Effectiveness of an innovative and interactive smoking cessation training module for dental students: A prospective study.


Journal

European journal of dental education : official journal of the Association for Dental Education in Europe
ISSN: 1600-0579
Titre abrégé: Eur J Dent Educ
Pays: England
ID NLM: 9712132

Informations de publication

Date de publication:
May 2020
Historique:
received: 08 07 2019
revised: 09 01 2020
accepted: 03 02 2020
pubmed: 9 2 2020
medline: 1 5 2020
entrez: 9 2 2020
Statut: ppublish

Résumé

Smoking is one of the world's major health problems and dental professionals are in a unique position to promote smoking cessation. However, according to the current literature, neither dental students nor dentists feel adequately prepared to counsel smokers. The purpose of this study was to develop and implement a teaching intervention on smoking cessation for fourth-year dental students and assess its effectiveness in terms of learning outcome on knowledge, communication skills and attitudes. In this prospective intervention study, students in the intervention group (n = 28) participated in a teaching module consisting of a podcast, an interactive lecture, a seminar, and small-group sessions with role-play interactions. Knowledge, communication skills and attitudes were measured using written examinations and an objective structured clinical examination (OSCE) at the end of the module and 6 months later. Results were compared with data from a historical control group (n = 27) receiving standard teaching. Compared with the control group, students in the intervention group had higher scores in the knowledge test (67.1% vs 41.8%; P < .001; d = 2.8) as well as in the OSCE (74.9% vs 44.7%; P < .001; d = 2.3) and also retained more knowledge (52.7% vs 36.5%; P < .001; d = 2.0) and skills (71.8% vs 47.6%; P < .001; d = 2.5) over a period of 6 months. Attitudes were similar across groups and time-points. The teaching intervention equipped dental students with specific knowledge and skills required to effectively counsel smoking patients. Further research is required to assess the transfer of these skills to the clinical setting.

Sections du résumé

BACKGROUND BACKGROUND
Smoking is one of the world's major health problems and dental professionals are in a unique position to promote smoking cessation. However, according to the current literature, neither dental students nor dentists feel adequately prepared to counsel smokers. The purpose of this study was to develop and implement a teaching intervention on smoking cessation for fourth-year dental students and assess its effectiveness in terms of learning outcome on knowledge, communication skills and attitudes.
MATERIALS AND METHODS METHODS
In this prospective intervention study, students in the intervention group (n = 28) participated in a teaching module consisting of a podcast, an interactive lecture, a seminar, and small-group sessions with role-play interactions. Knowledge, communication skills and attitudes were measured using written examinations and an objective structured clinical examination (OSCE) at the end of the module and 6 months later. Results were compared with data from a historical control group (n = 27) receiving standard teaching.
RESULTS RESULTS
Compared with the control group, students in the intervention group had higher scores in the knowledge test (67.1% vs 41.8%; P < .001; d = 2.8) as well as in the OSCE (74.9% vs 44.7%; P < .001; d = 2.3) and also retained more knowledge (52.7% vs 36.5%; P < .001; d = 2.0) and skills (71.8% vs 47.6%; P < .001; d = 2.5) over a period of 6 months. Attitudes were similar across groups and time-points.
CONCLUSION CONCLUSIONS
The teaching intervention equipped dental students with specific knowledge and skills required to effectively counsel smoking patients. Further research is required to assess the transfer of these skills to the clinical setting.

Identifiants

pubmed: 32034972
doi: 10.1111/eje.12507
doi:

Types de publication

Journal Article

Langues

eng

Pagination

361-369

Informations de copyright

© 2020 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

Références

GBD 2016 Risk Factors Collaborators. Smoking prevalence and attributable disease burden in 195 countries and territories, 1990-2015: a systematic analysis from the Global Burden of Disease study 2015. Lancet. 2017;389(10082):1885-1906.
Mons U, Brenner H. Demographic ageing and the evolution of smoking-attributable mortality: the example of Germany. Tob Control. 2017;26(4):455-457.
Neubauer S, Welte R, Beiche A, Koenig HH, Buesch K, Leidl R. Mortality, morbidity and costs attributable to smoking in Germany: update and a 10-year comparison. Tob Control. 2006;15(6):464-471.
Zwar NA, Mendelsohn CP, Richmond RL. Supporting smoking cessation. BMJ. 2014;348:f7535.
Johnson NW, Bain CA. Tobacco and oral disease. EU-Working Group on Tobacco and Oral. Health. Br Dent J. 2000;189(4):200-206.
Warnakulasuriya S, Dietrich T, Bornstein MM, et al. Oral health risks of tobacco use and effects of cessation. Int Dent J. 2010;60(1):7-30.
Watt RG, Johnson NW, Warnakulasuriya KA. Action on smoking-opportunities for the dental team. Br Dent J. 2000;189(7):357-360.
AlHarthi SS, Al-Motlag SK, Wahi MM. Is trying to quit associated with tooth loss and delayed yearly dental visit among smokers? results of the 2014 behavioral risk factor surveillance system. J Periodontol. 2017;88(1):34-49.
Fiore C, Jaén CR, Baker TB, et al.Treating tobacco use and dependence: 2008 update. Clinical practice guideline. Rockville, MD: U.S. Department of Health and Human Services, Public Health Service; May 2008, 2008.
Hilgers KK, Kinane DF. Smoking, periodontal disease and the role of the dental profession. Int J Dent Hyg. 2004;2(2):56-63.
Ramseier CA, Warnakulasuriya S, Needleman IG, et al. Consensus report: 2nd European Workshop on Tobacco use prevention and cessation for oral health professionals. Int Dent J. 2010;60(1):3-6.
Warren CW, Jones NR, Chauvin J, Peruga A. Tobacco use and cessation counselling: cross-country. Data from the Global Health Professions Student Survey (GHPSS), 2005-7. Tob Control. 2008;17(4):238-247.
Virtue SM, Waldron EM, Darabos K, et al. Dental students' attitudes toward tobacco cessation in the dental setting: a systematic review. J Dent Educ. 2017;81(5):500-516.
Warren CW, Sinha DN, Lee J, Lea V, Jones N, Asma S. Tobacco use, exposure to secondhand smoke, and cessation counseling training of dental students around the world. J Dent Educ. 2011;75(3):385-405.
Ramseier CA, Aurich P, Bottini C, Warnakulasuriya S, Davis JM. Curriculum survey on tobacco education in European dental schools. Br Dent J. 2012;213(7):E12.
Raupach T, Shahab L, Baetzing S, et al. Medical students lack basic knowledge about smoking: findings from two European medical schools. Nicotine Tob Res. 2009;11(1):92-98.
Allen SR, Kritz-Silverstein D. Dental vs. medical students' comfort with smoking cessation counseling: implications for dental. Education. J Dent Educ. 2016;80(8):959-965.
Tomar SL. Dentistry's role in tobacco control. J Am Dent Assoc. 2001;132:30S-35S.
Rikard-Bell G, Groenlund C, Ward J. Australian dental students' views about smoking cessation counseling and their skills as counselors. J Public Health Dent. 2003;63(3):200-206.
Herold R, Schiekirka S, Brown J, Bobak A, McEwen A, Raupach T. Structured smoking cessation training for medical students: a prospective study. Nicotine Tob Res. 2016;18(12):2209-2215.
Kern DE, Thomas PA, Howard DM, Bass EB. Curriculum Development for Medical Education - A Six-Step Approach. Baltimore, MD and London, UK: The John Hopkins University Press; 1998.
Strobel L, Schneider NK, Krampe H, et al. German medical students lack knowledge of how to treat smoking and problem drinking. Addiction. 2012;107(10):1878-1882.
Conroy MB, Majchrzak NE, Regan S, Silverman CB, Schneider LI, Rigotti NA. The association between patient-reported receipt of tobacco intervention at a primary care visit and smokers' satisfaction with their health care. Nicotine Tob Res. 2005;7(Suppl 1):S29-34.
Park ER, Gareen IF, Japuntich S, et al. Primary care provider-delivered smoking cessation interventions and smoking cessation among participants in the national lung screening trial. JAMA Intern Med. 2015;175(9):1509-1516.
Ahmadian M, Khami MR, Ahamdi AE, Razeghi S, Yazdani R. Effectiveness of two interactive educational methods to teach tobacco cessation counseling for senior dental students. Eur J Dent. 2017;11(3):287-292.
Singleton JA, Carrico RM, Myers JA, Scott DA, Wilson RW, Worth CT. Tobacco cessation treatment education for dental students using standardized patients. J Dent Educ. 2014;78(6):895-905.
Romito L, Schrader S, Zahl D. Using experiential learning and OSCEs to teach and assess tobacco dependence education with first-year dental students. J Dent Educ. 2014;78(5):703-713.
Prober CG, Heath C. Lecture halls without lectures-a proposal for medical education. N Engl J Med. 2012;366(18):1657-1659.
da Silva Leonel ACL, Bonan PRF, de Castro JFL, et al. Tobacco use, attitudes, knowledge, and perception about smoking cessation counseling among Brazilian Dental students: a cross-sectional study. J Cancer Educ. 2019.
Thomas J, Kumar RV, Akhil S, Saji AM, Iype AK, Antony D. Prevalence of smoking among dental students and gauging their knowledge about tobacco cessation methods: An original study. J Family Med Prim Care. 2019;8(5):1562-1566.
Dumitrescu AL, Ibric S, Ibric-Cioranu V. Opinions of Romanian dental students toward tobacco use interventions in the dental setting. J Cancer Educ. 2016;31(1):172-180.
Hauer KE, Carney PA, Chang A, Satterfield J. Behavior change counseling curricula for medical trainees: a systematic review. Acad Med. 2012;87(7):956-968.
Raupach T, Brown J, Anders S, Hasenfuss G, Harendza S. Summative assessments are more powerful drivers of student learning than resource intensive teaching formats. BMC Med. 2013;11:61.

Auteurs

Sophia Elisabeth Vollath (SE)

Department of Cardiology and Pneumology, University Medical Centre Göttingen, Göttingen, Germany.

Alex Bobak (A)

Wandsworth Medical Centre, London, UK.

Sarah Jackson (S)

Department of Behavioural Science and Health, University College London, London, UK.

Sabine Sennhenn-Kirchner (S)

Department of Oral and Maxillofacial Surgery, University Medical Centre Goettingen, Göttingen, Germany.

Philipp Kanzow (P)

Department of Preventive Dentistry, Periodontology and Cariology, University Medical Centre Göttingen, Göttingen, Germany.

Annette Wiegand (A)

Department of Preventive Dentistry, Periodontology and Cariology, University Medical Centre Göttingen, Göttingen, Germany.

Tobias Raupach (T)

Department of Cardiology and Pneumology, University Medical Centre Göttingen, Göttingen, Germany.
Department of Behavioural Science and Health, University College London, London, UK.
Division of Medical Education Research and Curriculum Development, University Medical Centre Göttingen, Göttingen, Germany.

Articles similaires

[Redispensing of expensive oral anticancer medicines: a practical application].

Lisanne N van Merendonk, Kübra Akgöl, Bastiaan Nuijen
1.00
Humans Antineoplastic Agents Administration, Oral Drug Costs Counterfeit Drugs

Smoking Cessation and Incident Cardiovascular Disease.

Jun Hwan Cho, Seung Yong Shin, Hoseob Kim et al.
1.00
Humans Male Smoking Cessation Cardiovascular Diseases Female
Humans United States Aged Cross-Sectional Studies Medicare Part C
1.00
Humans Yoga Low Back Pain Female Male

Classifications MeSH