Asian Pacific Journal of Cancer Prevention

Asian Pacific Journal of Cancer Prevention (아시아태평양암예방학회)
권호 표지
DOI QR코드

DOI QR Code

Effectiveness of Tobacco Education for Pharmacy Students in Indonesia

  • Published : 2015.01.22
Download PDF
⟨ Previous Next ⟩

Abstract

Background: Smoking remains the major preventable cause of death worldwide, especially cancer-related death. Evidence clearly indicates that tobacco-related morbidity and mortality is reduced by smoking cessation. Pharmacists are well-positioned to provide tobacco cessation services an involvement of pharmacists in smoking cessation is encouraged by several organizations. While Indonesia's prevalence of smoking is in the first rank in Asian countries, none of the pharmacy schools in Indonesia are currently offering tobacco-related courses in their existing curricula at present. Our study aimed to develop and to evaluate the effectiveness of tobacco education (TE) for pharmacy students in Indonesia. Materials and Methods: A 6-hour TE was developed and evaluated using pre-test/post-test with control group design. A total of 137 fifth-year pharmacy students at Gadjah Mada University (GMU), Yogyakarta, were chosen as an intervention group while a total of 105 fifth-year students of Islamic University of Indonesia, (UII) served as the control group. Knowledge, perceived-role, self-efficacy, and ability to perform counseling using the 5A's framework were evaluated. Results: A significant improvement (P < 0.001) in knowledge, perceived-role, and self-efficacy was found in the intervention group but not in the control group. In addition, we revealed that 89.7% of the intervention group were able to perform counseling using 5A's. Conclusions: The developed TE significantly improved student knowledge, perceived-rolse, self-efficacy, and created an ability to perform cessation counseling. Integration of TE education in curricula of Indonesian pharmacy schools nation-wide should be encouraged.

Keywords

References

  1. Aditama TY, Rahman K, Warren CW, et al (2006). Global health professional survey (GHPS) Indonesia 2006. Jakarta: Universitas Indonesia.
  2. American Cancer Society (2013). Cancer facts and figures 2013. Atlanta GA.
  3. Beaglehole R, Bonita R, Horton E, et al (2011). Priority actions for the non-communicable disease crisis. Lancet, 377, 1438-47. https://doi.org/10.1016/S0140-6736(11)60393-0
  4. Binnal A, Rajesh G, Denny C, et al (2012). Insights into the tobacco cessation scenario among dental graduates: an Indian perspective. Asian Pac J Cancer Prev, 13, 2611-7. https://doi.org/10.7314/APJCP.2012.13.6.2611
  5. Corelli KL, Kroon LA, Chung E, et al (2005). Statewide evaluation of tobacco cessation curriculum for pharmacy students. Prev Med, 40, 888-95. https://doi.org/10.1016/j.ypmed.2004.10.003
  6. El Hajj MS, An Nakeeb RR, Al-Qudah RA (2012). Smoking cessation counseling in Qatar: community pharmacists' attitudes, role perceptions and practices. Int J Clin Pharm, 34, 667-76. https://doi.org/10.1007/s11096-012-9663-x
  7. Goniewicz ML, Lingas EO, Czogala J, et al (2010). The role of pharmacists in smoking cessation in Poland. Eval Health Prof, 33, 81-95. https://doi.org/10.1177/0163278709356190
  8. Han YW, Mohammad M, Liew SM (2014). Effectiveness of a brief physician counseling session on improving smoking behavior in the workplace. Asian Pac J Cancer Prev, 15, 7287-90. https://doi.org/10.7314/APJCP.2014.15.17.7287
  9. Hudmon KS, Bardel KL, Kroon LA, et al (2005). Tobacco education in U.S. schools of pharmacy. Nicotine Tob Res, 7, 225-32. https://doi.org/10.1080/14622200500055392
  10. Hudmon KS, Corelli RL (2009). ASHP therapeutic position statement on the cessation of tobacco use. Am J Health-Syst Pharm, 66, 291-307. https://doi.org/10.2146/ajhp070303
  11. Hudmon KS, Prokhorov AV, Corelli RL (2006). Tobacco cessation counseling: Pharmacists' opinions and practices. Patient Educ Counsel, 61, 152-60. https://doi.org/10.1016/j.pec.2005.03.009
  12. Indonesian Association of Higher Education of Pharmacy (2009). National curriculum for bachelor and professional program of pharmacy [Online]. Jakarta. Available: http://aptfi.or.id/?cat=10 [Accessed 03 March 2013].
  13. Kimman M, Norman R, Jan S, et al (2012). The burden of cancer in member countries of the Association of South East Asian Nation (ASEAN). Asian Pacific J Cancer Prev, 13, 411-20. https://doi.org/10.7314/APJCP.2012.13.2.411
  14. Lian TY, Dorotheo U (2013). The ASEAN Tobacco Control Atlas. Bangkok: Southeast Tobacco Control Alliance.
  15. McRobbie H, McEwen A (2005). Helping smokers to stop: Advice for pharmacists in England [Online]. London: UK: National Institute for Health And Clinical Excellence. Available: http://www.nice.org.uk/aboutnice/whoweare/aboutthehda/hdapublications/helping_smokers_to_stop_advice_for_pharmacists_in_england.jsp [Accessed 17 March 2013].
  16. Oberoi SS, Sharma G, Nagpal A, et al (2014). Tobacco cessation in India: how can oral health professionals contribute. Asian Pac J Cancer Prev, 15, 2383-91. https://doi.org/10.7314/APJCP.2014.15.5.2383
  17. Panda R, Persai D, Mathur M, et al (2013). Perception and practices of physicians in addressing the smokeless tobacco epidemic: Findings from two states in India. Asian Pac J Cancer Prev, 14, 7237-41. https://doi.org/10.7314/APJCP.2013.14.12.7237
  18. Prabandari Y, Attobari J, Dewi A, et al (2012). Developing tobacco-related disease modules into existing medical curriculum: lessons from the Faculty of Medicine, Univerisity of Gadjah Mada, Yogyakarta, Indonesia. 16th world conference on tobacco or health, Singapore.
  19. Saba M, Bittoun R, Saini B (2013). A workshop on smoking cessation for pharmacy students. Am J Pharm Educ, 77, 198. https://doi.org/10.5688/ajpe779198
  20. Saba M, Diep J, Bittoun R, et al (2014). Provision of smoking cessation services in Australian community pharmacies: a simulated patient study. Int J Clin Pharm, 36, 604-14. https://doi.org/10.1007/s11096-014-9944-7
  21. Schmelz AN, Nixon B, McDaniel A, et al (2010). Evaluation of an online tobacco cessation course for health profession students. Am J Pharmaceut Educ, 74, 36. https://doi.org/10.5688/aj740236
  22. Siiskonen S (2004). Pharmacists against tobacco. global network of pharmacists against tobacco update. geneva: international pharmaceutical federation (FIP).
  23. Wong KY, Seow A, Koh WP, et al (2010). Smoking cessation and lung cancer risks in an Asian population: findings from the Singapore Chinese Health Study. Br J Cancer, 103, 1093-6. https://doi.org/10.1038/sj.bjc.6605782
  24. World Health Organization (2004). Code of practice on tobacco control for health professional organizations. Geneva.
  25. World Health Organization (2014). Toolkit for delivering the 5A's and 5R's brief tobacco interventions in primary care. Geneva.
  26. Yadav A, Goel S, Sharma VL (2014). Integration of tobacco control in Masters of Public health curricula of India. Asian Pac J Cancer Prev, 15, 5611-5. https://doi.org/10.7314/APJCP.2014.15.14.5611
  27. Zheng WM, McLerran DF, Rolland BA, et al (2014). Burden of total and cause-specific mortality related to tobacco smoking among adults aged $\geq$ 45 years in Asia: A pooled analysis of 21 cohorts. Plos Medicine, 11, 4.

Cited by

  1. How is Indonesia coping with its epidemic of chronic noncommunicable diseases? A systematic review with meta-analysis vol.12, pp.6, 2017, https://doi.org/10.1371/journal.pone.0179186
  2. Early experience with a health promotion course for pharmacy students in Indonesia pp.1748-8176, 2017, https://doi.org/10.1177/0017896917732362
  3. Tobacco-Related Education in Schools of Pharmacy in the Middle East: A Multinational Cross-Sectional Study vol.20, pp.5, 2017, https://doi.org/10.1093/ntr/ntx031