Tobacco counseling experience prior to starting medical school, tobacco treatment self-efficacy and knowledge among first-year medical students in the United States.
Tobacco counseling experience prior to starting medical school, tobacco treatment self-efficacy and knowledge among first-year medical students in the United States.
复制标题
美国一年级医学生在进入医学院之前的烟草咨询经验、烟草治疗自我效能和知识。
DOI：
10.1016/j.ypmed.2015.02.003
复制
发表时间：
2015
影响因子：
5.1
通讯作者：
Ockene,JudithK
中科院分区：
文献类型：
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作者：
Xiao,RuiS;Hayes,RashelleB;Waring,MollyE;Geller,AlanC;Churchill,LindaC;Okuyemi,KolawoleS;Adams,Michael;Huggett,KathrynN;Ockene,JudithK
目的探讨美国医学院一年级学生在进入医学院之前的烟草依赖咨询经历及其与烟草咨询自我效能感的关系，以及对烟草依赖治疗的熟悉程度和有效性的感知。方法2010年，来自10所美国医学院的1266名一年级医学生完成了一项调查，报告了他们在进入医学院之前使用特定烟草咨询技能（例如5A）的临床经验。该调查还包括有关烟草咨询自我效能、感知到的医生对吸烟者的影响以及烟草相关治疗的熟悉度和有效性的问题。结果一半（50.4%）报告了在医学院之前的一些烟草咨询经历（即至少一次 5A）。与没有以往咨询经验的学生相比，有过咨询经验的学生更有可能具有更高的烟草咨询自我效能，并且更熟悉药物治疗、尼古丁替代治疗和戒烟行为咨询。医生对患者吸烟结果的感知影响并不因之前的烟草咨询经验而有所不同。结论许多一年级医学生可能已经准备好学习烟草依赖咨询技能。在医学院加强早期学习这些技能可能有利于我们未来医生的技能。
ObjectiveTo explore students' tobacco dependence counseling experiences prior to medical school and their associations with tobacco counseling self-efficacy, and familiarity with and perceived effectiveness of tobacco dependence treatment among first-year medical students in the United States.MethodIn 2010, 1266 first-year medical students from 10 US medical schools completed a survey reporting their clinical experiences with specific tobacco counseling skills (e.g., 5As) prior to medical school. The survey also included questions on tobacco counseling self-efficacy, perceived physician impact on smokers, and familiarity and effectiveness of tobacco-related treatments.ResultsHalf (50.4%) reported some tobacco counseling experiences prior to medical school (i.e. at least one 5A). Students with prior counseling experiences were more likely to have higher tobacco counseling self-efficacy, and greater familiarity with medication treatment, nicotine replacement treatment, and behavioral counseling for smoking cessation, compared to those with no prior experiences. Perceived physician impact on patient smoking outcomes did not differ by prior tobacco counseling experiences.ConclusionsMany first-year medical students may already be primed to learn tobacco dependence counseling skills. Enhancing early exposure to learning these skills in medical school is likely to be beneficial to the skillset of our future physicians.