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Training Psychiatrists and Advanced Practice Nurses to Treat Tobacco Dependence

UMDNJ-Robert Wood Johnson Medical School and UMDNJ-School of Public Health, New Brunswick, NJ, jill.williams{at}umdnj.edu

Marc L. Steinberg

UMDNJ-Robert Wood Johnson Medical School and UMDNJ-School of Public Health, New Brunswick, NJ

Mia Hanos Zimmermann

UMDNJ-Robert Wood Johnson Medical School, New Brunswick, NJ

Kunal K. Gandhi

UMDNJ-Robert Wood Johnson Medical School, New Brunswick, NJ

Gem-Estelle Lucas

Child and Adolescent Psychiatry with UMDNJ-Robert Wood Johnson Medical School, New Brunswick, NJ

Dawn A. Gonsalves

Clinic for the Multi-Disabled, Poughkeepsie, NY

Ivy Pearlstein

UMDNJ-Robert Wood Johnson Medical School, New Brunswick, NJ

Philip McCabe

UMDNJ-School of Public Health, New Brunswick, NJ

Magdalena Galazyn

UMDNJ-Robert Wood Johnson Medical School, New Brunswick, NJ

Edward Salsberg

Center for Workforce Studies, Association of American Medical Colleges, Washington, DC

The lack of availability of continuing medical education programs on tobacco dependence for psychiatrists and psychiatric nurses is profound. We developed a 2-day curriculum delivered in November 2006 and March 2007 to 71 participants. Ninety-three percent ( n = 66) completed a pretest/posttest, and 91% (n = 65) completed the attitudes and beliefs survey. Scores on the pretest were low (M = 47% correct). Paired t tests found significant increases in raw scores from 6.7 to 13.6, t(65) = —22.8, p < .0001. More than 90% of psychiatrists and nurses indicated that motivating and helping patients to stop smoking and discussing smoking behavior were part of their professional role. Although 80% reported that they usually ask about smoking status, fewer reported recommending nicotine replacement (34%), prescribing pharmacotherapy (29%), or referring smokers to a telephone quit line (26%). Trainings are repeated twice a year because of ongoing demand. Further follow-up should evaluate changes in practices after training.

Key Words: health providers • smoking • tobacco dependence • continuing medical education

Journal of the American Psychiatric Nurses Association, Vol. 15, No. 1, 50-58 (2009)
DOI: 10.1177/1078390308330458


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