title: Evaluation of a web-based educational programme on changes in frequency of nurses' interventions to help smokers quit and reduce second-hand smoke exposure in China.
abstract: OBJECTIVE
  To evaluate a web-based educational smoking cessation programme on changes in the frequency of hospital-based nurses' self-reported interventions to help smokers quit using the 5 As (i.e. Ask, Advise, Assess, Assist, Arrange), to reduce exposure to second-hand smoke and to change attitudes about nurses' involvement in tobacco control.
  
  
  BACKGROUND
  Few nurses in China support smokers' quit attempts using evidence-based smoking cessation interventions based on the 5 As. Limited knowledge is a barrier to intervention. Web-based tobacco cessation programs have the potential to reach a large population of nurses.
  
  
  METHODS
  A prospective single-group design with pre-, 3- and 6-month follow-up after the educational programme evaluated the feasibility of conducting web-based educational programs in two cities in China in 2012-2013.
  
  
  METHODS
  Frequency of interventions was assessed using a valid and reliable web-based survey with a convenience sample of nurses from eight hospitals in Beijing and Hefei, China. Generalized linear models, adjusting for age, clinical setting, education and site were used to determine changes in the consistent (usually/always) use of the 5 As from baseline to 3 and to 6 months.
  
  
  RESULTS
  Nurses (N = 1386) had baseline and/or 3- and 6-month data. At 6 months, nurses were significantly more likely to Assess, Assist and Arrange for smoking cessation and recommend smoke-free home environments. There was significant improvement in attitudes about tobacco control.
  
  
  CONCLUSIONS
  Nurses receiving web-based smoking cessation education significantly increased self-reports of frequency of providing interventions to patients who smoke, including recommending smoke-free home environments to support quit attempts.
authors.affiliation: School of Nursing, University of California, Los Angeles, California, USA.
authors.forename: Linda
authors.initials: L
authors.lastname: Sarna
authors.affiliation: School of Nursing, University of California San Francisco, California, USA.
authors.forename: Stella Aguinaga
authors.initials: SA
authors.lastname: Bialous
authors.affiliation: Office of Tobacco Control, National Office for Cancer Prevention and Cancer Control, Cancer Institute and Hospital, Chinese Academy of Medical Sciences, Beijing, China.
authors.forename: Xiao Nong
authors.initials: XN
authors.lastname: Zou
authors.affiliation: School of Nursing, Anhui Medical University, Hefei, China.
authors.forename: Weili
authors.initials: W
authors.lastname: Wang
authors.affiliation: School of Nursing, Anhui Medical University, Hefei, China.
authors.forename: Jingfang
authors.initials: J
authors.lastname: Hong
authors.affiliation: School of Nursing, University of California, Los Angeles, California, USA.
authors.forename: Marjorie
authors.initials: M
authors.lastname: Wells
authors.affiliation: David Geffen School of Medicine, University of California, Los Angeles, California, USA.
authors.forename: Jenny
authors.initials: J
authors.lastname: Brook
mesh_terms: D000328:Adult; D044466:Asian People / Q000523:psychology; D001291:Attitude of Health Personnel; D002681:China; D003194:Computer-Assisted Instruction; D005260:Female; D006801:Humans; D020407:Internet; D008297:Male; D008875:Middle Aged; D024802:Nurse's Role; D009723:Nurse-Patient Relations; D009740:Nursing Staff / Q000193:education* / Q000523:psychology*; D011446:Prospective Studies; D012737:Sex Factors; D012907:Smoking / Q000523:psychology*; D016540:Smoking Cessation / Q000523:psychology*; D011795:Surveys and Questionnaires; D014029:Tobacco Use Disorder / Q000523:psychology*
keywords: China; attitudes about smoking cessation; hospital; nurses; smoke-free environment; smoking cessation; tobacco use; web-based educational program