The Emerging Global Tobacco Treatment Workforce: Characteristics of Tobacco Treatment Specialists Trained in Council-Accredited Training Programs from 2017 to 2019.

The Emerging Global Tobacco Treatment Workforce: Characteristics of Tobacco Treatment Specialists Trained in Council-Accredited Training Programs from 2017 to 2019.
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DOI:
10.3390/ijerph18052416
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发表时间:
2021-03-02
影响因子:
--
通讯作者:
Wendling A
Wendling A
中科院分区:
综合性期刊3区
文献类型:
--
作者:
Sheffer CE;Al-Zalabani A;Aubrey A;Bader R;Beltrez C;Bennett S;Carl E;Cranos C;Darville A;Greyber J;Karam-Hage M;Hawari F;Hutcheson T;Hynes V;Kotsen C;Leone F;McConaha J;McCary H;Meade C;Messick C;Morgan SK;Morris CW;Payne T;Retzlaff J;Santis W;Short E;Shumaker T;Steinberg M;Wendling A

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烟草的使用预计将在21世纪杀死10亿人。烟草使用障碍(TUD)是世界上最常见的物质使用障碍之一。TUD的循证治疗是有效的,但治疗的可及性仍然很低。缺乏经过专门培训的临床医生是治疗可及性的一个重大障碍,即使在实施简短干预模式的护理系统中也是如此。TUD的治疗变得越来越复杂,需要针对新的和传统的烟草产品进行定制治疗。烟草治疗培训计划理事会(理事会)是烟草治疗专家(TTS)培训计划的认证机构。在2016年至2019年期间,n = 7761名学员完成了理事会认证的TTS培训课程。受训人员主要来自北美(92.6%)和东地中海(6.1%),并通过在医疗和学术环境中的面对面小组研讨会进行培训。从2016年到2019年,理事会认证的培训项目数量从14个增加到22个,每年的培训人数增加了28.5%。受训者有不同的专业背景,在不同的环境中工作,但主要是北美的白色人(69.1%)和女性(78.7%)。近三分之二的人打算在他们的环境中实施烟草治疗服务;三分之二的人已经提供了1年或更短的烟草治疗; 20%的人被雇主送去接受培训。这些研究结果表明,培训计划有助于发展一个新的TTS劳动力,以及在不同的环境中开发新的计划性烟草治疗服务。制定战略,支持人口和地理分布多样化的专业人员参加培训,可能会增加来自边缘化群体和世界上存在严重烟草不平等现象的区域的受训人员的比例。
Tobacco use is projected to kill 1 billion people in the 21st century. Tobacco Use Disorder (TUD) is one of the most common substance use disorders in the world. Evidence-based treatment of TUD is effective, but treatment accessibility remains very low. A dearth of specially trained clinicians is a significant barrier to treatment accessibility, even within systems of care that implement brief intervention models. The treatment of TUD is becoming more complex and tailoring treatment to address new and traditional tobacco products is needed. The Council for Tobacco Treatment Training Programs (Council) is the accrediting body for Tobacco Treatment Specialist (TTS) training programs. Between 2016 and 2019, n = 7761 trainees completed Council-accredited TTS training programs. Trainees were primarily from North America (92.6%) and the Eastern Mediterranean (6.1%) and were trained via in-person group workshops in medical and academic settings. From 2016 to 2019, the number of Council-accredited training programs increased from 14 to 22 and annual number of trainees increased by 28.5%. Trainees have diverse professional backgrounds and work in diverse settings but were primarily White (69.1%) and female (78.7%) located in North America. Nearly two-thirds intended to implement tobacco treatment services in their setting; two-thirds had been providing tobacco treatment for 1 year or less; and 20% were sent to training by their employers. These findings suggest that the training programs are contributing to the development of a new workforce of TTSs as well as the development of new programmatic tobacco treatment services in diverse settings. Developing strategies to support attendance from demographically and geographically diverse professionals might increase the proportion of trainees from marginalized groups and regions of the world with significant tobacco-related inequities.
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