| Objective: As the main force of tobacco control in the future,doctor's knowledge of tobacco hazards and the awareness of tobacco control directly affect the success of tobacco control in China.Therefore,for achieving the target of lessening health hazard caused by smoking,it is very necessary to improve the consciousness of tobacco control among students who major in clinical medicine to enhance their health and preventive sense in the future medical practice.In this study,we used multiple self-control study and compared the effects of two intervention modes,self-learning education and training education,to clarify the best intervention model for increasing the awareness of tobacco control of clinical medical students.Methods: Three classes were randomly selected from 7 year programs clinical medicine of 2012 grade(98 K)in China Medical University and were randomly divided as control group,self-learning education group and training education group.Two week interventions were performed in May 2015.The educational materials were drawn from the Framework Convention on Tobacco Control(FCTC)created by WHO and the International Union Against Tuberculosis and Lung Disease(IUATLD).It was distributed to the students in self-learning model and read by themselves only.This material was also distributed to the students belongs to training model and corresponding training were conducted in this group at the same time.Questionnaire pertaining to tobacco health hazards,tobacco dependence and smoking cessation/treatment were conducted pre and post intervention among all three groups.In this study,totally 172 students took part in both baseline and post-intervention surveys and became our subjects(46 students in control group,52 students in self-learning education group and 74 students in training education group).After data input,data analysis was performed by using SPSS 20.0 software.Scores for tobacco health hazards(full score of 13),tobacco dependence(full score of 7)and smoking cessation/treatment(full score of 6)were shown as the mean±SD.ANOVA was examined for univariate analysis and generalized linear model analysis was performed to multivariate analysis.P<0.05 was regarded as statistical significance.Results: Comparing demographic characteristics of the students(172)who finished the programs completely with the students who lost to follow-up,the differences were found to be statistically insignificant for all three groups(P>0.05).In the study,the average age was 20.8±0.82 years.Among three groups,there was no significant difference in age,gender and ethnicity(P>0.05),whereas the differences were significant as for the monthly living expenses and the failure in examination(P<0.05).The results of univariate analysis showed that,at the baseline,there were no significant differences for the scores of tobacco health hazards,tobacco dependence and smoking cessation/therepy among three groups(P>0.05).After 2 weeks intervention,those differences became significant(P<0.01).Further pairwise comparison revealed that the scores of tobacco health hazards,tobacco dependence and smoking cessation/therepy in self-learning education group and training education group were all significantly higher than that in control group(P<0.05).Comparisons between pre and post intervention indicated that the score changes(?d)were not significant for all tobacco health hazards,tobacco dependence and smoking cessation/therepy in control group(P>0.05).By contrast,these changes were all significant in two intervention groups.After intervention,the scores were all higher than the level pre intervention(P<0.05).With adjustment of age,gender,monthly living expenses and the failure in examination,the generalized linear model analysis showed that the increased scores(?d)of tobacco health hazards,tobacco dependence and smoking cessation/therepy were significantly associated with intervention,both self-learning model and training model(P<0.01).However,there was no significant difference between the two intervention models(P>0.25).Before intervention implementation,awareness of “believing the effectiveness of our advice on patients' quitting behavior in future medical practice” was not significantly different among three groups(P>0.05).After 2 weeks intervention,this difference was statistically significant(P<0.05).After intervention,this awareness increased from 25.0% to 55.8% after intervention in self-learning education group and from 26.7% to 71.6% in training education group.Conclusion: Our findings revealed that intervention focusing on tobacco control among clinical medicine students was able to improve their awareness of tobacco health hazards,tobacco dependence and smoking cessation/therepy for future medical practice.Both self-learning model and training model could achieve this target.Delivering educational material in relation to tobacco control to clinical medical students alone was enough sufficient.After intervention,the knowledge of advising patients to stop smoking in future medical practice increased significantly among students of clinical medicine. |
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