Changing practitioner behavior and building capacity in tobacco cessation treatment: the TEACH project

Patient Educ Couns. 2012 Jan;86(1):49-56. doi: 10.1016/j.pec.2011.04.018. Epub 2011 May 25.

Abstract

Objective: To facilitate interprofessional knowledge transfer to practice by increasing treatment capacity of health care practitioners to deliver evidence-informed smoking cessation counseling.

Methods: TEACH (Training Enhancement in Applied Cessation Counseling and Health) combines diffusion of innovations with principles of adult learning to address the lack of system capacity to implement evidence-based smoking cessation treatments. Participants were professionals from 15 disciplines with commitment from their supervisor to implement the intervention. Pre- and post-training course evaluation surveys assessed the extent to which learning objectives were achieved and guided a continuous quality improvement process.

Results: Evaluation of 741 participants that attended the three-day Core Course from June 2007 to January 2009 revealed significant increases in pre- to post-training ratings of feasibility, importance, and confidence in using the intervention. In addition to attitudinal changes, practitioners made changes to practice behavior. At six months post-training, 55% of professionals were implementing the intervention and 91% engaged in knowledge transfer activities in their organizations/communities.

Conclusion: Findings suggest that TEACH impacted clinical practice and may serve as a model for knowledge translation initiatives in other health behavior domains.

Practice implications: These data demonstrate that it is feasible to operationalize interprofessional knowledge translation models to transfer research findings into practice.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Clinical Competence
  • Curriculum
  • Diffusion of Innovation
  • Education, Medical, Continuing
  • Educational Measurement
  • Educational Status
  • Evidence-Based Medicine*
  • Health Knowledge, Attitudes, Practice
  • Humans
  • Ontario
  • Patient Care Team
  • Physician-Patient Relations*
  • Practice Patterns, Physicians' / statistics & numerical data*
  • Program Development / methods*
  • Program Evaluation
  • Smoking Cessation / methods*
  • Tobacco Use Disorder / prevention & control*