Building capacity in tobacco control by establishing the Eastern Europe Nurses’ Center of Excellence for Tobacco Control

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Abstract

INTRODUCTION

Properly educated nurses delivering evidence-based tobacco dependence treatment could contribute to improving health and reducing regional disparities in tobacco-related disease and death in Central and Eastern Europe. The aims of this study are to describe development of the Eastern European Nurses’ Centre of Excellence for Tobacco Control (COE) and evaluate its online educational program on tobacco dependence treatment using the 5As framework.

METHODS

The online education evaluation followed a prospective, single group, pre- and post-assessment of changes in nurses’ self-reported tobacco cessation interventions. Leaders from five Eastern European countries (Hungary, Czech Republic, Romania, Slovakia, Slovenia) developed protocols for in-country tobacco control education. Nurses responded to a baseline survey, accessed an online nursing educational program, and completed a follow-up survey at 3 months, in the period December 2015 to June 2016. A total of 695 nurses from five countries answered questions on cessation interventions at baseline and of these 507 (73%) completed a follow-up survey at 3 months.

RESULTS

At the follow-up at 3 months, the 507 nurses self-reported a significant increase in providing all 5A components, i.e. nurses were significantly (p<0.0001) more likely to always /usually advise a patient to quit, assess interest in quitting (p=0.002), assist with a quit plan, review barriers to quitting and recommend a smoke-free home post-discharge (all p<0.0001). They were also significantly more likely (p=0.01) to agree or strongly agree that nurses have an obligation to advise patients on the risks of smoking. There was a significant increase (p<0.0001) in nurses’ estimate of the number of patients they provided a cessation intervention the previous week. Nurses who smoked were 60% more likely to assist and arrange compared to nurses who never smoked.

CONCLUSIONS

Coordinating multi-country activities through a COE was successful in engaging a network of nurses to use an online educational program and participate in other tobacco control activities.

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Most cited references 30

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Research electronic data capture (REDCap)--a metadata-driven methodology and workflow process for providing translational research informatics support.

Paul A. Harris, Robert Taylor, Robert Thielke … (2009)

Research electronic data capture (REDCap) is a novel workflow methodology and software solution designed for rapid development and deployment of electronic data capture tools to support clinical and translational research. We present: (1) a brief description of the REDCap metadata-driven software toolset; (2) detail concerning the capture and use of study-related metadata from scientific research teams; (3) measures of impact for REDCap; (4) details concerning a consortium network of domestic and international institutions collaborating on the project; and (5) strengths and limitations of the REDCap system. REDCap is currently supporting 286 translational research projects in a growing collaborative network including 27 active partner institutions.

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Global trends of lung cancer mortality and smoking prevalence.

Farhad Islami, Lindsey A Torre, Ahmedin Jemal (2015)

Lung cancer killed approximately 1,590,000 persons in 2012 and currently is the leading cause of cancer death worldwide. There is large variation in mortality rates across the world in both males and females. This variation follows trend of smoking, as tobacco smoking is responsible for the majority of lung cancer cases. In this article, we present estimated worldwide lung cancer mortality rates in 2012 using the World Health Organization (WHO) GLOBOCAN 2012 and changes in the rates during recent decades in select countries using WHO Mortality Database. We also show smoking prevalence and trends globally and at the regional level. By region, the highest lung cancer mortality rates (per 100,000) in 2012 were in Central and Eastern Europe (47.6) and Eastern Asia (44.8) among males and in Northern America (23.5) and Northern Europe (19.1) among females; the lowest rates were in sub-Saharan Africa in both males (4.4) and females (2.2). The highest smoking prevalence among males is generally in Eastern and South-Eastern Asia and Eastern Europe, and among females is in European countries, followed by Oceania and Northern and Southern America. Many countries, notably high-income countries, have seen a considerable decrease in smoking prevalence in both males and females, but in many other countries there has been little decrease or even an increase in smoking prevalence. Consequently, depending on whether or when smoking prevalence has started to decline, the lung cancer mortality trend is a mixture of decreasing, stable, or increasing. Despite major achievements in tobacco control, with current smoking patterns lung cancer will remain a major cause of death worldwide for several decades. The main priority to reduce the burden of lung cancer is to implement or enforce effective tobacco control policies in order to reduce smoking prevalence in all countries and prevent an increase in smoking in sub-Saharan Africa and women in low- and middle-income countries (LMICs).

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A clinical practice guideline for treating tobacco use and dependence: 2008 update. A U.S. Public Health Service report.

(2008)

To summarize the U.S. Public Health Service guideline Treating Tobacco Use and Dependence: 2008 Update, which provides recommendations for clinical interventions and system changes to promote the treatment of tobacco dependence. An independent panel of 24 scientists and clinicians selected by the U.S. Agency for Healthcare Research and Quality on behalf of the U.S. Public Health Service. A consortium of eight governmental and nonprofit organizations sponsored the update. Approximately 8700 English-language, peer-reviewed articles and abstracts, published between 1975 and 2007, were reviewed for data that addressed assessment and treatment of tobacco dependence. This literature served as the basis for more than 35 meta-analyses. Two panel meetings and numerous conference calls and staff meetings were held to evaluate meta-analyses and relevant literature, to synthesize the results, and to develop recommendations. The updated guideline was then externally reviewed by more than 90 experts, made available for public comment, and revised. This evidence-based, updated guideline provides specific recommendations regarding brief and intensive tobacco-cessation interventions as well as system-level changes designed to promote the assessment and treatment of tobacco use. Brief clinical approaches for patients willing and unwilling to quit are described.

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Author and article information

Journal

Journal ID (nlm-ta): Tob Prev Cessat

Journal ID (iso-abbrev): Tob Prev Cessat

Journal ID (publisher-id): TPC

Title: Tobacco Prevention & Cessation

Publisher: European Publishing on behalf of the European Network for Smoking and Tobacco Prevention (ENSP)

ISSN (Electronic): 2459-3087

Publication date (Electronic): 08 December 2020

Publication date Collection: 2020

Volume: 6

Electronic Location Identifier: 68

Affiliations

[1 ]School of Nursing, University of California San Francisco, San Francisco, United States

[2 ]Institute of Hygiene and Epidemiology, 1st Faculty of Medicine, Charles University, General University Hospital, Prague, Czech Republic

[3 ]Society for Treatment of Tobacco Dependence, Prague, Czech Republic

[4 ]Centre for Tobacco-Dependent, 3rd Department of Medicine, 1st Faculty of Medicine, Charles University, General University Hospital, Prague, Czech Republic

[5 ]School of Medicine, University of California, Los Angeles, United States

[6 ]School of Nursing, University of California Los Angeles, Los Angeles, United States

Author notes

CORRESPONDENCE TO Stella A. Bialous. School of Nursing, University of California San Francisco, 3333 California Street, San Francisco, CA 94118, United States. E-mail: stella.bialous@ 123456ucsf.edu

Article

Publisher ID: 68

DOI: 10.18332/tpc/128190

PMC ID: 7737564

PubMed ID: 33336120

SO-VID: a46215c2-c5f4-4b4a-bf7c-5a6a5e7afa8f

License:

This is an Open Access article distributed under the terms of the Creative Commons Attribution NonCommercial 4.0 International License.

History

Date received : 29 June 2020

Date revision received : 31 August 2020

Date accepted : 07 October 2020

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Building capacity in tobacco control by establishing the Eastern Europe Nurses’ Center of Excellence for Tobacco Control

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Abstract

INTRODUCTION

METHODS

RESULTS

CONCLUSIONS

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Tobacco Prevention & Cessation

Most cited references 30

Research electronic data capture (REDCap)--a metadata-driven methodology and workflow process for providing translational research informatics support.

Global trends of lung cancer mortality and smoking prevalence.

A clinical practice guideline for treating tobacco use and dependence: 2008 update. A U.S. Public Health Service report.

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