Advancing Proficiencies for Health Professionals in the Treatment of Tobacco Use Among Marginalized Communities: Development of a Competency-Based Curriculum and Virtual Workshop.

IF 2.8 3区 医学 Q2 SUBSTANCE ABUSE
Substance abuse Pub Date : 2023-10-01 Epub Date: 2023-10-16 DOI:10.1177/08897077231200987
Christine E Sheffer, Alina Shevorykin, Roberta Freitas-Lemos, Darian Vantucci, Ellen Carl, Lindsey Bensch, Matthew Marion, Deborah O Erwin, Philip H Smith, Jill M Williams, Jamie S Ostroff
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引用次数: 0

Abstract

Background: Tobacco-related disparities are a leading contributor to health inequities among marginalized communities. Lack of support from health professionals is one of the most cited barriers to tobacco cessation reported by these communities. Improving the proficiencies with which health professionals incorporate social and cultural influences into therapeutic interactions has the potential to address this critical barrier. In general, training to improve these proficiencies has shown promise, but the specific proficiencies required for treating tobacco use among marginalized communities are unknown. This project aimed to develop a competency-based curriculum to improve these proficiencies among health professionals with experience and training in the evidence-based treatment of tobacco use, and then pilot test the content delivered via an expert review of a virtual, self-paced workshop.

Methods: We used the Delphi Technique to systematically identify the specific competencies and corresponding knowledge and skill sets required to achieve these proficiencies. Educational content was developed to teach these competencies in a virtual workshop. The workshop was evaluated by 11 experts in the field by examining pre- and post-training changes in perceived knowledge, skill, and confidence levels and other quantitative and qualitative feedback. Repeated measures analysis of variance and paired sample t-tests were used to examine pre-post training differences.

Results: Six competencies and corresponding skill sets were identified. After exposure to the virtual workshop, the experts reported significant increases in the overall proficiency for each competency as well as increases in nearly all levels of knowledge, skill, and confidence within the competency skill sets. Qualitative and quantitative findings indicate that content was relevant to practice.

Conclusions: These findings provide preliminary support for 6 competencies and skills sets needed to improve therapeutic interpersonal interactions that recognize the importance of social and cultural influences in the treatment of tobacco use.

提高卫生专业人员在边缘化社区治疗烟草使用方面的能力:开发基于能力的课程和虚拟讲习班。
背景:与烟草有关的差异是边缘化社区健康不平等的主要原因。缺乏卫生专业人员的支持是这些社区报告的最常见的戒烟障碍之一。提高卫生专业人员将社会和文化影响纳入治疗互动的熟练程度,有可能解决这一关键障碍。总的来说,提高这些熟练程度的培训显示出了希望,但边缘化社区治疗烟草使用所需的具体熟练程度尚不清楚。该项目旨在开发一个基于能力的课程,以提高在烟草使用循证治疗方面有经验和受过培训的卫生专业人员的这些熟练程度,然后通过对虚拟、自定节奏的研讨会进行专家评审,对所提供的内容进行试点测试。方法:我们使用德尔菲技术来系统地确定实现这些熟练程度所需的特定能力以及相应的知识和技能集。开发了教育内容,在虚拟研讨会上教授这些能力。该领域的11位专家对研讨会进行了评估,考察了培训前后感知知识、技能和信心水平的变化以及其他定量和定性反馈。重复测量方差分析和配对样本t检验用于检验训练前后的差异。结果:确定了六种能力和相应的技能。在参加虚拟研讨会后,专家们报告说,每项能力的总体熟练程度都有显著提高,能力技能集中几乎所有级别的知识、技能和信心都有所提高。定性和定量研究结果表明,内容与实践有关。结论:这些发现为改善治疗性人际互动所需的6种能力和技能提供了初步支持,这些能力和技能认识到社会和文化影响在治疗烟草使用中的重要性。
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来源期刊
Substance abuse
Substance abuse SUBSTANCE ABUSE-
CiteScore
5.90
自引率
2.90%
发文量
88
审稿时长
>12 weeks
期刊介绍: Now in its 4th decade of publication, Substance Abuse journal is a peer-reviewed journal that serves as the official publication of Association for Medical Education and Research in Substance Abuse (AMERSA) in association with The International Society of Addiction Medicine (ISAM) and the International Coalition for Addiction Studies in Education (INCASE). Substance Abuse journal offers wide-ranging coverage for healthcare professionals, addiction specialists and others engaged in research, education, clinical care, and service delivery and evaluation. It features articles on a variety of topics, including: Interdisciplinary addiction research, education, and treatment Clinical trial, epidemiology, health services, and translation addiction research Implementation science related to addiction Innovations and subsequent outcomes in addiction education Addiction policy and opinion International addiction topics Clinical care regarding addictions.
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