Standardized Patients to Assess Competency in Tobacco Cessation Counseling

说明(申请人提供)：最有效的戒烟方法是将药物治疗与医疗保健提供者的咨询相结合，但很少有健康专业学位课程能让毕业生为这一角色做好充分准备。为了响应国家对卫生保健专业人员加强戒烟培训的需求，我们在十多年前开发了Rx for Change：临床医生辅助戒烟计划。为了促进规划工作，并确保卫生专业学生具备戒烟咨询的能力，我们建议开发、评估和传播针对烟草的标准化患者/欧安组织评估，作为共享的教育资源。所有工具都将在医学、护理和药学教师的投入下开发，具有广泛的适用性，并将与Rx for Change一起传播。本R25应用程序的具体目标是：目标1.开发和试行一套核心课程材料，以促进在卫生专业课程中使用特定于烟草的标准化患者/欧安组织评估：(A)三个基于网络的虚拟患者，(B)六个标准化患者情景和相关的欧安组织评分标准，(C)一个基于网络的、经继续教育(CE)认可的“欧安组织教程”计划，以使教职员工掌握必要的知识和技能，将标准化患者和欧安组织评估纳入卫生专业课程，以及(D)建立一个项目网站，存放课程材料，并在赠款有效期内和之后支持教学活动。目的2.采用一组设计，在140名医学生(n=140)中实施Rx for Change计划加虚拟患者的试点试验。学生将接受4个小时的教学培训，1个小时的角色扮演练习，以及1个小时的与三个虚拟患者的练习。参与者将完成(A)培训前和培训后调查，(B)培训后标准化患者/OSCE，和(C)欧安组织培训后调查。目的3.采用与AIM 2相同的单组设计，对2所医学院、2所护理学、2所药学六所学校(共824名学生)的课程资源进行初步测试。我们假设知识、自我效能感和自我报告的咨询能力(治疗前和治疗后)有显著变化，这与欧安组织的能力得分相印证。目的4.向全美的医学、护理和药学学校传播课程资源。该项目汇集了烟草教育、学习技术和标准化患者/OSCE领域的领军人物，将开发和传播一个针对烟草的标准化患者/欧安组织模块，该模块带有适用于任何健康学科的虚拟患者学习工具。为了减少与烟草相关的死亡率，所有健康专业的学生都必须具备戒烟咨询的能力。

DESCRIPTION (provided by applicant): The most effective method for quitting smoking combines pharmacotherapy with counseling from a health-care provider, yet few health professional degree programs adequately prepare their graduates for this role. In response to a national need for enhanced tobacco cessation training of health-care professionals, we developed the Rx for Change: Clinician-Assisted Tobacco Cessation program more than a decade ago. To facilitate programmatic efforts and ensure that health professional students achieve competency for tobacco cessation counseling, we propose to develop, evaluate, and disseminate tobacco-specific standardized patients/OSCE assessments as shared educational resources. All tools will be developed with input from medical, nursing, and pharmacy faculty, will have broad applicability, and will be disseminated in tandem with Rx for Change. The specific aims of this R25 application are: AIM 1. To develop and pilot test a core set of curricula materials for promoting use of tobacco-specific standardized patients/OSCE assessments in health professional curricula: (a) three web-based virtual patients, (b) six standardized patient scenarios and associated OSCE scoring criteria, (c) a web-based, continuing education (CE)-accredited "OSCE tutorial" program to equip faculty/staff with the necessary knowledge and skills to integrate standardized patients and OSCE assessments into health professional curricula, and (d) a project web-site to house the curricular materials and to support teaching activities during and beyond the life of the grant. AIM 2. Using a one-group design, implement a pilot test of the Rx for Change program plus virtual patients and among medical students (n=140). Students will receive 4 hours of didactic training, 1 hour of role playing exercises, and 1 hour of practice with three virtual patients. Participants will complete (a) pre- and post-trainng surveys, (b) post-training standardized patients/OSCEs, and (c) a post-OSCE survey. AIM 3. Using the same one-group design as described in AIM 2, pilot test the curricular resources at six schools-2 medical, 2 nursing, 2 pharmacy (n=824 students, total). We hypothesize significant changes in knowledge, self-efficacy, and self-reported counseling abilities (pre vs post; p<0.05), corroborated with OSCE competency scores. AIM 4. Disseminate curricular resources to medical, nursing, and pharmacy schools throughout the U.S. This project, which brings together leaders in tobacco education, learning technology, and standardized patients/OSCEs, will develop and disseminate a tobacco-specific standardized patient/OSCE module with virtual patient learning tools that will be applicable to any health discipline. To reduce tobacco-related mortality, it is essential that all health professional students achieve competency for tobacco cessation counseling.