Evaluation of a Web-Based Training in Smoking Cessation Counseling Targeting U.S. Eye-Care Professionals

Taghrid Asfar, David J. Lee, Byron L. Lam, Ann P. Murchison, Eileen L. Mayro, Cynthia Owsley, Gerald McGwin, Emily W. Gower, David S Friedman, Jinan Saaddine

Research output: Contribution to journalArticle

Abstract

Background. Smoking causes blindness-related diseases. Eye-care providers are uniquely positioned to help their patients quit smoking. Aims. Using a pre-/postevaluation design, this study evaluated a web-based training in smoking cessation counseling targeting eye-care providers. Method. The training was developed based on the 3A1R protocol: “Ask about smoking, Advise to quit, Assess willingness to quit, and Refer to tobacco quitlines,” and made available in the form of a web-based video presentation. Providers (n = 654) at four academic centers were invited to participate. Participants completed pretraining, posttraining, and 3-month follow-up surveys. Main outcomes were self-reported improvement in their motivation, confidence, and counseling practices at 3-month follow-up. Generalized linear mixed models for two time-points (pretraining and 3-month) were conducted for these outcomes. Results. A total of 113 providers (54.0% males) participated in the study (17.7% response rate). At the 3-month evaluation, 9.8% of participants reported improvement in their motivation. With respect to the 3A1R, 8% reported improvement in their confidence for Ask, 15.5% for Advise, 28.6% for Assess, and 37.8% for Refer. Similarly, 25.5% reported improvement in their practices for Ask, 25.5% for Advise, 37.2% for Assess, and 39.4% for Refer to tobacco quitlines (p <.001 for all except for Refer confidence p =.05). Discussion. Although participation rate was low, the program effectively improved providers’ smoking cessation counseling practices. Conclusions. Including training in smoking cessation counseling in ophthalmology curriculums, and integrating the 3A1R protocol into the electronic medical records systems in eye-care settings, might promote smoking cessation practices in these settings.

Original languageEnglish (US)
JournalHealth Education and Behavior
DOIs
StateAccepted/In press - Jun 1 2017

Fingerprint

Smoking Cessation
Counseling
Smoking
Tobacco
Motivation
Electronic Health Records
Ophthalmology
Blindness
Curriculum
Linear Models
World Wide Web
Evaluation
Confidence

Keywords

  • eye-care providers
  • smoking and blindness
  • smoking cessation counseling
  • system-level change
  • tobacco quitlines
  • training program evaluation

ASJC Scopus subject areas

  • Arts and Humanities (miscellaneous)
  • Public Health, Environmental and Occupational Health

Cite this

Asfar, T., Lee, D. J., Lam, B. L., Murchison, A. P., Mayro, E. L., Owsley, C., ... Saaddine, J. (Accepted/In press). Evaluation of a Web-Based Training in Smoking Cessation Counseling Targeting U.S. Eye-Care Professionals. Health Education and Behavior. https://doi.org/10.1177/1090198117709883

Evaluation of a Web-Based Training in Smoking Cessation Counseling Targeting U.S. Eye-Care Professionals. / Asfar, Taghrid; Lee, David J.; Lam, Byron L.; Murchison, Ann P.; Mayro, Eileen L.; Owsley, Cynthia; McGwin, Gerald; Gower, Emily W.; Friedman, David S; Saaddine, Jinan.

In: Health Education and Behavior, 01.06.2017.

Research output: Contribution to journalArticle

Asfar, Taghrid ; Lee, David J. ; Lam, Byron L. ; Murchison, Ann P. ; Mayro, Eileen L. ; Owsley, Cynthia ; McGwin, Gerald ; Gower, Emily W. ; Friedman, David S ; Saaddine, Jinan. / Evaluation of a Web-Based Training in Smoking Cessation Counseling Targeting U.S. Eye-Care Professionals. In: Health Education and Behavior. 2017.
@article{f4a91719a13f47c5ba2e01d805bb3b64,
title = "Evaluation of a Web-Based Training in Smoking Cessation Counseling Targeting U.S. Eye-Care Professionals",
abstract = "Background. Smoking causes blindness-related diseases. Eye-care providers are uniquely positioned to help their patients quit smoking. Aims. Using a pre-/postevaluation design, this study evaluated a web-based training in smoking cessation counseling targeting eye-care providers. Method. The training was developed based on the 3A1R protocol: “Ask about smoking, Advise to quit, Assess willingness to quit, and Refer to tobacco quitlines,” and made available in the form of a web-based video presentation. Providers (n = 654) at four academic centers were invited to participate. Participants completed pretraining, posttraining, and 3-month follow-up surveys. Main outcomes were self-reported improvement in their motivation, confidence, and counseling practices at 3-month follow-up. Generalized linear mixed models for two time-points (pretraining and 3-month) were conducted for these outcomes. Results. A total of 113 providers (54.0{\%} males) participated in the study (17.7{\%} response rate). At the 3-month evaluation, 9.8{\%} of participants reported improvement in their motivation. With respect to the 3A1R, 8{\%} reported improvement in their confidence for Ask, 15.5{\%} for Advise, 28.6{\%} for Assess, and 37.8{\%} for Refer. Similarly, 25.5{\%} reported improvement in their practices for Ask, 25.5{\%} for Advise, 37.2{\%} for Assess, and 39.4{\%} for Refer to tobacco quitlines (p <.001 for all except for Refer confidence p =.05). Discussion. Although participation rate was low, the program effectively improved providers’ smoking cessation counseling practices. Conclusions. Including training in smoking cessation counseling in ophthalmology curriculums, and integrating the 3A1R protocol into the electronic medical records systems in eye-care settings, might promote smoking cessation practices in these settings.",
keywords = "eye-care providers, smoking and blindness, smoking cessation counseling, system-level change, tobacco quitlines, training program evaluation",
author = "Taghrid Asfar and Lee, {David J.} and Lam, {Byron L.} and Murchison, {Ann P.} and Mayro, {Eileen L.} and Cynthia Owsley and Gerald McGwin and Gower, {Emily W.} and Friedman, {David S} and Jinan Saaddine",
year = "2017",
month = "6",
day = "1",
doi = "10.1177/1090198117709883",
language = "English (US)",
journal = "Health Education and Behavior",
issn = "1090-1981",
publisher = "SAGE Publications Inc.",

}

TY - JOUR

T1 - Evaluation of a Web-Based Training in Smoking Cessation Counseling Targeting U.S. Eye-Care Professionals

AU - Asfar, Taghrid

AU - Lee, David J.

AU - Lam, Byron L.

AU - Murchison, Ann P.

AU - Mayro, Eileen L.

AU - Owsley, Cynthia

AU - McGwin, Gerald

AU - Gower, Emily W.

AU - Friedman, David S

AU - Saaddine, Jinan

PY - 2017/6/1

Y1 - 2017/6/1

N2 - Background. Smoking causes blindness-related diseases. Eye-care providers are uniquely positioned to help their patients quit smoking. Aims. Using a pre-/postevaluation design, this study evaluated a web-based training in smoking cessation counseling targeting eye-care providers. Method. The training was developed based on the 3A1R protocol: “Ask about smoking, Advise to quit, Assess willingness to quit, and Refer to tobacco quitlines,” and made available in the form of a web-based video presentation. Providers (n = 654) at four academic centers were invited to participate. Participants completed pretraining, posttraining, and 3-month follow-up surveys. Main outcomes were self-reported improvement in their motivation, confidence, and counseling practices at 3-month follow-up. Generalized linear mixed models for two time-points (pretraining and 3-month) were conducted for these outcomes. Results. A total of 113 providers (54.0% males) participated in the study (17.7% response rate). At the 3-month evaluation, 9.8% of participants reported improvement in their motivation. With respect to the 3A1R, 8% reported improvement in their confidence for Ask, 15.5% for Advise, 28.6% for Assess, and 37.8% for Refer. Similarly, 25.5% reported improvement in their practices for Ask, 25.5% for Advise, 37.2% for Assess, and 39.4% for Refer to tobacco quitlines (p <.001 for all except for Refer confidence p =.05). Discussion. Although participation rate was low, the program effectively improved providers’ smoking cessation counseling practices. Conclusions. Including training in smoking cessation counseling in ophthalmology curriculums, and integrating the 3A1R protocol into the electronic medical records systems in eye-care settings, might promote smoking cessation practices in these settings.

AB - Background. Smoking causes blindness-related diseases. Eye-care providers are uniquely positioned to help their patients quit smoking. Aims. Using a pre-/postevaluation design, this study evaluated a web-based training in smoking cessation counseling targeting eye-care providers. Method. The training was developed based on the 3A1R protocol: “Ask about smoking, Advise to quit, Assess willingness to quit, and Refer to tobacco quitlines,” and made available in the form of a web-based video presentation. Providers (n = 654) at four academic centers were invited to participate. Participants completed pretraining, posttraining, and 3-month follow-up surveys. Main outcomes were self-reported improvement in their motivation, confidence, and counseling practices at 3-month follow-up. Generalized linear mixed models for two time-points (pretraining and 3-month) were conducted for these outcomes. Results. A total of 113 providers (54.0% males) participated in the study (17.7% response rate). At the 3-month evaluation, 9.8% of participants reported improvement in their motivation. With respect to the 3A1R, 8% reported improvement in their confidence for Ask, 15.5% for Advise, 28.6% for Assess, and 37.8% for Refer. Similarly, 25.5% reported improvement in their practices for Ask, 25.5% for Advise, 37.2% for Assess, and 39.4% for Refer to tobacco quitlines (p <.001 for all except for Refer confidence p =.05). Discussion. Although participation rate was low, the program effectively improved providers’ smoking cessation counseling practices. Conclusions. Including training in smoking cessation counseling in ophthalmology curriculums, and integrating the 3A1R protocol into the electronic medical records systems in eye-care settings, might promote smoking cessation practices in these settings.

KW - eye-care providers

KW - smoking and blindness

KW - smoking cessation counseling

KW - system-level change

KW - tobacco quitlines

KW - training program evaluation

UR - http://www.scopus.com/inward/record.url?scp=85041894671&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85041894671&partnerID=8YFLogxK

U2 - 10.1177/1090198117709883

DO - 10.1177/1090198117709883

M3 - Article

JO - Health Education and Behavior

JF - Health Education and Behavior

SN - 1090-1981

ER -