a teachable moment communication process for smoking cessation talk description of a group randomized clinician-focused intervention戒烟谈话教育时机的沟通过程的描述一组随机clinician-focused干预.pdfVIP

Flocke et al. BMC Health Services Research 2012, 12:109 /1472-6963/12/109 STUDY PROTOCOL Open Access A teachable moment communication process for smoking cessation talk: description of a group randomized clinician-focused intervention 1,2,3,4,7* 1 1,3,5 1 6 1 Susan A Flocke , Elizabeth Antognoli , Mary M Step , Sybil Marsh , Theodore Parran and Mary Jane Mason Abstract Background: Effective clinician-patient communication about health behavior change is one of the most important and most overlooked strategies to promote health and prevent disease. Existing guidelines for specific health behavior counseling have been created and promulgated, but not successfully adopted in primary care practice. Building on work focused on creating effective clinician strategies for prompting health behavior change in the primary care setting, we developed an intervention intended to enhance clinician communication skills to create and act on teachable moments for smoking cessation. In this manuscript, we describe the development and implementation of the Teachable Moment Communication Process (TMCP) intervention and the baseline characteristics of a group randomized trial designed to evaluate its effectiveness. Methods/Design: This group randomized trial includes thirty-one community-based primary care clinicians practicing in Northeast Ohio and 840 of their adult patients. Clinicians were randomly assigned to receive either the Teachable Moments Communication Process (TMCP) intervention for smoking cessation, or the delayed intervention. The TMCP intervention consisted of two, 3-hour educational training sessions including didactic presentation, skill demonstration through vid