Leonie S Brose1, Andy McEwen2, Susan Michie3, Robert West4, Xie Yin Chew5, Fabiana Lorencatto6. 1. National Addictions Centre, UK Centre for Tobacco and Alcohol Studies, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK. Electronic address: leonie.brose@kcl.ac.uk. 2. Cancer Research UK Health Behaviour Research Centre, University College London, London, UK. Electronic address: Andy.McEwen@ucl.ac.uk. 3. Centre for Outcomes Research and Effectiveness, University College London, London, UK. Electronic address: s.michie@ucl.ac.uk. 4. Cancer Research UK Health Behaviour Research Centre, University College London, London, UK. Electronic address: robertwest100@gmail.com. 5. Department of Psychology and Language Sciences, University College London, London, UK. Electronic address: xie.chew.11@alumni.ucl.ac.uk. 6. Health Services Research and Management, School of Health Sciences, City University London, London, UK. Electronic address: Fabiana.lorencatto.2@city.ac.uk.
Abstract
OBJECTIVE: Translating evidence-based behaviour change interventions into practice is aided by use of treatment manuals specifying the recommended content and format of interventions, and evidence-based training. This study examined whether outcomes of stop smoking behavioural support differed with practitioner's use and evaluation of treatment manuals, or practitioner's training. METHODS: English stop smoking practitioners were invited to complete an online survey including questions on: practitioners' training, availability, use and perceived utility of manuals, and annual biochemically-validated success rates of quit attempts supported (practitioner-reported). Mean success rates were compared between practitioners with/without access to manuals, those using/not using manuals, perceived utility ratings of manuals, and consecutive levels of training completed. RESULTS: Success rates were higher if practitioners had a manual (Mean (SD) = 54.0 (24.0) versus 48.0 (25.3), t(838) = 2.48, p = 0.013; n = 840), used a manual (F(2,8237) = 4.78, p = 0.009, n = 840), perceived manuals as more useful (F(3,834) = 2.90, p = 0.034, n = 840), and had completed training (F(3,709) = 4.81, p = 0.002, n = 713). Differences were diminished when adjusting for professional and demographic characteristics and no longer reached statistical significance using a conventional alpha for perceived utility of manuals and training status (both p = 0.1). CONCLUSIONS: Practitioners' performance in supporting smokers to quit varied with availability and use of treatment manuals. Evidence was weaker for perceived utility of manuals and practitioners' evidence-based training. Ensuring practitioners have access to treatment manuals within their service, promoting manual use, and training practitioners to competently apply manuals is likely to contribute to higher success rates in clinical practice.
OBJECTIVE: Translating evidence-based behaviour change interventions into practice is aided by use of treatment manuals specifying the recommended content and format of interventions, and evidence-based training. This study examined whether outcomes of stop smoking behavioural support differed with practitioner's use and evaluation of treatment manuals, or practitioner's training. METHODS: English stop smoking practitioners were invited to complete an online survey including questions on: practitioners' training, availability, use and perceived utility of manuals, and annual biochemically-validated success rates of quit attempts supported (practitioner-reported). Mean success rates were compared between practitioners with/without access to manuals, those using/not using manuals, perceived utility ratings of manuals, and consecutive levels of training completed. RESULTS: Success rates were higher if practitioners had a manual (Mean (SD) = 54.0 (24.0) versus 48.0 (25.3), t(838) = 2.48, p = 0.013; n = 840), used a manual (F(2,8237) = 4.78, p = 0.009, n = 840), perceived manuals as more useful (F(3,834) = 2.90, p = 0.034, n = 840), and had completed training (F(3,709) = 4.81, p = 0.002, n = 713). Differences were diminished when adjusting for professional and demographic characteristics and no longer reached statistical significance using a conventional alpha for perceived utility of manuals and training status (both p = 0.1). CONCLUSIONS: Practitioners' performance in supporting smokers to quit varied with availability and use of treatment manuals. Evidence was weaker for perceived utility of manuals and practitioners' evidence-based training. Ensuring practitioners have access to treatment manuals within their service, promoting manual use, and training practitioners to competently apply manuals is likely to contribute to higher success rates in clinical practice.
Authors: M M JaKa; J L Haapala; E S Trapl; A S Kunin-Batson; B A Olson-Bullis; W J Heerman; J M Berge; S M Moore; D Matheson; N E Sherwood Journal: Obes Rev Date: 2016-09-09 Impact factor: 9.213
Authors: Siti Idayu Hasan; Farizah Mohd Hairi; Amer Siddiq Amer Nordin; Mahmoud Danaee Journal: Int J Environ Res Public Health Date: 2019-11-05 Impact factor: 3.390
Authors: Christine E Sheffer; Abdulmohsen Al-Zalabani; Andrée Aubrey; Rasha Bader; Claribel Beltrez; Susan Bennett; Ellen Carl; Caroline Cranos; Audrey Darville; Jennifer Greyber; Maher Karam-Hage; Feras Hawari; Tresza Hutcheson; Victoria Hynes; Chris Kotsen; Frank Leone; Jamie McConaha; Heather McCary; Crystal Meade; Cara Messick; Susan K Morgan; Cindy W Morris; Thomas Payne; Jessica Retzlaff; Wendy Santis; Etta Short; Therese Shumaker; Michael Steinberg; Ann Wendling Journal: Int J Environ Res Public Health Date: 2021-03-02 Impact factor: 3.390