None listed
Conditions
Brief summary
This pilot cluster randomised controlled trial (CRCT) will examine the use of smoking cessation training and the dissemination of cessation resources by participating Health Professionals (HPs). In addition, surveys of Aboriginal patients will seek to understand their experience and feelings following their smoking cessation counselling from trained HPs. Health Professionals consult with large numbers of patients each year and are perceived as influential sources of information for smoking cessation (Zwar et al., 2009). The literature shows that individual counselling from smoking cessation specialists increases the chances of successful abstinence compared with less intensive support (Fiore et al., 2008, Lancaster and Stead, 2008). This is supported by a Cochrane meta-analysis, where the Coordinating Primary Investigator (CPI) identified that even training of short duration (a one-off session of 2-3 hours) can have substantial implications for quit attempts amongst patients of HPs (Carson et al., 2012, & unpublished data). Furthermore, research articles report that training HPs in smoking cessation counselling programs enhances the knowledge, skills and confidence required to deliver optimal smoking cessation advice and support to patients (Carson et al., 2012). Essentially, smokers are more likely to quit if asked, and HPs are more likely to ask if trained. This project contains a pilot CRCT to assess impact of the ‘Kick the Smokes’ culturally safe smoking cessation training and resources on Health Professional practices. This CRCT itself is nested within a larger feasibility study to determine whether the method developed can be upscaled in to a larger full-scale CRCT
Interventions
Health Professionals (HP) in the intervention arm will complete a 35-minute 'Standardised Training' session (workshop), the semi-structured format is as follows: • Smoking cessation training: 15 minutes • Smoking cessation practice: 10 minutes • Introduction to healthcare barriers: 10 minutes Each of the Standardised Training sessions will be conducted by the Coordinating Principal Investigator (CPI). Smoking cessation training Participate in the 15-minute best practice evidence-based training designed by the Cancer Council Australia. Training covers the ‘Ask, Advise, Help’ model as described below: • Ask: HPs ask patients about their smoking status, • Advise: HPs advise patients to quit and, jointly with the smoker, identifies the best way of doing this, and, • Help: HPs offer practical support to patients who communicated an interest in stopping smoking through referral to Quitline and initiates request to Doctor to provide appropriate medication review. Smoking cessation practice Participate in a 10-minute practice session during which the CPI will review and reinforce appropriate technique. On completion of the session, HPs will be provided with existing South Australian Cancer Council SA smoking cessation resources. Introduction to healthcare barriers Watch a 10-minute pre-recorded video developed by an Aboriginal Cultural Awareness consultant that focuses on: • The diversity of Aboriginal cultural and language groups in South Australia, • The barriers to accessing health services, • How healthcare services are conceived, and, • Training in practical actions that HPs can take to improve the provision of Aboriginal health services. Health professionals in the intervention arm will also be trained to use Kick the Smokes resources developed during ACTRN12620001223921 This will occur immediately after, and in the same session as their 'Standardised Training'. This includes: • KTS quit smoking materials (workbook), and • KTS AR smartphone application, • KTS Health Professional materials (penholder and poster). This additional semi-structured training will be delivered by the CPI during an additional 25-minute training session. KTS AR smartphone application This smartphone App has been co-designed with feedback from Aboriginal participants and HPs. Loaded on the participants’ (Aboriginal patient, or HP) phone it accesses the camera, and when held over select items in the workbook, digital content appears on the screen. The content differs depending on which image the camera is catching. KTS booklet on smoking cessation An A3 sized booklet co-designed with feedback from Aboriginal participants this booklet has been designed to distract and occupy smokers when they are experiencing cravings. KTS Health Professional materials These materials are provided to HPs as reminders of the smoking cessation counselling training they’ve received. Following completion of their training participants will then be directed to use their new skills as part of their standard practice going forward. KTS resource dissemination Following completion of the training by HPs, resources will be provided to HPs for implementation of the smoking cessation tools in the community. They will receive five workbooks, one poster and one penholder. As part of their training they will be shown how to download the App. They will also be directed to use their new skills as part of their standard practice over the remainder of the practice (which will include the 3-month follow-up period). Monitoring Project staff will complete a review form at the end of each workshop and cultural responsiveness session to record session implementation data. Each review will be retained by project staff for collation and data entry. Data will be examined, and resultant descriptive statistics will be reported narratively.
Sponsors
Study design
Eligibility
Inclusion criteria
Health Professional inclusion criteria: 1. Health Professionals (defined as a Specialist medical officer; Trainee medical office; Advanced trainee; Allied Health Professional; Nurse; Registrar; Aboriginal Liaison Officer, other), working within the participating cluster hospitals, 2. Have access to Aboriginal Inpatients classified as smokers at ward level, 3. Available time to participate in study with approval from Head of Unit to participate. Aboriginal Patient inclusion criteria: 1. Identify as either Aboriginal and/or Torres Strait islander, 2. Current Inpatient within participating hospital unit, 3. “Regular smoking of tobacco products, including manufactured (packet) cigarettes, roll-your-own cigarettes, cigars and pipes, but excluding chewing tobacco and the smoking of non-tobacco products […]” (ABS, 2017), 4. Able to read English.
Exclusion criteria
Health Professional exclusion criteria: 1. Employed as agency staff working across CALHN hospital units. 2. Participation in ongoing professional education (smoking cessation and/or cultural responsiveness). Aboriginal Patient exclusion criteria: 1. Current participation in a smoking research study, or, 2. Aged under 18 years of age.