Performance Change in Treating Tobacco Addiction: An Online, Interprofessional, Facilitated Continuing Education Course (TEACH) Evaluation at Moore's Level 5

Article


Ivanova, Anna, Baliunas, Dolly, Ahad, Sheleza, Tanzini, Elise, Dragonetti, Rosa, Fahim, Myra and Selby, Peter. 2021. "Performance Change in Treating Tobacco Addiction: An Online, Interprofessional, Facilitated Continuing Education Course (TEACH) Evaluation at Moore's Level 5." Journal of Continuing Education in the Health Professions. 41 (1), pp. 31-38. https://doi.org/10.1097/CEH.0000000000000328
Article Title

Performance Change in Treating Tobacco Addiction: An Online, Interprofessional, Facilitated Continuing Education Course (TEACH) Evaluation at Moore's Level 5

ERA Journal ID20528
Article CategoryArticle
AuthorsIvanova, Anna, Baliunas, Dolly, Ahad, Sheleza, Tanzini, Elise, Dragonetti, Rosa, Fahim, Myra and Selby, Peter
Journal TitleJournal of Continuing Education in the Health Professions
Journal Citation41 (1), pp. 31-38
Number of Pages8
Year2021
PublisherLippincott Williams & Wilkins
Place of PublicationUnited States
ISSN0894-1912
1554-558X
Digital Object Identifier (DOI)https://doi.org/10.1097/CEH.0000000000000328
Web Address (URL)https://journals.lww.com/jcehp/fulltext/2021/04110/performance_change_in_treating_tobacco_addiction_.9.aspx
Abstract

Introduction:
Continuing education is essential to build capacity among health care providers (HCPs) to treat people with tobacco addiction. Online, interprofessional training programs are valuable; however, interpretation and comparison of outcomes remain challenging because of inconsistent use of evaluation frameworks. In this study, we used level 5 of Moore's evaluation framework to examine whether an online training program in intensive tobacco cessation counseling achieved sustained performance change among HCPs across multiple health disciplines.

Methods:
The evaluation sample included 62 HCPs with direct clinical duties, who completed the online Training Enhancement in Applied Counseling and Health (TEACH) Core Course in 2015 and 2016. We compared self-reported changes in cessation counseling and clinical practices across eight core competencies from baseline to 6-month follow-up using McNemar's tests and descriptive analyses.

Results:
Compared with baseline, significantly more HCPs reported providing cessation counseling at 6-month follow-up (44% versus 81%, P < .001). HCPs also reported significant increases in engagement in six of the eight core competencies.

Discussion:
Online training in intensive tobacco cessation treatment can result in sustained performance improvement at 6 months. However, availability of resources and clinical context may influence the extent to which HCPs are able to implement their learned skills. Furthermore, continuing education programs should consider the use of consistent evaluation frameworks to promote cross program comparisons.

Keywordscontinuing education; intensive cessation counseling; online training; performance improvement; tobacco cessation; interprofessional training
ANZSRC Field of Research 2020390301. Continuing and community education
Public NotesFiles associated with this item cannot be displayed due to copyright restrictions.
Byline AffiliationsCentre for Addiction and Mental Health, Canada
University of Toronto, Canada
Permalink -

https://research.usq.edu.au/item/z14w8/performance-change-in-treating-tobacco-addiction-an-online-interprofessional-facilitated-continuing-education-course-teach-evaluation-at-moore-s-level-5

  • 29
    total views
  • 0
    total downloads
  • 0
    views this month
  • 0
    downloads this month

Export as

Related outputs

Healthcare Interventions to Reduce Stigma for People Who Use Drugs: A systematic review
Siggs, Rhonda and Baliunas, Dolly. 2024. "Healthcare Interventions to Reduce Stigma for People Who Use Drugs: A systematic review." Australasian Professional Society on Alcohol and other Drugs (APSAD) 2024 . Canberra, Australia 30 Oct - 02 Nov 2024
Primary healthcare provider experience of knowledge brokering interventions for mood management
Minian, Nadia, Saiva, Anika, Ahad, Sheleza, Zawertailo, Laurie, Veldhuizen, Scott, Ravindran, Arun, de Oliveira, Claire, Mulder, Carol, Baliunas, Dolly and Selby, Peter. 2023. "Primary healthcare provider experience of knowledge brokering interventions for mood management ." Health Psychology and Behavioral Medicine. 11 (1). https://doi.org/10.1080/21642850.2023.2265136
Publicly subsidised smoking cessation medicines in times of COVID-19 in Australia: An interrupted time series analysis
Baliunas, Dolly, Gartner, Coral, Hollingworth, Samantha A., Sullivan, Clair, Comans, Tracy and Pole, Jason D.. 2023. "Publicly subsidised smoking cessation medicines in times of COVID-19 in Australia: An interrupted time series analysis." Drug and Alcohol Review. 42 (1), pp. 225-232. https://doi.org/10.1111/dar.13557
Primary care-based smoking cessation treatment and subsequent healthcare service utilisation: a matched cohort study of smokers using linked administrative healthcare data
Baliunas, Dolly, Selby, Peter, de Oliveira, Claire, Kurdyak, Paul, Rosella, Laura, Zawertailo, Laurie, Fu, Longdi and Sutradhar, Rinku. 2023. "Primary care-based smoking cessation treatment and subsequent healthcare service utilisation: a matched cohort study of smokers using linked administrative healthcare data." Tobacco Control. 32 (1), pp. 72-79. https://doi.org/10.1136/tobaccocontrol-2021-056522
Association Between Smoking Cessation Treatment and Healthcare Costs in a Single-Payer Public Healthcare System
Baliunas, Dolly, Voci, Sabrina, de Oliveira, Claire, Selby, Peter, Kurdyak, Paul, Rosella, Laura, Zawertailo, Laurie, Fu, Longdi and Sutradhar, Rinku. 2023. "Association Between Smoking Cessation Treatment and Healthcare Costs in a Single-Payer Public Healthcare System." Nicotine and Tobacco Research. 25 (1), pp. 86-93. https://doi.org/10.1093/ntr/ntac166
Incidence of chronic disease following smoking cessation treatment: A matched cohort study using linked administrative healthcare data in Ontario, Canada
Baliunas, Dolly, Voci, Sabrina, Selby, Peter, de Oliveira, Claire, Kurdyak, Paul, Rosella, Laura, Zawertailo, Laurie, Fu, Longdi and Sutradhar, Rinku. 2023. "Incidence of chronic disease following smoking cessation treatment: A matched cohort study using linked administrative healthcare data in Ontario, Canada." PLoS One. 18 (7). https://doi.org/10.1371/journal.pone.0288759
Immediate and Ongoing Impact of COVID-19 on Chlamydia Treatment in Australia
Engstrom, Teyl, Baliunas, Dolly, Smith, Angela, Dean, Judith A. and Pole, Jason D.. 2023. "Immediate and Ongoing Impact of COVID-19 on Chlamydia Treatment in Australia." Sexually Transmitted Diseases. 50 (6), pp. 363-369. https://doi.org/10.1097/OLQ.0000000000001785
Toilet Paper, Minced Meat and Diabetes Medicines: Australian Panic Buying Induced by COVID-19
Engstrom, Teyl, Baliunas, Dolly O., Sly, Benjamin P., Russell, Anthony W., Donovan, Peter J., Krausse, Heike K., Sullivan, Clair M. and Pole, Jason D. Pole. 2021. "Toilet Paper, Minced Meat and Diabetes Medicines: Australian Panic Buying Induced by COVID-19." International Journal of Environmental Research and Public Health. 18 (13). https://doi.org/10.3390/ijerph18136954
The effectiveness of generic emails versus a remote knowledge broker to integrate mood management into a smoking cessation programme in team-based primary care: a cluster randomised trial
Minian, Nadia, Ahad, Sheleza, Ivanova, Anna, Veldhuizen, Scott, Zawertailo, Laurie, Ravindran, Arun, de Oliveira, Claire, Baliunas, Dolly, Mulder, Carol, Bolbocean, Corneliu and Selby, Peter. 2021. "The effectiveness of generic emails versus a remote knowledge broker to integrate mood management into a smoking cessation programme in team-based primary care: a cluster randomised trial." Implementation Science. 16 (1). https://doi.org/10.1186/s13012-021-01091-6
Integrating a brief alcohol intervention with tobacco addiction treatment in primary care: qualitative study of health care practitioner perceptions
Minian, Nadia, Noormohamed, Aliya, Lingam, Mathangee, Zawertailo, Laurie, Le Foll, Bernard, Rehm, Jürgen, Giesbrecht, Norman, Samokhvalov, Andriy V., Baliunas, Dolly and Selby, Peter. 2021. "Integrating a brief alcohol intervention with tobacco addiction treatment in primary care: qualitative study of health care practitioner perceptions." Addiction Science and Clinical Practice. 16 (1). https://doi.org/10.1186/s13722-021-00225-x
Impact of comprehensive smoking cessation training of practitioners on patients' 6-month quit outcome
Baliunas, Dolly, Ivanova, Anna, Tanzini, Elise, Dragonetti, Rosa and Selby, Peter. 2020. "Impact of comprehensive smoking cessation training of practitioners on patients' 6-month quit outcome." Canadian Journal of Public Health. 111 (5), pp. 766-774. https://doi.org/10.17269/s41997-020-00318-1
Variability in patient sociodemographics, clinical characteristics, and healthcare service utilization among 107,302 treatment seeking smokers in Ontario: A cross-sectional comparison
Baliunas, Dolly, Zawertailo, Laurie, Voci, Sabrina, Gatov, Evgenia, Bondy, Susan J., Fu, Longdi and Selby, Peter. 2020. "Variability in patient sociodemographics, clinical characteristics, and healthcare service utilization among 107,302 treatment seeking smokers in Ontario: A cross-sectional comparison." PLoS One. 15 (7). https://doi.org/10.1371/journal.pone.0235709
Computerized Clinical Decision Support System for Prompting Brief Alcohol Interventions with Treatment Seeking Smokers: A Sex-Based Secondary Analysis of a Cluster Randomized Trial
Minian, Nadia, Ivanova, Anna, Voci, Sabrina, Veldhuizen, Scott, Zawertailo, Laurie, Baliunas, Dolly, Noormohamed, Aliya, Giesbrecht, Norman and Selby, Peter. 2020. "Computerized Clinical Decision Support System for Prompting Brief Alcohol Interventions with Treatment Seeking Smokers: A Sex-Based Secondary Analysis of a Cluster Randomized Trial." International Journal of Environmental Research and Public Health. 17 (3). https://doi.org/10.3390/ijerph17031024
Tailored Web-Based Smoking Interventions and Reduced Attrition: Systematic Review and Meta-Analysis
Shah, Amika, Chaiton, Michael, Baliunas, Dolly and Schwartz, Robert. 2020. "Tailored Web-Based Smoking Interventions and Reduced Attrition: Systematic Review and Meta-Analysis." Journal of Medical Internet Research. 22 (10). https://doi.org/10.2196/16255
Is cannabis use associated with tobacco cessation outcome? An observational cohort study in primary care
Voci, Sabrina, Zawertailo, Laurie, Baliunas, Dolly, Masood, Zara and Selby, Peter. 2020. "Is cannabis use associated with tobacco cessation outcome? An observational cohort study in primary care." Drug and Alcohol Dependence. 206. https://doi.org/10.1016/j.drugalcdep.2019.107756
Predisposing and protective factors influencing suicide ideation, attempt, and death in patients accessing substance use treatment: a systematic review and meta-analysis protocol
Espinet, S., Corrin, T., Baliunas, D., Quilty, L., Zawertailo, L., Rizvi, S. J., deRuiter, W., Bonato, S., De Luca, V., Kennedy, S. and Selby, P.. 2019. "Predisposing and protective factors influencing suicide ideation, attempt, and death in patients accessing substance use treatment: a systematic review and meta-analysis protocol." Systematic Reviews. 8 (1). https://doi.org/10.1186/s13643-019-1028-2
The effect of a clinical decision support system on prompting an intervention for risky alcohol use in a primary care smoking cessation program: a cluster randomized trial
Minian, Nadia, Baliunas, Dolly, Noormohamed, Aliya, Zawertailo, Laurie, Giesbrecht, Norman, Hendershot, Christian S., Le Foll, Bernard, Rehm, Jürgen, Samokhvalov, Andriy V. and Selby, Peter. 2019. "The effect of a clinical decision support system on prompting an intervention for risky alcohol use in a primary care smoking cessation program: a cluster randomized trial." Implementation Science. 14 (1). https://doi.org/10.1186/s13012-019-0935-x
Tailored Versus Generic Knowledge Brokering to Integrate Mood Management Into Smoking Cessation Interventions in Primary Care Settings: Protocol for a Cluster Randomized Controlled Trial
Minian, Nadia, Noormohamed, Aliya, Baliunas, Dolly, Zawertailo, Laurie, Mulder, Carol, Ravindran, Arun, de Oliveira, Claire and Selby, Peter. 2018. "Tailored Versus Generic Knowledge Brokering to Integrate Mood Management Into Smoking Cessation Interventions in Primary Care Settings: Protocol for a Cluster Randomized Controlled Trial." JMIR Res Protoc. 7 (4), p. e111. https://doi.org/10.2196/resprot.9715
A method for co-creation of an evidence-based patient workbook to address alcohol use when quitting smoking in primary care: a case study
Minian, Nadia, Noormohamed, Aliya, Zawertailo, Laurie, Baliunas, Dolly, Giesbrecht, Norman, Le Foll, Bernard, Rehm, Jürgen, Samokhvalov, Andriy and Selby, Peter. 2018. "A method for co-creation of an evidence-based patient workbook to address alcohol use when quitting smoking in primary care: a case study." Research Involvement and Engagement. 4. https://doi.org/10.1186/s40900-018-0086-2
Public health impact of a novel smoking cessation outreach program in Ontario, Canada
Selby, Peter, Voci, Sabrina, Zawertailo, Laurie, Baliunas, Dolly, Dragonetti, Rosa and Hussain, S.. 2018. "Public health impact of a novel smoking cessation outreach program in Ontario, Canada." BMC Public Health. 18 (1). https://doi.org/10.1186/s12889-018-6012-6
Combining alcohol interventions with tobacco addictions treatment in primary care-the COMBAT study: a pragmatic cluster randomized trial
Minian, Nadia, Baliunas, Dolly, Zawertailo, Laurie, Noormohamed, Aliya, Giesbrecht, Norman, Hendershot, Christian S., Le Foll, Bernard, Rehm, Jürgen, Samokhvalov, Andriy and Selby, Peter L.. 2017. "Combining alcohol interventions with tobacco addictions treatment in primary care-the COMBAT study: a pragmatic cluster randomized trial." Implementation Science. 12 (1). https://doi.org/10.1186/s13012-017-0595-7
Concurrent E-Cigarette Use During Tobacco Dependence Treatment in Primary Care Settings: Association With Smoking Cessation at Three and Six Months
Zawertailo, Laurie Z, Pavlov, Dmytro, Ivanova, Anna, Ng, Ginnie, Baliunas, Dolly and Selby, Peter. 2017. "Concurrent E-Cigarette Use During Tobacco Dependence Treatment in Primary Care Settings: Association With Smoking Cessation at Three and Six Months." Nicotine and Tobacco Research. 19 (2), pp. 183-189. https://doi.org/10.1093/ntr/ntw218
Target quit date timing as a predictor of smoking cessation outcomes
Zawertailo, Laurie, Ragusila, Andra, Voci, Sabrina, Ivanova, Anna, Baliunas, Dolly and Selby, Peter. 2017. "Target quit date timing as a predictor of smoking cessation outcomes." Psychology of Addictive Behaviors. 31 (6), pp. 655-663. https://doi.org/10.1037/adb0000301
Individualized Treatment for Tobacco Dependence in Addictions Treatment Settings: The Role of Current Depressive Symptoms on Outcomes at 3 and 6 Months
Zawertailo, Laurie A., Baliunas, Dolly, Ivanova, Anna and Selby, Peter L.. 2015. "Individualized Treatment for Tobacco Dependence in Addictions Treatment Settings: The Role of Current Depressive Symptoms on Outcomes at 3 and 6 Months." Nicotine and Tobacco Research. 17 (8), pp. 937-45. https://doi.org/10.1093/ntr/ntv013
Epidemiological analysis of health situation development in Europe and its causes until 1990
Zatonski, Witold A., Manczuk, Marta, Sulkowska, Urszula, Didkowska, Joanna, Wojciechowska, Urszula, Tarkowski, Wojciech, Przewozniak, Krzysztof, Gumkowski, Jakub, Koncewicz, Kinga, Boffetta, Paolo, Campos, Hannia, LaVecchia, Carlo, Powles, John, Rehm, Jurgen, Willet, Walter, Negri, Eva, Aaro, Leif, Boyle, Peter, Gilmore, Anna, ..., Taylor, Beniamin. 2011. "Epidemiological analysis of health situation development in Europe and its causes until 1990." Annals of Agricultural and Environmental Medicine. 18 (2), pp. 194-202.
Alcohol consumption and risk of incident human immunodeficiency virus infection: a meta-analysis
Baliunas, Dolly, Rehm, Jürgen, Irving, Hyacinth and Shuper, Paul. 2010. "Alcohol consumption and risk of incident human immunodeficiency virus infection: a meta-analysis." International Journal of Public Health. 55 (3), pp. 159-166. https://doi.org/10.1007/s00038-009-0095-x
Alcohol consumption and the risk of morbidity and mortality for different stroke types--a systematic review and meta-analysis
Patra, Jayadeep, Taylor, Benjamin, Irving, Hyacinth, Roerecke, Michael, Baliunas, Dolly, Mohapatra, Satya and Rehm, Jürgen. 2010. "Alcohol consumption and the risk of morbidity and mortality for different stroke types--a systematic review and meta-analysis." BMC Public Health. 10. https://doi.org/10.1186/1471-2458-10-258
The relation between different dimensions of alcohol consumption and burden of disease: an overview
Rehm, Jürgen, Baliunas, Dolly, Borges, Guilherme L. G., Graham, Kathryn, Irving, Hyacinth, Kehoe, Tara, Parry, Charles D., Patra, Jayadeep, Popova, Svetlana, Poznyak, Vladimir, Roerecke, Michael, Room, Robin, Samokhvalov, Andriy V. and Taylor, Benjamin. 2010. "The relation between different dimensions of alcohol consumption and burden of disease: an overview." Addiction. 105 (5), pp. 817-43. https://doi.org/10.1111/j.1360-0443.2010.02899.x
Alcohol as a risk factor for liver cirrhosis: a systematic review and meta-analysis
Rehm, Jürgen, Taylor, Benjamin, Mohapatra, Satya, Irving, Hyacinth, Baliunas, Dolly, Patra, Jayadeep and Roerecke, Michael. 2010. "Alcohol as a risk factor for liver cirrhosis: a systematic review and meta-analysis." Drug and Alcohol Review. 29 (4), pp. 437-45. https://doi.org/10.1111/j.1465-3362.2009.00153.x
Causal considerations on alcohol and HIV/AIDS--a systematic review
Shuper, Paul A. S, Neuman, Manuela, Kanteres, Fotis, Baliunas, Dolly, Joharchi, Narges and Rehm, Jürgen. 2010. "Causal considerations on alcohol and HIV/AIDS--a systematic review." Alcohol and Alcoholism. 45 (2), pp. 159-166. https://doi.org/10.1093/alcalc/agp091
Alcohol as a risk factor for type 2 diabetes: A systematic review and meta-analysis
Baliunas, Dolly O., Taylor, Benjamin J., Irving, Hyacinth, Roerecke, Michael, Patra, Jayadeep, Mohapatra, Satya and Rehm, Jürgen. 2009. "Alcohol as a risk factor for type 2 diabetes: A systematic review and meta-analysis." Diabetes Care. 32 (11), pp. 2123-2132. https://doi.org/10.2337/dc09-0227
Undergraduate drinking and academic performance: a prospective investigation with objective measures
Thombs, Dennis L., Olds, R. Scott, Bondy, Susan J., Winchell, Janice, Baliunas, Dolly and Rehm, Jürgen. 2009. "Undergraduate drinking and academic performance: a prospective investigation with objective measures." Journal of Studies on Alcohol and Drugs. 70 (5), pp. 776-785. https://doi.org/10.15288/jsad.2009.70.776
Smoking-attributable mortality and expected years of life lost in Canada 2002: conclusions for prevention and policy
Baliunas, Dolly, Patra, Jayadeep, Rehm, Jürgen, Popova, Svetlana, Kaiserman, Murray and Taylor, Benjamin. 2007. "Smoking-attributable mortality and expected years of life lost in Canada 2002: conclusions for prevention and policy." Chronic Diseases in Canada. 27 (4), pp. 154-162.
Smoking-attributable morbidity: acute care hospital diagnoses and days of treatment in Canada, 2002
Baliunas, Dolly, Patra, Jayadeep, Rehm, Jürgen, Popova, Svetlana and Taylor, Benjamin. 2007. "Smoking-attributable morbidity: acute care hospital diagnoses and days of treatment in Canada, 2002." BMC Public Health. 7. https://doi.org/10.1186/1471-2458-7-247
Substance-attributable Morbidity and Mortality Changes to Canada’s Epidemiological Profile: Measurable Differences Over a Ten-year Period
Patra, Jayadeep, Taylor, Benjamin, Rehm, Jürgen T., Baliunas, Dolly and Popova, Svetlana. 2007. "Substance-attributable Morbidity and Mortality Changes to Canada’s Epidemiological Profile: Measurable Differences Over a Ten-year Period ." Canadian Journal of Public Health. 98 (3), pp. 228-34.
Illegal drug-attributable morbidity in Canada 2002
Popova, Svetlana, Rehm, Jürgen, Patra, Jayadeep, Baliunas, Dolly and Taylor, Benjamin. 2007. "Illegal drug-attributable morbidity in Canada 2002." Drug and Alcohol Review. 26 (3), pp. 251-63. https://doi.org/10.1080/09595230701247673
The costs of alcohol, illegal drugs, and tobacco in Canada, 2002
Rehm, Jürgen, Gnam, William, Popova, Svetlana, Baliunas, Dolly, Brochu, Serge, Fischer, Benedikt, Patra, Jayadeep, Sarnocinska-Hart, Anna and Taylor, Benjamin. 2007. "The costs of alcohol, illegal drugs, and tobacco in Canada, 2002." Journal of Studies on Alcohol and Drugs. 68 (6), pp. 886-895. https://doi.org/10.15288/jsad.2007.68.886
Alcohol-attributable morbidity and resulting health care costs in Canada in 2002: recommendations for policy and prevention
Taylor, Benjamin, Rehm, Jürgen, Patra, Jayadeep, Popova, Popova and Baliunas, Dolly. 2007. "Alcohol-attributable morbidity and resulting health care costs in Canada in 2002: recommendations for policy and prevention." Journal of Studies on Alcohol and Drugs. 68 (1), pp. 36-47. https://doi.org/10.15288/jsad.2007.68.36
Illicit opioid use in Canada: comparing social, health, and drug use characteristics of untreated users in five cities (OPICAN study)
Fischer, Benedikt, Rehm, Jürgen, Brissette, Suzanne, Brochu, Serge, Bruneau, Julie, el-Gueb, Nady, Noel, Lina, Tyndall, Mark, Wild, Cameron, Mun, Phil and Baliunas, Dolly. 2005. "Illicit opioid use in Canada: comparing social, health, and drug use characteristics of untreated users in five cities (OPICAN study)." Journal of Urban Health: Bulletin of the New York Academy of Medicine. 82 (2), pp. 250-66. https://doi.org/10.1093/jurban/jti049
Willing to undergo hepatitis C treatment in a sample of injection drug users in Toronto, Canada
Fischer, B., Vasdev, S., Haydon, E., Baliunas, D. and Rehm, J.. 2005. "Willing to undergo hepatitis C treatment in a sample of injection drug users in Toronto, Canada." La Presse Medicale. 34 (17), pp. 1209-1212. https://doi.org/10.1016/s0755-4982(05)84158-2
Determinants of overdose incidents among illicit opioid users in 5 Canadian cities
Fischer, Benedikt, Brissette, Suzanne, Brochu, Serge, Bruneau, Julie, el-Gueb, Nady, Noel, Lina, Rehm, Jürgen, Tyndall, Mark, Wild, Cameron, Mun, Phil, Haydon, Emma and Baliunas, Dolly. 2004. "Determinants of overdose incidents among illicit opioid users in 5 Canadian cities." CMAJ. 171 (3), pp. 235-239. https://doi.org/10.1503/cmaj.1031416