title: Brief Interventions for Tobacco Users: Using the Internet to Train Healthcare Providers.
abstract: One fifth of Americans smoke; many have no plans to quit. Motivational Interviewing (MI) is an effective approach to intervention with precontemplative smokers, yet a substantial number of healthcare practitioners lack training in this approach. Two interactive online tutorials were developed to teach practitioners to deliver brief tobacco cessation interventions grounded in the MI approach. The tutorials emphasized the unique aspects of working with precontemplative smokers, incorporating audio and video examples of best practices, interactive exercises, targeted feedback, and practice opportunities. One hundred and fifty-two healthcare providers-in-training were randomly assigned to use the online tutorials or to read training material that was matched for content. A virtual standardized patient evaluation was given before and after the training. Both groups improved their scores from pre- to posttest; however, the tutorial group scored significantly better than the reading group at posttest. The results of this study demonstrate the promise of interactive online tutorials as an efficient and effective way to deliver clinical education.
authors.affiliation: Talaria, Inc.
authors.forename: Kelly M
authors.initials: KM
authors.lastname: Carpenter
authors.forename: Leslie G
authors.initials: LG
authors.lastname: Cohn
authors.forename: Lisa H
authors.initials: LH
authors.lastname: Glynn
authors.forename: Susan A
authors.initials: SA
authors.lastname: Stoner
references.citation: Cochrane Database Syst Rev. 2008 Apr 16;(2):CD000165
references.pmid: 18425860
references.citation: J Gen Intern Med. 2007 Apr;22(4):478-84
references.pmid: 17372796
references.citation: J Dent Hyg. 2005 Summer;79(3):7
references.pmid: 16197772
references.citation: J Contin Educ Health Prof. 2004 Winter;24(1):20-30
references.pmid: 15069909
references.citation: Nicotine Tob Res. 2005 Apr;7 Suppl 1:S9-18
references.pmid: 16036273
references.citation: J Dent Educ. 2005 May;69(5):521-37
references.pmid: 15897334
references.citation: Clin Pediatr (Phila). 2004 Oct;43(8):703-8
references.pmid: 15494876
references.citation: Obstet Gynecol. 1999 Feb;93(2):213-8
references.pmid: 9932558
references.citation: J Natl Med Assoc. 2004 Aug;96(8):1080-3, 1088-91
references.pmid: 15303414
references.citation: Eur J Public Health. 2005 Apr;15(2):140-5
references.pmid: 15941758
references.citation: Mayo Clin Proc. 2004 Mar;79(3):327-31
references.pmid: 15008606
references.citation: J Health Psychol. 2003 Jan;8(1):149-60
references.pmid: 22113907
references.citation: Health Educ Res. 2003 Oct;18(5):538-53
references.pmid: 14572015
references.citation: Neurol Res. 2005 Oct;27(7):762-7
references.pmid: 16197814
references.citation: Ann Fam Med. 2003 Jul-Aug;1(2):90-6
references.pmid: 15040438
references.citation: Prev Med. 1999 Jan;28(1):51-60
references.pmid: 9973588
references.citation: Drug Alcohol Depend. 2005 Sep 1;79(3):321-30
references.pmid: 16102376
references.citation: J Eval Clin Pract. 1999 May;5(2):199-211
references.pmid: 10471230
references.citation: Cochrane Database Syst Rev. 2004;(1):CD001188
references.pmid: 14973964
references.citation: Prev Med. 2005 Jun;40(6):888-95
references.pmid: 15850892
references.citation: Res Nurs Health. 2005 Jun;28(3):187-97
references.pmid: 15884026
references.citation: Patient Educ Couns. 1997 Jul;31(3):191-203
references.pmid: 9277242
references.citation: Prev Med. 2005 Aug;41(2):479-87
references.pmid: 15917044