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Lorencatto, F.; Harper, A. M.; Francis, J.; Lawrenson, J. (2016)
Languages: English
Types: Article
Subjects: RE, RA0421, RA

Classified by OpenAIRE into

mesheuropmc: education
Background\ud Smoking is a risk factor for a number of eye conditions, including age-related macular degeneration, cataracts and thyroid eye disease. Smoking cessation interventions have been shown to be highly cost-effective when delivered by a range of healthcare professionals. Optometrists are well placed to deliver smoking cessation advice to a wide population of otherwise healthy smokers. Yet optometrists remain a relatively neglected healthcare professional group in smoking cessation research and policy. Surveys of UK medical/nursing schools and of optometrists’ training internationally demonstrate significant deficits in current curricular coverage regarding smoking cessation. This study aimed to identify the extent of smoking cessation training in UK optometry trainees’ undergraduate and pre-registration training.\ud \ud Methods\ud All undergraduate optometry schools in the UK (n = 9) were invited to participate in a web-based survey of their curricular coverage and assessment related to smoking cessation, and of perceived barriers to delivering smoking cessation training. A content analysis of the College of Optometrists Scheme for Registration Trainee Handbook 2014 was conducted to identify competence indicators related to smoking cessation.\ud \ud Results\ud Nine undergraduate optometry schools (100%) responded to the survey. The majority reported dedicating limited hours (0–3) to teaching smoking cessation, and predominantly focused on teaching the harmful effects of smoking (89%). Only one school provides practical skills training for delivering evidence-based smoking cessation interventions, including very brief advice. The majority of schools (78%) reported that they did not formally examine students on their knowledge or skills for supporting smoking cessation, and rated confidence in their graduates’ abilities to deliver smoking cessation interventions as ‘poor’ (78%). Lack of knowledge amongst staff was identified as the key barrier to teaching about smoking cessation support. The pre-registration competency framework does not include any competence indicators related to providing support for quitting smoking.\ud \ud Conclusions\ud There are substantial gaps in the current curricula of UK optometry training, particularly regarding practical skills for supporting smoking cessation. Increased curricular coverage of these issues is essential to ensure trainee optometrists are adequately trained and competent in supporting patients to quit smoking.
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    • 1. Doll R, Peto R, Boreham J & Sutherland I. Mortality from cancer in relation to smoking: 50 years observations on British doctors. Br J Cancer 2004; 92: 426-429.
    • 2. Smoking Toolkit Study, 2015, http://www.smokinginengland.info, accessed 14/07/15.
    • 3. Orleans CT. Increasing the demand for and use of effective smoking-cessation treatments reaping the full health benefits of tobacco-control science and policy gains - in our lifetime. Am J Prev Med 2007; 33(6 Suppl): S340-S348.
    • 4. West R, McNeill A & Raw M. Smoking cessation guidelines for health professionals: an update. Thorax 2000; 55: 987- 999.
    • 5. West R, McNeil A & Raw M. Smoking cessation guidelines and their cost effectiveness. Thorax 1998; 53: S1-S38.
    • 6. Fiore MC, Jorenby DE & Baker TB. Smoking cessation: principles and practice based upon the AHCPR Guideline, 1996. Ann Behav Med 1997; 19: 213-219.
    • 7. Stead LF, Buitrago D, Preciado N, Sanchez G, HartmannBoyce J & Lancaster T. Physician advice for smoking cessation. Cochrane Database Syst Rev 2013; 5: CD000165.
    • 8. Aveyard P, Begh R, Parsons A & West R. Brief opportunistic smoking cessation interventions: a systematic review and meta-analysis to compare advice to quit and offer of assistance. Addiction 2012; 107: 1066-1073.
    • 9. Law M & Tang J. An analysis of the effectiveness of interventions intended to help people stop smoking. Arch Intern Med 1995; 155: 1933-1941.
    • 10. Spafford MM, Iley MD, Schultz OAS & Kennedy RD. Tobacco dependence education in optometry: a Canadian pilot study assessing practices and opportunities. Optom Educ 2010; 36: 38-44.
    • 11. Thornton J, Edwards R, Harrison RA, Elton P, Astbury N & Kelly SP. 'Smoke gets in your eyes': a research-informed professional education and advocacy programme. J Public Health (Oxf) 2007; 29: 142-146.
    • 12. Klein R, Knudtson MD, Cruickshanks KJ & Klein BE. Further observations on the association between smoking and the long-term incidence and progression of age-related macular degeneration: the Beaver Dam Eye Study. Arch Ophthalmol 2008; 126: 115-121.
    • 13. Hoppe E & Frankel R. Optometrists as key providers in the prevention and early detection of malignancies. Optometry 2006; 77: 397-404.
    • 14. Howse JH, Jones S & Hungin AP. Screening for diabetes in optometry practices: acceptability to users. Ophthalmic Physiol Opt 2011; 31: 367-374.
    • 15. Sheck LH, Field AP, McRobbie H & Wilson GA. Helping patients to quit smoking in the busy optometric practice. Clin Exp Optom 2009; 92: 75-77.
    • 16. National Institute of Health and Clinical Excellence (NICE). Smoking: Supporting people to Stop. NICE quality standard [QS43], 2013, https://www.nice.org.uk/guidance/qs43, accessed 12/11/15.
    • 17. College of Optometrists. NICE Quality Standards Consultation 2013 Smoking Cessation: Joint Response, 2013, http:// www.collegeoptometrists.org/en/utilities/document summary. cfm/docid/D6072474-96AF-4C20 9DE11B3859- F1EAF9, accessed 04/11/2014.
    • 18. Richards B, McNeill A, Croghan E, Percival J, Ritchie D & McEwen A. Smoking cessation education and training in UK nursing schools: a national survey. J Nurs Edu Pract 2014; 4: 188-198.
    • 19. Raw M, McNeill AN & West R. Smoking cessation guidelines for health professionals - a guide to effective smoking cessation interventions for the health care system. Thorax 1998; 53(Suppl 5): S1-S18.
    • 20. West R, Lorencatto F, Michie S, Willis N & McEwen A. NCSCT Training Standards: Learning outcomes for training stop smoking specialists. National Centre for Smoking Cessation & Training, Department of Health, UK, 2010. ISBN 978-0-9565243-1
    • 21. Association for the Treatment of Tobacco Use and Dependence (ATTUD). Core competences for evidence-based treatment of tobacco dependence, 2005, http://ctttp.org/wp-con tent/uploads/2015/06/ATTUD-Core-Competencies.pdf, accessed 11/02/2016.
    • 22. Michie S, Churchill S & West R. Identifying evidence-based competences required to deliver behavioural support for smoking cessation. Ann Behav Med 2011; 41: 59-70.
    • 23. World Health Organisation (WHO). WHO informal meeting on health professionals and tobacco control. Code of practice on tobacco control for health professionals, 2005, http:// www.who.int/tobacco/communications/events/codesofpractice/en/index.html, accessed 13/01/16.
    • 24. Hudmon KS, Bardel K, Kroon LA, Corelli RL & Fenlon CM. Tobacco education in U.S. schools of pharmacy. Nicotine Tob Res 2005; 7: 225-232.
    • 25. Lenz TL, Monaghan MS & Hetterman EA. Therapeutic lifestyle strategies taught in U.S. pharmacy schools. Prev Chronic Dis 2007; 4: 1-4.
    • 26. Raupach T, Al-Harbi G, McNeill A, Bobak A & McEwen A. Smoking cessation education and training in UK medical schools: a national survey. Nicotine Tob Res 2014; doi:10.1093/ntr/ntu199.
    • 27. Lawrenson JG & Evans JR. Advice about diet and smoking for people with or at risk of age-related macular degeneration: a cross-sectional survey of eye care professionals in the UK. BMC Public Health 2013; 13: 564.
    • 28. Sahu A, Edwards R, Harrison RA, Thornton J & Kelly SP. Attitudes and behaviour of ophthalmologists to smoking cessation. Eye 2008; 22: 246-250.
    • 29. Kennedy RD, Spafford MM, Schultz AS, Iley MD & Zawada V. Smoking cessation referrals in optometric practice: a Canadian pilot study. Optom Vis Sci 2011; 88: 766-771.
    • 30. Kennedy RD, Spafford MM, Douglas O et al. Patient tobacco use in optometric practice: a Canada-wide study. Optom Vis Sci 2014; 91: 769-777.
    • 31. Thompson C, Harrison RA, Wilkinson SC, Scott-Samuel A, Hemmerdinger C & Kelly SP. Attitudes of community optometrists to smoking cessation: an untapped opportunity overlooked? Ophthalmic Physiol Opt 2007; 27: 389-393.
    • 32. Landis JR & Koch GG. An application of hierarchical kappatype statistics in the assessment of majority agreement among multiple observers. Biometrics, 1977; 33: 363-374.
    • 33. Richmond R, Zwar N, Taylor R, Hunnisett J & Hyslop F. Teaching about tobacco in medical schools: a worldwide study. Drug Alcohol Rev 2009; 28: 484-497.
    • 34. Sarna LP, Brown JK, Lillington L, Rose M, Wewers ME & Brecht ML. Tobacco interventions by oncology nurses in clinical practice. Cancer 2000; 89: 881-889.
    • 35. McEwen A & West R. Smoking cessation activities by general practitioners and practice nurses. Tob Control 2001; 10: 27-32.
    • 36. Rust C. The impact of assessment on Student learning: how can the research literature practically help to inform the development of departmental assessment strategies and learner-centred assessment practices? Act Learn Higher Educ 2002; 3: 145-158.
    • 37. Leone FT, Evers-Casey S, Veloski J, Patkar AA & Kanzleiter L. Short-intermediate-and long-term outcomes of Pennsylvania's continuum of tobacco education pilot project. Nicotine Tob Res 2009; 11: 387-393.
    • 38. Leong SL, Lewis PR, Curry WJ & Gingrich DL. Tobacco world: evaluation of a tobacco cessation training program for third-year medical students. Acad Med 2008; 83: S25- S36.
    • 39. Brose LS, West R, Michie S, Kenyon JA & McEwen A. Effectiveness of an online knowledge training and assessment program for stop smoking practitioners. Nicotine Tob Res 2012; 14: 794-800.
    • 40. Judge K, Bauld L, Chesterman J & Ferguson J. The English smoking treatment services: short-term outcomes. Addiction 2005; 100: 46-58.
    • 41. Akl EA, Gaddam S, Gunukula SK, Honeine R, Jaoude PA & Irani J. The effects of waterpipe tobacco smoking on health outcomes: a systematic review. Int J Epidemiol 2010; 39: 834-857.
    • 42. Lancaster T & Stead LF. Individual behavioural counselling for smoking cessation. Cochrane Database Syst Rev 2005; 1: 2.
    • 43. Shahab L.. In: NCSCT Briefing: Effectiveness and Cost-Effectiveness of Programmes to Help Smokers to Stop and Prevent Smoking Uptake at Local Level (McEwen A & Alley K, editors), National Centre for Smoking Cessation and Training (NCSCT): London, 2015. http://www.ncsct.co.uk/usr/pub/ NCSCT%20briefing-effectiveness%20of%20local%20cessation%20and%20prevention.pdf, accessed 13/01/16
    • 44. National Institute of Health and Clinical Excellence (NICE). NICE Public health guidance 14: Preventing the uptake of smoking by children and young people, 2008, http://www. nice.org.uk/nicemdia/live/12020/41332/41332.pdf, accessed 13/01/16.
    • 45. Department of Health. Healthy Lives, Healthy People: A Tobacco Control Plan for England. (Report no: 5513), 2011, https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/213757/dh_124960.pdf, accessed 13/01/16.
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