Title

An evaluation of tobacco treatment specialist counseling performance using standardized patient interviews

UMMS Affiliation

Department of Medicine, Division of Preventive and Behavorial Medicine

Date

3-3-2007

Document Type

Article

Subjects

Adult; Counseling; Female; Humans; *Interviews as Topic; Male; *Professional Competence; Questionnaires; Tobacco Use Disorder

Disciplines

Life Sciences | Medicine and Health Sciences

Abstract

In the United States, tobacco treatment specialists are professionals from a variety of backgrounds trained to deliver moderate to intensive evidence-based tobacco treatment in a variety of settings across the country. This paper reports the results of a study that examined the extent to which specialists participating in a larger study adhered to clinical practice guidelines for tobacco dependence using standardized patient assessments. A total of 64 tobacco treatment specialists completed a survey and two audiotaped standardized patient interviews. Overall, 41% and 31% of tobacco treatment specialists demonstrated 80% or more of session content and interviewing skills assessed, respectively, when required to demonstrate the skill in both standardized patient interactions. These rates increased to 85% and 56%, respectively, when using the less stringent criteria of demonstrating the skill in at least one of the two standardized patient interactions. Tobacco treatment specialists who had attended a greater number of types of tobacco treatment training exhibited both greater coverage of session content (p<.06) and greater interviewing skills (p<.02). Those who had achieved certification as a tobacco treatment specialist exhibited greater coverage of session content (p<.02), and those perceiving more positive support from their agency for their services exhibited greater interviewing skills (p=.02). Although the tobacco treatment specialists evaluated appear to have the necessary skills to deliver guideline-based intervention, they demonstrated only moderate adherence to the guidelines when expected to do so consistently across multiple assessments. Findings suggest specific components of tobacco treatment and interviewing skills that would benefit from strengthening through training and support.

Rights and Permissions

Citation: Nicotine Tob Res. 2007 Jan;9(1):119-28. Link to article on publisher's site

DOI of Published Version

10.1080/14622200601078491

Related Resources

Link to Article in PubMed

Journal Title

Nicotine and tobacco research : official journal of the Society for Research on Nicotine and Tobacco

PubMed ID

17330158