Yu Chen, Si Chen, Jing Xu, Li Xu, Ziliang Wang, Shiyu Liu, Yujiang Cai, Zining Wang, Xinjie Zhao, Xinyao Yu, Xinrui Yang, Na Zhang, Kin-Sun Chan
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Statistical analyses included t-tests, effect size, and multivariable regression.</p><p><strong>Results: </strong>Course participants demonstrated significantly higher knowledge scores across multiple domains compared to non-participants. Regarding specific tobacco harms, participants showed greater awareness that smoking causes stroke (4.21 ± 0.90 vs 3.86 ± 1.04, p<0.001, Cohen's d=0.37), heart disease (4.27 ± 0.85 vs 3.93 ± 1.03, p<0.001, d=0.36), and erectile dysfunction (4.05 ± 0.97 vs 3.72 ± 1.12, p<0.001, d=0.32). For secondhand smoke, participants better recognized risks of adult cardiovascular disease (4.26 ± 0.81 vs 4.04 ± 0.90, p=0.001, d=0.26) and pediatric respiratory illness (4.37 ± 0.73 vs 4.15 ± 0.83, p<0.001, d=0.28). Participants also showed more positive attitudes toward tobacco control policies and greater behavioral intentions for tobacco control advocacy. In multivariable analysis adjusting for demographics and smoking status, course participation remained significantly associated with higher knowledge scores (β=0.28; 95% CI: 0.18-0.38, p<0.001), more positive attitudes (β=0.22; 95% CI: 0.12-0.32, p<0.001), and stronger behavioral intentions (β=0.31; 95% CI: 0.19-0.43, p<0.001).</p><p><strong>Conclusions: </strong>The online tobacco control course significantly improved participants' knowledge of tobacco harms and strengthened their support for tobacco control measures. 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引用次数: 0
摘要
导言：在线教育平台为控烟能力建设提供了有前景的解决方案。本研究评估在线控烟课程对医疗保健专业人员的知识、态度和行为意图的有效性。方法：于2023年1月对中国某城市的医护人员和医学生（n=719）进行横断面调查。参与者分为课程参与者（n=387）和非参与者（n=332）。经验证的调查工具（Cronbach's α=0.963）采用5点李克特量表评估烟草相关知识、态度和行为意图。统计分析包括t检验、效应量和多变量回归。结果：课程参与者在多个领域的知识得分显著高于非参与者。在具体的烟草危害方面，参与者对吸烟导致脑卒中的认知程度更高（4.21±0.90 vs 3.86±1.04）。结论：在线控烟课程显著提高了参与者对烟草危害的认识，加强了他们对控烟措施的支持。这些发现表明，数字健康教育平台可能是烟草控制能力建设的宝贵工具，尽管需要进一步的纵向研究来建立因果关系并评估长期有效性。
Effectiveness of online tobacco control education: A cross-sectional study among healthcare professionals.
Introduction: Online education platforms offer promising solutions for tobacco control capacity building. This study evaluated an online tobacco control course's effectiveness on healthcare professionals' knowledge, attitudes, and behavioral intentions.
Methods: A cross-sectional survey was conducted among healthcare workers and medical students (n=719) in a Chinese city, January 2023. Participants were categorized as course participants (n=387) or non-participants (n=332). The validated survey instrument (Cronbach's α=0.963) assessed tobacco-related knowledge, attitudes, and behavioral intentions using 5-point Likert scales. Statistical analyses included t-tests, effect size, and multivariable regression.
Results: Course participants demonstrated significantly higher knowledge scores across multiple domains compared to non-participants. Regarding specific tobacco harms, participants showed greater awareness that smoking causes stroke (4.21 ± 0.90 vs 3.86 ± 1.04, p<0.001, Cohen's d=0.37), heart disease (4.27 ± 0.85 vs 3.93 ± 1.03, p<0.001, d=0.36), and erectile dysfunction (4.05 ± 0.97 vs 3.72 ± 1.12, p<0.001, d=0.32). For secondhand smoke, participants better recognized risks of adult cardiovascular disease (4.26 ± 0.81 vs 4.04 ± 0.90, p=0.001, d=0.26) and pediatric respiratory illness (4.37 ± 0.73 vs 4.15 ± 0.83, p<0.001, d=0.28). Participants also showed more positive attitudes toward tobacco control policies and greater behavioral intentions for tobacco control advocacy. In multivariable analysis adjusting for demographics and smoking status, course participation remained significantly associated with higher knowledge scores (β=0.28; 95% CI: 0.18-0.38, p<0.001), more positive attitudes (β=0.22; 95% CI: 0.12-0.32, p<0.001), and stronger behavioral intentions (β=0.31; 95% CI: 0.19-0.43, p<0.001).
Conclusions: The online tobacco control course significantly improved participants' knowledge of tobacco harms and strengthened their support for tobacco control measures. These findings suggest that digital health education platforms may be valuable tools for tobacco control capacity building, though further longitudinal studies are needed to establish causal relationships and assess long-term effectiveness.
期刊介绍：
Tobacco Induced Diseases encompasses all aspects of research related to the prevention and control of tobacco use at a global level. Preventing diseases attributable to tobacco is only one aspect of the journal, whose overall scope is to provide a forum for the publication of research articles that can contribute to reducing the burden of tobacco induced diseases globally. To address this epidemic we believe that there must be an avenue for the publication of research/policy activities on tobacco control initiatives that may be very important at a regional and national level. This approach provides a very important "hands on" service to the tobacco control community at a global scale - as common problems have common solutions. Hence, we see ourselves as "connectors" within this global community.
The journal hence encourages the submission of articles from all medical, biological and psychosocial disciplines, ranging from medical and dental clinicians, through health professionals to basic biomedical and clinical scientists.
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