GB smoking cessation training for health care providers in LA: midterm confidence in competencies and estimation of population impact

Background Between 2011 and 2016, Global Bridges (GB) in Latin America successfully trained health care providers (HCP) in declarative and procedural knowledge and confidence in competencies (Moore `s level 3A, B and 4). However, a study that explored patients´ reported HCP performance failed to sh...

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Main Authors: Gustavo Zabert, Beatriz Champagne, Esteban Cruz, Elba Estevez, Daniel Buljubasich, Raul Sansores, Pamela Cortez, Francisco Zabert
Format: Article
Language:English
Published: European Publishing 2018-03-01
Series:Tobacco Induced Diseases
Subjects:
Online Access:http://www.journalssystem.com/tid/GB-smoking-cessation-training-for-health-care-providers-in-LA-midterm-confidence,84327,0,2.html
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author Gustavo Zabert
Beatriz Champagne
Esteban Cruz
Elba Estevez
Daniel Buljubasich
Raul Sansores
Pamela Cortez
Francisco Zabert
author_facet Gustavo Zabert
Beatriz Champagne
Esteban Cruz
Elba Estevez
Daniel Buljubasich
Raul Sansores
Pamela Cortez
Francisco Zabert
author_sort Gustavo Zabert
collection DOAJ
description Background Between 2011 and 2016, Global Bridges (GB) in Latin America successfully trained health care providers (HCP) in declarative and procedural knowledge and confidence in competencies (Moore `s level 3A, B and 4). However, a study that explored patients´ reported HCP performance failed to show effect. Methods Cross-sectional study among all trainees between 2011 and 2016. The survey was electronically conducted (Survey Monkey) with 26 questions that explored demography, confidence in skills and practices in smoking cessation. A sample size of 400 individuals was required. Inclusion criteria were: attended at least one day session and a valid email. A mathematical model of impact estimation was developed (subrogate of level 5 of Moore). Abstinence rates for brief advice and intensive intervention of were appraised from Cochrane Review. Results Of 1915 trainees with valid e-mail, 402 surveys were obtained in 2 recruitment rounds. The response rate was different for the two periods 2011-2014 (17%) and 2014-2016 (56%). Countries (Argentina 28%, Uruguay 20% and Mexico 17%) and occupation (physicians 61% and psychologists 18%) were unevenly represented. Among the responses, female gender prevailed (64.7%). 79.4% stated GB training was extremely/very useful and more than 80% expressed to be very confident/ confident to provide SC support. Respondents declared to assist 2.1 smokers per day (CI 1.6-2.6), and to offer brief advice and intensive advice, with or without drugs, in 80% and 69% of cases respectively. The model estimated that 1,564 trainees would have achieved 12,012 quitters with brief advice and 38,788 quitters due to intensive intervention in the following year after training, in the worst case scenario (lower CI). Conclusions GB´s SC program in Latin America exhibited to maintain trainees´ confidence in competences in the medium term and to return at least 50,800 quitters in the following year of the educational intervention.
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spelling doaj.art-bf32bf9dacdc4283bfd50cfb73fc36ed2022-12-22T03:13:55ZengEuropean PublishingTobacco Induced Diseases1617-96252018-03-0116110.18332/tid/8432784327GB smoking cessation training for health care providers in LA: midterm confidence in competencies and estimation of population impactGustavo Zabert0Beatriz Champagne1Esteban Cruz2Elba Estevez3Daniel Buljubasich4Raul Sansores5Pamela Cortez6Francisco Zabert7Global Bridges, United States of AmericaInteramerican Heart Foundation, United States of AmericaInstituto Nacional de Salud Pública, MexicoFondo Nacional de Recursos, UruguayAsociacion Argentina de Medicina Respiratoria, ArgentinaAsociacion Latinoamericana del Torax, MexicoInter-American Hearth Foundation México (FIC Bolivia), BoliviaCET, ArgentinaBackground Between 2011 and 2016, Global Bridges (GB) in Latin America successfully trained health care providers (HCP) in declarative and procedural knowledge and confidence in competencies (Moore `s level 3A, B and 4). However, a study that explored patients´ reported HCP performance failed to show effect. Methods Cross-sectional study among all trainees between 2011 and 2016. The survey was electronically conducted (Survey Monkey) with 26 questions that explored demography, confidence in skills and practices in smoking cessation. A sample size of 400 individuals was required. Inclusion criteria were: attended at least one day session and a valid email. A mathematical model of impact estimation was developed (subrogate of level 5 of Moore). Abstinence rates for brief advice and intensive intervention of were appraised from Cochrane Review. Results Of 1915 trainees with valid e-mail, 402 surveys were obtained in 2 recruitment rounds. The response rate was different for the two periods 2011-2014 (17%) and 2014-2016 (56%). Countries (Argentina 28%, Uruguay 20% and Mexico 17%) and occupation (physicians 61% and psychologists 18%) were unevenly represented. Among the responses, female gender prevailed (64.7%). 79.4% stated GB training was extremely/very useful and more than 80% expressed to be very confident/ confident to provide SC support. Respondents declared to assist 2.1 smokers per day (CI 1.6-2.6), and to offer brief advice and intensive advice, with or without drugs, in 80% and 69% of cases respectively. The model estimated that 1,564 trainees would have achieved 12,012 quitters with brief advice and 38,788 quitters due to intensive intervention in the following year after training, in the worst case scenario (lower CI). Conclusions GB´s SC program in Latin America exhibited to maintain trainees´ confidence in competences in the medium term and to return at least 50,800 quitters in the following year of the educational intervention.http://www.journalssystem.com/tid/GB-smoking-cessation-training-for-health-care-providers-in-LA-midterm-confidence,84327,0,2.htmlWCTOH
spellingShingle Gustavo Zabert
Beatriz Champagne
Esteban Cruz
Elba Estevez
Daniel Buljubasich
Raul Sansores
Pamela Cortez
Francisco Zabert
GB smoking cessation training for health care providers in LA: midterm confidence in competencies and estimation of population impact
Tobacco Induced Diseases
WCTOH
title GB smoking cessation training for health care providers in LA: midterm confidence in competencies and estimation of population impact
title_full GB smoking cessation training for health care providers in LA: midterm confidence in competencies and estimation of population impact
title_fullStr GB smoking cessation training for health care providers in LA: midterm confidence in competencies and estimation of population impact
title_full_unstemmed GB smoking cessation training for health care providers in LA: midterm confidence in competencies and estimation of population impact
title_short GB smoking cessation training for health care providers in LA: midterm confidence in competencies and estimation of population impact
title_sort gb smoking cessation training for health care providers in la midterm confidence in competencies and estimation of population impact
topic WCTOH
url http://www.journalssystem.com/tid/GB-smoking-cessation-training-for-health-care-providers-in-LA-midterm-confidence,84327,0,2.html
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