Abstract

BackgroundHealthcare professionals report that a lack of training is the primary barrier to raising the issue of secondhand smoke (SHS). An open access online training module was therefore developed for those working with smoking families to deliver effective very brief advice on SHS. The current study aimed to evaluate the following: (1) does knowledge increase as a result of participating in the online training module, and (2) does the module impact on participant confidence and self-reported practice relating to SHS.MethodsThose accessing the module were invited to participate in an evaluation to assess participants’ knowledge about, and confidence in, delivering very brief advice on SHS. Change in knowledge was assessed via ten multiple choice questions and confidence was assessed by Likert scale responses to three statements. Data were collected across three time points: pre-training, post-training and after 3 months. Data were also collected at 3 months post module completion on self-reported changes in practice and key learning points.ResultsData at all three time points were available for 178 participants (~1 % of those who visited the module homepage over a 2 year period). Knowledge and confidence to deliver effective very brief advice for SHS significantly increased between the pre- and post-training assessments and was maintained at 3 months. Eighty-four percent self-reported that they perceived taking part in the training had led to positive changes in their clinical practice.ConclusionsThere is potential for this module to be embedded within training programmes across health and social care professions, which may help to increase the knowledge and confidence of health and social care professionals to deliver very brief advice for SHS to smoking families. Future research needs to explore whether the smoking families who receive very brief advice for SHS are motivated to make changes to their home smoking behaviours and whether roll-out of this intervention would be cost-effective.

Highlights

  • Healthcare professionals report that a lack of training is the primary barrier to raising the issue of secondhand smoke (SHS)

  • The aim of the current study was to evaluate this training module by addressing the following questions: (1) does knowledge increase as a result of participating in the online training module, (2) does participating in the online training module impact Health and social care professionals (HCPs) confidence and practice relating to SHS and promoting smoke-free homes, and (3) are these changes maintained over time?

  • We developed three similar MCQs questions for each section and the training software was used to randomly draw two questions per section to generate a knowledge test comprising 10 MCQs for each participant

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Summary

Introduction

Healthcare professionals report that a lack of training is the primary barrier to raising the issue of secondhand smoke (SHS). 40 % of children under the age of 14 years are regularly exposed to SHS and of the annual deaths linked to exposure, 28 % occur in children [3]. Whilst children’s exposure to SHS in England has declined markedly in recent years, 39 % over half (52 %) of children who live with at least one smoker are still regularly exposed to SHS at home [4]. The most effective way to reduce SHS exposure in children would be to encourage their caregivers to quit smoking altogether. For those caregivers who are unable or unwilling to quit, the best option is to promote harm reduction strategies such as supporting them to make their homes smokefree. It is important that complete smoking bans are introduced in households with children, rather than partial bans (such as smoking in one room), as stopping short of making the home completely smoke-free is unlikely to have a significant impact on children’s exposure [5]

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