Related Experiment Video
Updated: Jun 16, 2026

E-Patient Counseling Trial (E-PACO): Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy
Published on: August 1, 2019
Effect of a tobacco cessation continuing professional education program on pharmacists' confidence, skills, and
Beth A Martin1, Ruth H Bruskiewitz, Betty A Chewning
1Sonderegger Research Center, School of Pharmacy, University of Wisconsin-Madison, 777 Highland Ave., Madison, WI 53705-2222, USA. bamartin@pharmacy.wisc.edu
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.
Related Concept Videos
Acute Coronary Syndrome IV: Interprofessional Care
Peripheral Artery Disease III: Interprofessional Care
Chronic Obstructive Pulmonary Disease-V: Management
Smoking Cessation
Patient-centered Care
Stress Prevention and Stress Management Techniques VI
Motivation and Self-Determination
Motivation, the driving force behind behavior, plays a pivotal role at every stage of the change process. The research...
Drug Dependence

