161324 Training nurses to deliver evidence-based brief interventions for tobacco use and dependence

Monday, November 5, 2007: 3:15 PM

Michael Anders, PhD, MPH, RRT , University of Arkansas for Medical Sciences, Little Rock, AR
Claudia Barone, EdD, RN , University of Arkansas for Medical Sciences, Little Rock, AR
Christine E. Sheffer, PhD , College of Public Health, University of Arkansas for Medical Sciences, Little Rock, AR
Tobacco use is the leading cause of preventable death in the US. Tobacco cessation has immediate and major health benefits. Nurses have an extensive reach into the tobacco using population and are vital to the delivery of tobacco cessation services. The evidence-based Public Health Service (PHS) Clinical Practice Guideline for the Treatment of Tobacco Use and Dependence (Fiore, 2000) provides recommendations that can be implemented in busy clinics with minimal demands on providers, can increase patient quit rates, are highly cost effective, and should be part of the routine care of every patient at every visit. However, nurses as well as other healthcare providers, are poor at implementation and rarely provide sufficient assistance with cessation. Providers report a number of barriers to performing these interventions including lack of knowledge, awareness, self-efficacy, and positive outcome expectancies. Training is demonstrated to address these barriers and increase the frequency of provider intervention behaviors. From January 2006 to January 2007, 192 nurses completed a 1-hour CE-approved training. The nurses were administered a pre-test prior to training and a post-test immediately after training with all answers reported on a scale of 0-10 with 0 =“None” and 10 = “Most Ever.” Paired-samples t-tests compared pre- and post-test responses. Training resulted in significant increases in a) motivation, b) knowledge, and c) confidence, as well as perceived d) importance, e) effectiveness, f) importance of barriers, and g) preparedness (all p.s <.01). Nurses who participated in the brief training demonstrated positive improvements in the factors known to be related to performing the PHS guideline interventions. Because tobacco use is one of the largest public health problems in the US and this brief training is likely to increase the frequency with which patients are offered assistance with cessation, this minimal 1-hour training should be broadly disseminated among nurses. Detailed information about the training, the evaluation, and the trainees will be provided.

Learning Objectives:
Describe the essential components for training nurses in the evidence-based, brief interventions for treating tobacco use and dependence Discuss the barriers to providing effective, brief interventions for tobacco use Address the barriers nurses report in providing interventions for patients who use tobacco

Presenting author's disclosure statement:

Any relevant financial relationships? No
Any institutionally-contracted trials related to this submission?

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.