Can distance learning improve smoking cessation advice in family practice? A randomized trial.
INTRODUCTION: Family physicians (FPs) underuse opportunities to provide smoking cessation advice during routine consultations with patients who smoke. Distance learning is a promising approach to continuing medical education, particularly for FPs practicing in rural and remote areas. We developed a...
| Publicado en: | Journal of Continuing Education in the Health Professions Vol. 22; no. 2; pp. 84 - 94 |
|---|---|
| Autores principales: | , |
| Formato: | clinical trial research tables/charts Journal Article |
| Publicado: |
Lippincott Williams & Wilkins
Spring2002
|
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106956891&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 106956891 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 08941912 9O0 jtl: Journal of Continuing Education in the Health Professions issn: 08941912 maglogo: N pubinfo: dt: Spring2002 vid: 22 iid: 2 pid: 433 pub: Lippincott Williams & Wilkins place: Baltimore, Maryland artinfo: ui: 106956891 2002110953 10.1002/chp.1340220204 NLM12099124 106956891 ppf: 84 ppct: 10 formats: tig: atl: Can distance learning improve smoking cessation advice in family practice? A randomized trial. aug: au: Young JM Ward J affil: National Health and Medical Research Council (NHMRC) Postdoctoral Research Fellow, Centre for Health Services Research, University of Western Australia sug: subj: Physicians, Family Education Education, Medical, Continuing Professional Competence Evaluation Education, Non-Traditional Evaluation Smoking Cessation Counseling Questionnaires Course Content Clinical Trials Pretest-Posttest Design Summated Rating Scaling Australia Visual Analog Scaling Wilcoxon Rank Sum Test McNemar's Test T-Tests Chi Square Test Behavioral Changes Funding Source Human ab: INTRODUCTION: Family physicians (FPs) underuse opportunities to provide smoking cessation advice during routine consultations with patients who smoke. Distance learning is a promising approach to continuing medical education, particularly for FPs practicing in rural and remote areas. We developed a distance learning module, conducting a randomized trial to assess its educational impact on knowledge, attitudes and skills ('competence'), self-rated competence, confidence, and readiness to change. METHODS: Volunteer FPs were randomly allocated to receive either a distance learning module or a preventive care guideline. Self-administered questionnaires were completed at baseline and post-test. RESULTS: Fifty-three FPs enrolled in the study. There were no changes in knowledge or attitudes. Change in skills was limited to a reduction in use of one ineffective technique, namely 'nicotine fading.' Change in self-rated competence between baseline and post-test was significantly greater for the intervention than for the control group, however (p = .03). Although self-ratings of confidence increased significantly between baseline and post-test in both groups, the magnitude of change was no greater in the intervention than the control group (p = .3). Both groups demonstrated only nonsignificant shifts in readiness to change. DISCUSSION: These modest changes are of uncertain educational value, inviting caution before recommending distance learning approaches to promote smoking cessation advice in family practice. pubtype: Academic Journal doctype: clinical trial research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
|---|