A tele-mentoring tobacco cessation case consultation and education model for healthcare providers in community mental health centers.
A tele-mentoring tobacco cessation case consultation and education model for healthcare providers in community mental health centers.
复制标题
DOI：
10.1080/2331205x.2018.1430652
复制
发表时间：
2018-01-01
期刊：
影响因子：
--
通讯作者：
Blalock, Janice
中科院分区：
文献类型：
--
作者：
Cofta-Woerpel, Ludmila;Lam, Cho;Blalock, Janice
与一般人群相比，有心理和行为健康需求的个人吸烟率要高得多，但基于证据的戒烟疗法在心理和行为卫生保健机构中没有得到充分利用，尽管这些疗法既安全又有效。本文的目的是介绍TEACH（卫生系统中的烟草教育和戒烟）项目的背景、设计和试点，该项目旨在通过向德克萨斯州社区精神卫生中心的护理提供者提供戒烟干预措施方面的专业培训来改善临床实践。这是通过MD安德森癌症中心烟草治疗项目的临床医生的专业知识来实现的，并通过一种名为Project ECHO（社区医疗保健结果扩展）的新型远程指导方法将这种专业知识传播给护理提供者。对我们的试点ECHO培训项目的评估表明，培训非常受欢迎，并导致提供者自我报告的专业实践的提高。这是将协作ECHO模式扩展到培训医疗保健提供者戒烟方面的第一个项目。这种方法有可能降低有心理和行为健康需要的吸烟者的吸烟率，从而有助于在这一弱势群体中预防癌症和其他慢性疾病。
Smoking prevalence among individuals with mental and behavioral health needs is considerably higher compared to the general population, but evidence-based smoking cessation therapies are underutilized in mental and behavioral healthcare settings, despite the fact that these treatments are both safe and effective. The goal of this paper is to present the background, design and pilot of Project TEACH (Tobacco Education and Cessation in the Health System) developed to improve clinical practice by offering specialized training in the provision of smoking cessation interventions to care providers in community mental health centers in Texas. This is achieved through engaging the expertise of clinicians at the MD Anderson Cancer Center's Tobacco Treatment Program and disseminating this expertise to care providers by means of a novel tele-mentoring approach called Project ECHO (Extension for Community Healthcare Outcomes). Evaluation of our pilot ECHO training project demonstrated that the training was very well received and resulted in self-reported enhancement of the providers' professional practice. This is the first project to extend the collaborative ECHO model to train healthcare providers in smoking cessation. This approach has potential to reduce smoking rates among smokers with mental and behavioral health needs, and consequently contribute to the prevention of cancer and other chronic diseases in this vulnerable population.