RESEARCH PAPER
Short-term impact of the EuroPean Accredited Curriculum on Tobacco Treatment Training (EPACTT) program
 
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1
National and Kapodistrian University of Athens, School of Health Sciences, Department of Medicine, Athens, Greece
2
European Network for Smoking and Tobacco Prevention (ENSP), Brussels, Belgium
3
Clinic of Social and Family Medicine, Medical School, University of Crete, Heraklion, Greece
4
School of public Health, American University of Armenia, Armenia
5
FCTC Implementation and Monitoring Center, Georgia
6
University of Medicine and Pharmacy “Grigore T.Popa” Iasi, Romania
7
Russian Public Health Association, Moscow, Russia
8
Kyiv City Health Center, Ukraine
9
Technological Educational Institute of Athens, Greece
10
Division of Prevention and Rehabilitation, University of Ottawa Heart Institute, Ottawa, ON, Canada
11
Institute of Public Health, American College of Greece, Athens, Greece George D Behrakis Research Lab, Hellenic Cancer Society, Athens, Greece
12
Institute of Public Health, American College of Greece, Athens, Greece
13
George D Behrakis Research Lab, Hellenic Cancer Society, Athens, Greece Biomedical Research Foundation of the Academy of Athens, Athens, Greece
Publish date: 2018-07-16
Submission date: 2017-12-22
Final revision date: 2018-06-20
Acceptance date: 2018-06-21
 
Tob. Prev. Cessation 2018;4(July):28
KEYWORDS:
TOPICS:
ABSTRACT:
Introduction:
The aim of this pilot study was to assess the short-term effectiveness of the EuroPean Accredited Curriculum on Tobacco Treatment Training intervention in improving health care providers’ knowledge, attitudes and self-efficacy related to tobacco dependence treatment.

Methods:
A pre-post pilot study was conducted. The two-day training intervention took place in Brussels in April 2016. Health care professionals from six European countries (Russia, Ukraine, Georgia, Armenia, Romania and Greece) were purposively invited to participate in the study. Evaluation was performed before the intervention, immediately after, and at approximately two months following the intervention. Changes in outcomes of interest were examined before and after exposure to the intervention program.

Results:
In all, 47 health care professionals participated in the training of which 40 completed the evaluation surveys. Significant increases in providers’ self-efficacy and perceived behavioral control related to tobacco treatment delivery were documented immediately following the training and at the 2 months follow-up. Significant improvement in provider knowledge and attitudes were observed in some items assessed.

Conclusions:
The results demonstrate that training is able to improve provider self-efficacy related to tobacco treatment delivery in this crossnational European sample of health care professionals. Additional research is required to examine the generalizability of our findings.

CORRESPONDING AUTHOR:
Theodosia Peleki   
National and Kapodistrian University of Athens, School of Health Sciences, Department of Medicine, Greece, 77 Propontidos, 16562 Athens, Greece
 
REFERENCES (38):
1. World Health Organization. WHO Fact Sheet for Tobacco. Updated 2016. www.who.int/mediacentre/factsh.... Published November, 2016. Accessed April, 2016.
2. World Health Organization. WHO global report: mortality attributable to tobacco. 2012. www.who.int/tobacco/publicatio.... Published November, 2016. Accessed April, 2016.
3. European Commission. Special Eurobarometer 458: Attitudes of Europeans towards tobacco and electronic cigarettes. European Commission, 2017. ISBN: 978-92-79-69104-1. www.ec.europa.eu/commfrontoffi... Published November, 2016. Accessed April, 2016.
4. 4Fiore MC, Jaen CR, Baker TB, Bailey WC, Benowitz NL, Curry SE, et al. Treating Tobacco Use and Dependence: 2008 Update. Clinical Practice Guideline. Rockville, MD: U.S. Department of Health and Human Services. Public Health Service; 2008.
5. McIvor A, Kayser J, Assaad JM, Brosky G, Demarest P, Desmarais P, et al. Best practices for smoking cessation interventions in primary care. Can Respir J. 2009;16(4):129-34. doi:10.1155/2009/412385
6. Doll R, Peto R, Boreham J, Sutherland I. Mortality in relation to smoking: 50 years’ observations on male British doctors. BMJ. 2004; 328(7455): 1519. doi:10.1136/bmj.38142.554479.ae
7. Huddlestone L, Walker GM, Hussain-Mills R, Ratschen E. Treating tobacco dependence in older adults: a survey of primary care clinicians' knowledge, attitudes, and practice. BMC Fam Pract. 2015;16:97. doi: 10.1186/s12875-015-0317-7
8. Centers for Disease Control and Prevention. Adult Tobacco Survey. 19 states, 2003–2007 surveillance summaries. Morb Mortal Wkly Rep 2010; 59: 1–74.
9. European Network on Smoking Prevention (ENSP). Behrakis P., Bilir N., Clancy L, Dautzenberg B., Demin, A., Papadakis S., Gilijam H., Trofor A., Vardavas C. (Eds.). 2017 Guidelines for Treating Tobacco Dependence. 3rd ed. European Network for Smoking and Tobacco Prevention (ENSP), Brussels, Belgium 2017. ISBN: 978-618-82526-6-0.
10. Stead LF, Buitrago D, Preciado N, Sanchez G, Hartmann-Boyce J, Lancaster T. Physician advice for smoking cessation. Cochrane Database Syst Rev 2013; 5: CD000165. doi: 10.1002/14651858.CD000165.pub4
11. Stead LF, Koilpillai P, Fanshawe TR, Lancaster T. Combined pharmacotherapy and behavioural interventions for smoking cessation. Cochrane Database Syst Rev 2016; 3: CD008286. doi: 10.1002/14651858.CD008286.pub3
12. European Network on Smoking Prevention (ENSP). European Smoking Cessation Guidelines. 1st Ed. Brussels, Belgium 2012.
13. European Network on Smoking Prevention (ENSP). Behrakis P., Bilir N., Clancy L, Dautzenberg B., Demin, A., Papadakis S., Gilijam H., Trofor A., Vardavas C. (Eds.). Guidelines for Treating Tobacco Dependence. 2nd Ed. European Network for Smoking and Tobacco Prevention (ENSP), Brussels, Belgium 2015. ISBN: 978-618-82526-6-0
14. La Torre G, Kirch W, Bes-Rastrollo M, Ramos RM, Czaplicki M, Gualano MR, et al. Tobacco use among medical students in Europe: Results of a multicentre study using the Global Health Professions Student Survey. Public Health. 2012; 126(2): 159–64. doi: 10.1016/j.puhe.2011.10.009
15. Mostofian F, Ruban C, Simunovic N, Bhandari M. Changing physician behavior: what works? Am J. Manag Care 2015; 21(1): 75-84. doi:10.1001/jama.2016.8019
16. Carson KV, Verbiest MEA, Crone MR, Brinn MP, Esterman AJ, Assendelft WJJ, Smith BJ. Training health professionals in smoking cessation. Cochrane Database Syst Rev 2012; 5: CD000214. doi: 10.1002/14651858.CD000214.pub2
17. Papadakis S, McDonald P, Mullen, et al. Strategies to increase the delivery of smoking cessation treatments in primary care settings: A systematic review and meta-analysis. Preventive Medicine 2010; 51: 199-213. doi: 10.1016/j.ypmed.2010.06.007
18. Papadakis S, Cole AG, Reid RD, et al. Increasing Rates of Tobacco Treatment Delivery in Primary Care Practice: Evaluation of the Ottawa Model for Smoking Cessation. Ann Fam Med. 2016;14(3):235-243. doi:10.1370/afm.1909
19. Girvalaki C, Papadakis S, Vardavas C, et al. Training general practitioners in evidence-based tobacco treatment: an evaluation of the Tobacco Treatment Training Network in Crete (TiTAN-Crete) intervention. Heal Educ Behav. 2018. doi:10.1177/1090198118775481
20. Bandura A. Health promotion by social cognitive means. Health education and behavior 2004; 31(2):143-164. doi:10.1177/1090198104263660
21. Ajzen I. Theory of planned behaviour. Organizational Behavior and Human Decision Processes. 1991;50(2):179-211.doi: 10.1016/0749-5978(91)90020-t
22. Papadakis, S., Pipe, AL., Reid, RD., Tulloch, H., Mullen K., Assi R., Cole A., Wells, G. Effectiveness of performance coaching for enhancing rates of smoking cessation treatment delivery by primary care providers: Study protocol for a cluster randomized controlled trial. Contemp Clin Trials. 2015 Nov;45(Pt B):184-190. doi: 10.1016/j.cct.2015.08.013
23. Girvalaki C., Papadakis S., Vardavas C., Pipe A., Lionis C. Tobacco treatment Training Network in Crete (TiTAN-Crete): protocol for a controlled before-after study. Tob. Prev. Cessation 2016;2(64). doi: 10.18332/tpc/63823.
24. Delucchi KL, Tajima B, Guydish J. Development of the smoking knowledge, attitudes, and practices (S-KAP) instrument. J Drug Issues. 2009;39(2):347-364. doi:10.1177/002204260903900207
25. Vogt F, Hall S, Marteau TM. General practitioners’ and family physicians’ negative beliefs and attitudes towards discussing smoking cessation with patients: a systematic review. Addiction. 2005;100(10):1423-31. doi: 10.1111/j.1360-0443.2005.01221.x
26. Pipe, A.; Sorensen, M.; Reid, R. Physician smoking status, attitudes toward smoking, and cessation advice to patients: An international study. Patient Educ. Couns. 2009; 74: 118–123. doi:10.1016/j.pec.2008.07.042
27. Ampt AJ, Amoroso C, Harris MF, McKenzie SH, Rose VK, Taggart JR. Attitudes, norms and controls influencing lifestyle risk factor management in general practice. BMC Fam Pract.2009; 10(59):2296-10-59. doi: 10.1186/1471-2296-10-59
28. Eldein HN, Mansour NM, Mohamed SF. Knowledge, Attitude and Practice of Family Physicians Regarding Smoking Cessation Counseling in Family Practice Centers, Suez Canal University, Egypt. J Family Med Prim Care. 2013;2(2):159–163.doi: 10.4103/2249-4863.117411
29. Jiménez-Ruiz C.A, Riesco Miranda J.A, Ramos Pinedo A, de Higes Martinez E, Marquez F.L, Palomo Cobos L, et al. Prevalence of and Attitudes towards Smoking among Spanish Health Professionals. Respiration 2015;90:474-480.doi: 10.1159/000441306
30. Hjalmarson A, Boëthius G. The effectiveness of brief advice and extended smoking cessation counseling programs when implemented routinely in hospitals. Prev Med. 2007;45(2-3):202-7. doi:10.1016/j.ypmed.2007.06.014
31. De Silva W, Awang R, Samsudeen S, Hanna F. A Randomised Single-Blinded Controlled Trial on the Effectiveness of Brief Advice on Smoking Cessation among Tertiary Students in Malaysia. J Health Med Inform. 2016;7(1). doi: : 10.4172/2161-1459.1000217
32. Luh DL, Chen SL, Yen AM, Chiu SY, Fann CY, Chen HH. Effectiveness of advice from physician and nurse on smoking cessation stage in Taiwanese male smokers attending a community-based integrated screening program. Tob Induc Dis. 2016;(14). doi: 10.1186/s12971-016-0080-0
33. Matten P, Morrison V, Rutledge DN, Chen T, Chung E, Wong SF. Evaluation of tobacco cessation classes aimed at hospital staff nurses. Oncol Nurs Forum. 2011; 38(1):67-73. doi: 10.1188/11.ONF.67-73
34. Walsh MM, Belek M, Prakash P, Grimes B, Heckman B, Kaufman N. The effect of training on the use of tobacco-use cessation guidelines in dental settings. J Am Dent Assoc. 2012;143(6): 602-13.
35. Kristina SA, Thavorncharoensap M, Pongcharoensuk P, Prabandari YS. Impact of smoking cessation training for community pharmacists in Indonesia. Asian Pac J Cancer Prev. 2015;16(8):3319-23. doi:10.7314/apjcp.2015.16.8.3319
36. Rogausch A, Stammberger U, Bals R, Raupach T, Koellner V, Hamacher J. Outcome of a four-hour smoking cessation counselling workshop for medical students. Tob Induc Dis. 2016; 25: 14:37. doi: 10.1186/s12971-016-0103-x
37. Brose LS, West R, Michie S, McEwen A. Changes in success rates of smoking cessation treatment associated with take up of a national evidence based training programme. Prev Med. 2014; 69: 1-4. doi: 10.1016/j.ypmed.2014.08.021
38. Chan, D. So why ask me? Are self-report data really that bad. Statistical and methodological myths and urban legends: Doctrine, verity and fable in the organizational and social sciences, 2009: 309-336.
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