title: Evaluation of an evidence-based tobacco treatment curriculum for psychiatry residency training programs.
abstract: OBJECTIVE
  Smokers with mental illness and addictive disorders account for nearly one in two cigarettes sold in the United States and are at high risk for smoking-related deaths and disability. Psychiatry residency programs provide a unique arena for disseminating tobacco treatment guidelines, influencing professional norms, and increasing access to tobacco cessation services among smokers with mental illness. The current study evaluated the Rx for Change in Psychiatry curriculum, developed for psychiatry residency programs and focused on identifying and treating tobacco dependence among individuals with mental illness.
  
  
  METHODS
  The 4-hour curriculum emphasized evidence-based, patient-oriented cessation treatments relevant for all tobacco users, including those not yet ready to quit. The curriculum was informed by comprehensive literature review, consultation with an expert advisory group, faculty interviews, and a focus group with psychiatry residents. This study reports on evaluation of the curriculum in 2005-2006, using a quasi-experimental design, with 55 residents in three psychiatry residency training programs in Northern California.
  
  
  RESULTS
  The curriculum was associated with improvements in psychiatry residents' knowledge, attitudes, confidence, and counseling behaviors for treating tobacco use among their patients, with initial changes from pre- to posttraining sustained at 3-months' follow-up. Residents' self-reported changes in treating patients' tobacco use were substantiated through systematic chart review.
  
  
  CONCLUSIONS
  The evidence-based Rx for Change in Psychiatry curriculum is offered as a model tobacco treatment curriculum that can be implemented in psychiatry residency training programs and disseminated widely, thereby effectively reaching a vulnerable and costly population of smokers.
authors.affiliation: Department of Psychiatry, University of California, San Francisco, CA 94143-0984, USA. JProchaska@ucsf.edu
authors.forename: Judith J
authors.initials: JJ
authors.lastname: Prochaska
authors.forename: Sebastien C
authors.initials: SC
authors.lastname: Fromont
authors.forename: Desiree
authors.initials: D
authors.lastname: Leek
authors.forename: Karen Suchanek
authors.initials: KS
authors.lastname: Hudmon
authors.forename: Alan K
authors.initials: AK
authors.lastname: Louie
authors.forename: Marc H
authors.initials: MH
authors.lastname: Jacobs
authors.forename: Sharon M
authors.initials: SM
authors.lastname: Hall
mesh_terms: D002140:California; D003479:Curriculum; D004493:Education / Q000191:economics; D019317:Evidence-Based Medicine / Q000193:education* / Q000379:methods*; D005260:Female; D006801:Humans; D007396:Internship and Residency; D008297:Male; D011570:Psychiatry / Q000191:economics / Q000193:education*