Comparison of two train-the-pharmacist programs for supporting tobacco-nicotine dependence in Japan
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School of Pharmacy, Tokyo University of Pharmacy and Life Sciences, Tokyo, Japan
School of Life Sciences, Tokyo University of Pharmacy and Life Sciences, Tokyo, Japan
Koseikai Sagamidai Hospital, Kanagawa, Japan
Murayama Pharmacy, Tokyo, Japan
Japan Society for Tobacco Control, Tokyo, Japan
Jyoubuya Medical Pharmacy, Tokyo, Japan
Publication date: 2019-10-12
Corresponding author
Hiroko Tobari   

School of Pharmacy, Tokyo University of Pharmacy and Life Sciences, Tokyo, Japan
Tob. Induc. Dis. 2019;17(Suppl 1):A21
To evaluate the effect of two train-the-trainer programs to equip pharmacists for the support of patients with tobacco-nicotine dependence in Japan.

A total of 132 pharmacists participated in either a 2-hour lecture or a half-day program consisting of a 2-hour lecture and 2-hour interactive workshop, conducted in five areas between September 2018 and March 2019. We compared participants’ attitude, self-efficacy, and skills for smoking cessation to determine the effect of two programs.

The 2-hour lectures were attended by 97 pharmacists, while 15 participated in the half-day program. Data were collected using a pre-post survey, with follow-up rates of 89% and 65%, respectively. Prior to the program, 76% of lecture participants and 67% of the half-day program participants were not board-certified tobacco cessation specialists (p<0.11). For both programs, participants’ self-rated attitude, self-efficacy, and skills related to tobacco cessation significantly increased post-training (all p< 0.05). After controlling for potential baseline confounding by age, gender, workplace, smoking status, and registration as a tobacco cessation specialist, participants’ self-efficacy (range: 12-60 points) showed greater improvement for the half-day program compared to the 2-hour lecture, which showed a mean increase of 3.6 points (confidence interval: 0.1 to 7.2; P = 0.04 for between-group comparison).

Both programs significantly improved attitude, self-efficacy, and skills for supporting patients with tobacco-nicotine dependence. The program comprising of both the lecture and the workshop facilitated greater improvement in self-efficacy, compared to the lecture only.