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Comparison of training techniques using a patient-centered approach to smoking cessation
1Department of Family Practice and Community Health, Medical School, University of Minnesota, Minneapolis 55414, USA.
Medical Education
|March 1, 1995
Summary
A multimedia workshop improved medical students' ability to create stop-smoking plans more than an algorithm alone. However, overall performance in both groups was low, suggesting a need for improved teaching methods.
Area of Science:
- Medical Education
- Public Health
- Behavioral Science
Background:
- Effective smoking cessation counseling is a critical skill for medical professionals.
- Traditional methods like algorithm distribution may have limitations in skill development.
- Innovative teaching strategies are needed to enhance student competency in smoking cessation interventions.
Purpose of the Study:
- To compare the effectiveness of a multimedia workshop versus an algorithm in teaching fourth-year medical students to present a stop-smoking plan.
- To assess student performance in specific skill and content areas related to smoking cessation counseling.
Main Methods:
- Fourth-year medical students were divided into two groups: one receiving a 2.5-hour multimedia workshop, the other receiving an algorithm.
- Student performance was evaluated based on their ability to present a stop-smoking plan to a simulated patient.
- Performance was assessed across defined skill and content areas.
Main Results:
- The multimedia workshop group showed statistically significant improvements in providing information, eliciting/responding to feelings, and content areas like past quitting experience, resources, and plan negotiation.
- No significant differences were observed in eliciting information or content areas concerning motivation, barriers, or plan-related problems.
- Overall performance in both groups was suboptimal, with highest scores in eliciting information (64% for workshop, 53% for algorithm) and low scores (10-25%) in most other areas.
Conclusions:
- A multimedia workshop is more effective than an algorithm for teaching specific aspects of smoking cessation plan presentation to medical students.
- Current teaching methods or time allocation may be insufficient for students to fully master these complex counseling skills.
- Further research into optimal pedagogical approaches and skill acquisition timelines for smoking cessation counseling is warranted.
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