Published on November 19th 2018 – Together with colleagues from Maastricht University, ACHC-researcher Eline Smit developed and tested an e-learning program that aimed to improve practice nurses’ sub-optimal adherence to evidence-based smoking cessation treatment guidelines. Idea was that improving practice nurses’ adherence to these guidelines would benefit the quality of smoking cessation care and potentially lead to higher smoking abstinence rates. The researchers conclude that this program is effective, especially for practice nurses with more than average counseling experience. A Web-based randomized controlled trial (RCT) was conducted in which an intervention group (N=147) with full access to the e-learning program for 6 months was compared with a control group (N=122) without access. In total, PNs counseled 1175 smokers during the trial period. With regard to each consultation with a smoker, PNs completed a counseling checklist to assess self-reported counseling activities. After 6 months, 121 PNs in the intervention group (82.3%, 121/147) and 103 in the control group (84.4%, 103/122) completed the follow-up questionnaire. Results showed a positive program effect on guideline adherence for PNs with a more than average level of counseling experience. This might be explained by experienced PNs being better able to translate the content of our e-learning program into practically applicable counseling strategies than their less experienced colleagues. To further substantiate the effectiveness of e-learning programs on guideline adherence by health care professionals (HCPs), it is important to assess how to support a wider range of HCPs.
The project this study was part of was funded by the Dutch Cancer Society.
Read more? De Ruijter, D., Candel, M., Smit, E. S., de Vries, H., & Hoving, C. (2018). The Effectiveness of a Computer-Tailored E-Learning Program for Practice Nurses to Improve Their Adherence to Smoking Cessation Counseling Guidelines: Randomized Controlled Trial. J Med Internet Res, 20(5), e193. doi:10.2196/jmir.9276
The full paper can be found here.