Training health professionals in smoking cessation
Kristin V Carson1, Marjolein E A Verbiest, Mathilde R Crone
1Clinical Practice Unit, The Queen Elizabeth Hospital, Adelaide, Australia. kristin.carson@health.sa.gov.au.
The Cochrane Database of Systematic Reviews
|May 18, 2012
Summary
Training healthcare professionals in smoking cessation interventions significantly improves patient quit rates and professional performance. While nicotine replacement therapy provision showed no effect, overall training enhances smoking cessation success.
Area of Science:
- Public Health
- Behavioral Science
- Medical Education
Background:
- Cigarette smoking is a leading cause of preventable death globally.
- Brief interventions by health professionals can increase smoking cessation attempts.
- This study evaluates skills training for healthcare professionals to improve patient smoking cessation success.
Purpose of the Study:
- To determine the effectiveness of training healthcare professionals in delivering smoking cessation interventions.
- To assess the impact of training characteristics (content, delivery, intensity) on intervention effectiveness.
Main Methods:
- Searched Cochrane Tobacco Addiction Group's Register, electronic databases, and bibliographies.
- Included randomized trials of healthcare professional training in smoking cessation with at least six-month patient smoking outcomes.
- Extracted data on interventions, participants, outcomes, and methods; conducted meta-analysis and narrative synthesis.
Main Results:
- Meta-analysis of 14 studies showed a significant effect for point prevalence of smoking (OR 1.36).
- Meta-analysis of 8 studies indicated a significant effect for continuous abstinence (OR 1.60).
- Trained professionals were more likely to perform cessation tasks (e.g., quit dates, follow-ups, counseling), but nicotine replacement therapy provision showed no difference.
Conclusions:
- Training healthcare professionals in smoking cessation interventions measurably improves point prevalence, continuous abstinence, and professional performance.
- The training's effectiveness extends to enhanced professional behaviors in supporting patient cessation.
- Provision of nicotine gum or replacement therapy was not significantly affected by the training.
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