We included 12 studies from 283 citations (13204 smokers for analysis). There was a clinically and statistically significant effect in favour of training of HPs for point prevalence of smoking cessation (OR 1.4 95%CI (1.09, 1.80), pConclusion
In a systematic review of 12 studies, training HPs to provide smoking cessation interventions has a positive effect on professional performance and cessation rates.
Literature: 
SC08.02
Training health professionals in smoking cessation