Nyo, Kay Khine (2018) Development and evaluation of a hybrid tobacco cessation curriculum (HTCC programme) for Malaysian medical students. PhD thesis, Universiti Sains Malaysia.
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Abstract
Doctors should be knowledgeable in tobacco cessation, should have positive attitudes towards tobacco cessation, and should be confident and competent in tobacco cessation counselling skills. Studies identified lack of tobacco cessation education and formal training in worldwide medical schools including Malaysia. A community trial of the hybrid approach of web-based tobacco cessation (TC) curriculum intervention was conducted among 204 third year medical students from two private medical universities of Northern Malaysia. from 2012 to 2013. They were assigned into the intervention group ( l 04) and control group ( I 00) from a different medical university. Universal sampling method was applied. The objectives of the study were to compare pre-intervention and post-intervention mean scores of within each group and between groups. WTCC program comprised of 9 interactive web-based modules and face-to-face practical sessions. Ethical approval and informed consent were obtained. A validated self-administered questionnaire was administered. Statistical analysis was done by Generalised Estimated Equations (GEE) by SPSS version 19.There were statistical significant improvements between before and 6 months after the intervention of the intervention group in total general knowledge scores in TC and TCC (MD +6.68, 95%CI 2.85-10.51), p<0.001),specific knowledge scores in TC and TCC interventions (5A's and 5R's brief clinical interventions and motivational interviewing) (MD +2.10, 95%Cl l.20-3. I 0, p<0.001), tobacco legislation and enforcement (MD + 1.68, 95%CI 0.85-2.50, p<0.001), positive attitudes towards role of doctors in TC (MD +3.20, 95%CI 1.16- 9.94, p<0.001), self-efficacy scores in basic clinical skills of TCC (MD +4.64, 95%CI 0.59-8.70, p<0.05), acquired training scores in TCC (MD +3.0l,95%CI 2.43- 3.60, p<0.001). There were statistical significant differences between groups in terms of specific knowledge on TC and TCC interventions (p<0.001), knowledge on tobacco legislation and enforcement (p<0.001) and perceived barriers of doctors in TC (p<0.05) positive attitudes towards TC (p<0.001), positive attitudes towards role of doctors in TC (p<0.001) and self-competency in communication skills of TCC (p<0.05). The hybrid delivery of a comprehensive, interactive, web-based tobacco cessation curriculum (WTCC) for third year medical students was effective in improving knowledge, positive attitudes, self-efficacy in basic counselling skills and self-competency in communication skills of TCC. Hence, it should be adopted and integrated in undergraduate medical school curricula in Malaysia.
| Item Type: | Thesis (PhD) |
|---|---|
| Uncontrolled Keywords: | tobacco cessation curriculum |
| Subjects: | R Medicine R Medicine > RA Public aspects of medicine > RA440-440.87 Study and teaching. Research |
| Divisions: | Kampus Kesihatan (Health Campus) > Pusat Pengajian Sains Perubatan (School of Medical Sciences) > Thesis |
| Depositing User: | Mr Abdul Hadi Mohammad |
| Date Deposited: | 16 Jul 2026 04:53 |
| Last Modified: | 20 Jul 2026 02:52 |
| URI: | http://eprints.usm.my/id/eprint/64657 |
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