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Smoking cessation in later life: what difference does brief intervention training make?
Susan Kerr, Senior Research Fellow, School of Nursing, Midwifery & Community Health, Glasgow Caledonian University
Abstract
Background: The need for tailored smoking cessation training for professionals who have a high level of contact with older people has been identified (PATH/ASH 2003; ASH 2004). The aim of this study was to develop and evaluate tailored brief intervention training for members of the primary care team.
Development of the training: The training programme was developed by an experienced smoking cessation trainer. Findings from a previous qualitative study helped to inform the content (Kerr et al 2006 & 2007). The training was formally approved by Partnership Action on Tobacco & Health, which has a remit for standards in smoking cessation training in Scotland.
Evaluation of the training: An experimental design was used to measure any changes in knowledge, attitudes and practice following the training. In addition, qualitative interviews were used to explore, in-depth, the intervention group’s practice, following the training.
Sample: Seventy three members of the primary care team were initially recruited from NHS Greater Glasgow & Clyde. Participants were randomly allocated to the intervention or control group.
Data collection: Data on the knowledge, attitudes and practice of the participants were collected from both groups prior to the training, one week post-training and three months post-training. Statistical testing was undertaken to determine whether there were any differences between the groups (two factor repeat measure ANOVA). Face-to-face semi-structured interviews were conducted with members of the intervention group to further explore the impact of the training on practice c. 5 months after the training.
Results: The quantitative results demonstrate the effectiveness of the training on the knowledge and attitudes of the participants (statistically significant difference, maintained over time). While practice appeared to be enhanced, the results did not reach statistical significance. The qualitative interviews highlight positive changes to practice.
We believe that this study has made a positive contribution to the current evidence-base, with information being gathered that will help to inform practice.
Biography
After completing a degree in nursing studies in 1981 Susan Kerr worked as a practice nurse in South Africa for 5 years. On her return from Africa she trained as a health visitor and following this worked for Greater Glasgow NHS Board for 4 years. In 1992 Susan was awarded a Chief Scientist Office Research Training Fellowship, undertaking research into the prevention of sleep problems in pre-school children. She worked in a variety of research posts on completion of the Research Training Fellowship and is now a Senior Research Fellow in the School of Nursing, Midwifery & Community Health at Glasgow Caledonian University. Susan's current research focuses on the role of members of the primary healthcare team in the delivery of brief smoking cessation interventions. She has a particular interest in smoking cessation in later life and smoking/smoking cessation in people with mental health problems.
Dr Susan Kerr
School of Nursing, Midwifery & Community Health
Glasgow Caledonian University, Cowcaddens Road
Glasgow
G4 0BA
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