Effectiveness of an Online Training Program on Brief Tobacco Intervention (BTI) for Nurses: A Quasi-Experimental Study. The E-Learning BTI Project
ABSTRACT Introduction: Smoking is the leading cause of preventable deaths. The training of professionals on brief tobacco interventions (BTIs) increases the effectiveness of these interventions. Objective: To assess the effectiveness of an online training program on BTI based on the 5As and 5Rs mode...
| Autores: | , , , , , |
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| Tipo de recurso: | artículo |
| Estado: | Versión publicada |
| Fecha de publicación: | 2025 |
| País: | España |
| Institución: | Universidad de Jaén |
| Repositorio: | RUJA. Repositorio Institucional de la Producción Científica de la Universidad de Jaén |
| OAI Identifier: | oai:ruja.ujaen.es:10953/6820 |
| Acceso en línea: | https://doi.org/10.1111/jnu.70046 https://sigmapubs.onlinelibrary.wiley.com/doi/10.1111/jnu.70046 https://hdl.handle.net/10953/6820 |
| Access Level: | acceso abierto |
| Palabra clave: | brief advice, competence, nurses, online learning, smoking, tobacco cessation 614.253.5 616-084.2 |
| Sumario: | ABSTRACT Introduction: Smoking is the leading cause of preventable deaths. The training of professionals on brief tobacco interventions (BTIs) increases the effectiveness of these interventions. Objective: To assess the effectiveness of an online training program on BTI based on the 5As and 5Rs model in acquiring antitobacco brief advice competencies among nurses. Method: Quasi-experimental study with a pre-test and post-test design, with a control group and without random assignment. In the experimental group (EG), online training was provided in three sections: BTI theoretical content and methodology, clinical scenario videos, and feedback. Each scenario assessed the 5As and 5Rs as a validated instrument (BTI-Prof(C)). The control group (CG) only assessed the three videos of clinical scenarios. In both groups, competence was measured at the following points in time: T0 (before the training), T1 (at the end of the training), and T2 (after 90days). The efficacy of the intervention was measured through a two-way ANOVA, and the variation rate was calculated from T0 to T1 and from T0 to T2. Results: 236 nurses participated (157 EG; 79 CG). The mean age was 42.9 years, and 76.7% were women. There was a significant group*time interaction in the three cases, indicating that the online BTI training increases the competence of these professionals in clinical scenario 1 (F=10.210; p≤0.001; η2=0.081), clinical scenario 2 (F=6.235; p=0.002; η2=0.051), and clinical scenario 3 (F=11.271; p≤0.001; η2=0.090). Conclusion: A brief, asynchronous, and online intervention using standardized video-based cases is effective in improving nurses' BTI competence. This type of training can be a useful option for the National Health System as part of a global and continuous strategy for nurses to perform BTI. Clinical Relevance: An asynchronous online training program provides nurses with standardized, evidence-based tools to implement brief tobacco interventions in routine care, offering a scalable and practical solution to strengthen preventive strategies in health systems. |
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