TY - JOUR
T1 - The evaluation of a Taiwanese training program in smoking cessation and the trainees' adherence to a practice guideline
AU - Guo, Fei Ran
AU - Hung, Ling Yu
AU - Chang, Chih Jen
AU - Leung, Kai Kuen
AU - Chen, Ching Yu
N1 - Funding Information:
The authors thank Yu-Wen Peng and Mei-Ru Chen, the research assistants of the Taiwan Association of Family Medicine. The authors also thank the expert committee of the Taiwan Association of Family Medicine, Taiwan Society of Internal Medicine, and the Taiwanese Society of Psychiatry. This study is based on the data from the training program of smoking cessation, provided by the Bureau of Health Promotion, Department of Health, Taiwan. The descriptions or conclusions herein do not represent the viewpoint of the Bureau. This study also received funding from the Bureau of Health Promotion. The researchers are independent from funders.
PY - 2010
Y1 - 2010
N2 - Background: The Taiwanese government began reimbursement for smoking cessation in 2002. Certification from a training program was required for physicians who wanted reimbursement. The program certified 6,009 physicians till 2007. The objective of this study is to evaluate the short- and long term efficacy of the training program. Methods: For short term evaluation, all trainees in 2007 were recruited. For long term evaluation, computer randomly selected 2,000 trainees who received training from 2002 to 2006 were recruited. Course satisfaction, knowledge, confidence in providing smoking cessation services and the adherence to a practice guideline were evaluated by questionnaires. Results: Trainees reported high satisfaction with the training program. There was significant difference between pre- and post-test scores in knowledge. Confidence in providing services was lower in the long term evaluation compared to short term evaluation. For adherence to a practice guideline, 86% asked the status of smoking, 88% advised the smokers to quit, 76% assessed the smoker's willingness to quit, 59% assisted the smokers to quit, and 60% arranged follow-up visits for smokers. The incentive of reimbursement was the most significant factor affecting confidence and adherence. Conclusions. The training program was satisfactory and effective. Adherence to a practice guideline in our study was better than studies without physician training in other countries.
AB - Background: The Taiwanese government began reimbursement for smoking cessation in 2002. Certification from a training program was required for physicians who wanted reimbursement. The program certified 6,009 physicians till 2007. The objective of this study is to evaluate the short- and long term efficacy of the training program. Methods: For short term evaluation, all trainees in 2007 were recruited. For long term evaluation, computer randomly selected 2,000 trainees who received training from 2002 to 2006 were recruited. Course satisfaction, knowledge, confidence in providing smoking cessation services and the adherence to a practice guideline were evaluated by questionnaires. Results: Trainees reported high satisfaction with the training program. There was significant difference between pre- and post-test scores in knowledge. Confidence in providing services was lower in the long term evaluation compared to short term evaluation. For adherence to a practice guideline, 86% asked the status of smoking, 88% advised the smokers to quit, 76% assessed the smoker's willingness to quit, 59% assisted the smokers to quit, and 60% arranged follow-up visits for smokers. The incentive of reimbursement was the most significant factor affecting confidence and adherence. Conclusions. The training program was satisfactory and effective. Adherence to a practice guideline in our study was better than studies without physician training in other countries.
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U2 - 10.1186/1471-2458-10-77
DO - 10.1186/1471-2458-10-77
M3 - Article
C2 - 20163745
AN - SCOPUS:77749330693
SN - 1471-2458
VL - 10
JO - BMC Public Health
JF - BMC Public Health
M1 - 77
ER -