Ml. Muramoto et al., Tobacco cessation skills certification in Arizona: application of a state wide, community based model for diffusion of evidence based practice guidelines, TOB CONTROL, 9(4), 2000, pp. 408-414
Public Health & Health Care Science","Envirnomentale Medicine & Public Health
Objective-To describe the development and preliminary results from a commun
ity based certification model for training in tobacco cessation skills in A
Design-A programme evaluation using both quantitative pre-post measures and
Setting-Arizona's comprehensive tobacco control programme of state funded,
community based local projects and their community partners providing tobac
co treatment services for geographically, socioeconomically, and ethnically
Intervention-A three tiered model of skills based training emphasising Agen
cy for Health Care Policy and Research guidelines, and utilising a training
of trainers approach to build community capacity. Certification roles addr
essed basic tobacco cessation skills, tobacco cessation specialist, and tob
acco treatment services manager.
Participants-Initial target audience was community based local project pers
onnel and their community partners, with later adoption by community organi
sations unaffiliated with local projects, and the general public.
Main evaluation measures-Process measures: participant satisfaction, knowle
dge, skills, and self-efficacy. Outcome: participant demographics, communit
y organisations represented, post-training, cessation related activities.
Results-During the model's implementation year, 1075 participants attended
certification training, 947 participants received basic skills certificates
and 82 received specialist certificates. Pre, post, and three month measur
es of self efficacy showed significant and durable increases. Analysis of p
articipant characteristics demonstrated broad community representation. At
post-training follow up, 80.9% of basic skills trainees had performed at le
ast one brief intervention and 74.8% had made a referral to intensive servi
ces. Among cessation specialists, 48.8% were delivering intensive services
and 69.5% were teaching basic skills classes.
Conclusions-Initial experience with Arizona's state wide, community based m
odel for certification of tobacco cessation skills training suggests this m
odel may be a promising method for broad, population based diffusion of evi
dence based tobacco cessation guidelines.