{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,28]],"date-time":"2026-08-28T22:41:33Z","timestamp":1787956893224,"version":"build-2784847793"},"reference-count":27,"publisher":"MDPI AG","issue":"6","license":[{"start":{"date-parts":[[2022,3,9]],"date-time":"2022-03-09T00:00:00Z","timestamp":1646784000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>Tobacco dependence is a prevalent, chronic, and complex addiction that often leads to long-term disease and death. However, few healthcare providers are sufficiently trained and feel comfortable in delivering tobacco dependence treatment. The purpose of the study was to examine the effectiveness of an accredited online Tobacco Treatment Specialist (TTS) training program that uses a novel, asynchronous approach. We compared the characteristics of participants who completed the program to those who did not complete the program. Changes in knowledge and attitudes in providing tobacco dependence treatment were measured, and satisfaction with the program and intent to pursue national certification were assessed. Participants who were more likely to complete the program were those who discussed quitting less frequently with patients prior to course enrollment. These participants had a significant increase in knowledge and high satisfaction with the course. Approximately half of participants who completed the program indicated that they would pursue obtaining a national certificate in tobacco dependence treatment in the next 2 years.<\/jats:p>","DOI":"10.3390\/ijerph19063201","type":"journal-article","created":{"date-parts":[[2022,3,9]],"date-time":"2022-03-09T01:53:54Z","timestamp":1646790834000},"page":"3201","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":13,"title":["Training Tobacco Treatment Specialists through Virtual Asynchronous Learning"],"prefix":"10.3390","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4310-4630","authenticated-orcid":false,"given":"Audrey","family":"Darville","sequence":"first","affiliation":[{"name":"College of Nursing, University of Kentucky, Lexington, KY 40504, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kathy","family":"Rademacher","sequence":"additional","affiliation":[{"name":"College of Nursing, University of Kentucky, Lexington, KY 40504, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amanda T.","family":"Wiggins","sequence":"additional","affiliation":[{"name":"College of Nursing, University of Kentucky, Lexington, KY 40504, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mary Grace","family":"Lenhof","sequence":"additional","affiliation":[{"name":"College of Nursing, University of Kentucky, Lexington, KY 40504, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8480-1010","authenticated-orcid":false,"given":"Ellen J.","family":"Hahn","sequence":"additional","affiliation":[{"name":"College of Nursing, University of Kentucky, Lexington, KY 40504, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2022,3,9]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"631","DOI":"10.1056\/NEJMsa1407211","article-title":"Smoking and mortality\u2014Beyond established causes","volume":"372","author":"Carter","year":"2015","journal-title":"N. Engl. J. Med."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"213","DOI":"10.1017\/jsc.2016.22","article-title":"Content and methods used to train tobacco cessation treatment providers: An international survey","volume":"12","author":"Kruse","year":"2017","journal-title":"J. Smok. Cessatm"},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"604","DOI":"10.1007\/s13142-011-0096-1","article-title":"Translating preoperative smoking cessation interventions into routine clinical care of veterans: Provider beliefs","volume":"1","author":"Vick","year":"2011","journal-title":"Transl. Behav. Med."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"986","DOI":"10.1007\/s11606-019-04857-3","article-title":"Cigarette smoking and quitting-related factors among us adult health center patients with serious mental illness","volume":"34","author":"Kalkhoran","year":"2019","journal-title":"J. Gen. Intern. Med."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"e1912251","DOI":"10.1001\/jamanetworkopen.2019.12251","article-title":"Association of a comprehensive smoking cessation program with smoking abstinence among patients with cancer","volume":"2","author":"Cinciripini","year":"2019","journal-title":"JAMA Netw. Open"},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"1030","DOI":"10.1016\/j.jacc.2018.06.036","article-title":"Prevention and treatment of tobacco use: JACC health promotion series","volume":"72","author":"Kalkhoran","year":"2018","journal-title":"J. Am. Coll. Cardiol."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"57","DOI":"10.18332\/tid\/109906","article-title":"Smoking cessation in pregnancy: An update for maternity care practitioners","volume":"17","author":"Diamanti","year":"2019","journal-title":"Tob. Induc. Dis."},{"key":"ref_8","unstructured":"World Health Organization (2021, November 22). WHO Framework Convention on Tobacco Control. Available online: http:\/\/apps.who.int\/iris\/bitstream\/handle\/10665\/42811\/9241591013.pdf;jsessionid=BEA8067AD00C32A909A04B8E3174E856?sequence=1."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"1406","DOI":"10.1001\/jama.2020.14581","article-title":"Effect of sustained smoking cessation counseling and provision of medication vs shorter-term counseling and medication advice on smoking abstinence in patients recently diagnosed with cancer: A randomized clinical trial","volume":"324","author":"Park","year":"2020","journal-title":"JAMA"},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"1061","DOI":"10.1093\/ntr\/ntv148","article-title":"Differences in longer-term smoking abstinence after treatment by specialist or nonspecialist advisors: Secondary analysis of data from a relapse prevention trial","volume":"18","author":"Song","year":"2016","journal-title":"Nicotine Tob. Res."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"144","DOI":"10.1007\/s11606-015-3560-7","article-title":"Training Future Physicians to Deliver Tobacco Cessation Treatment","volume":"31","author":"Rigotti","year":"2016","journal-title":"J. Gen. Intern. Med."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"177","DOI":"10.3961\/jpmph.15.061","article-title":"Assessment of tobacco habits, attitudes, and education among medical students in the United States and Italy: A cross-sectional survey","volume":"50","author":"Armstrong","year":"2017","journal-title":"J. Prev. Med. Public Health"},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"269","DOI":"10.1016\/j.jegh.2014.04.001","article-title":"Knowledge about tobacco smoking among medical students in Saudi Arabia: Findings from three medical schools","volume":"4","author":"Jradi","year":"2014","journal-title":"J. Epidemiol. Glob. Health"},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"1222","DOI":"10.1056\/NEJMcp1101512","article-title":"Clinical practice. Treating smokers in the health care setting","volume":"365","author":"Fiore","year":"2011","journal-title":"NEJM"},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"676","DOI":"10.1378\/chest.14-2965","article-title":"Health-care provider screening and advice for smoking cessation among smokers with and without COPD: 2009\u20132010 National Adult Tobacco Survey","volume":"149","author":"Schauer","year":"2016","journal-title":"Chest"},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"1048","DOI":"10.1111\/add.13253","article-title":"Stuck in the catch 22: Attitudes towards smoking cessation among populations vulnerable to social disadvantage","volume":"111","author":"Pateman","year":"2016","journal-title":"Addiction"},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"e006414","DOI":"10.1136\/bmjopen-2014-006414","article-title":"Perceived barriers to smoking cessation in selected vulnerable groups: A systematic review of the qualitative and quantitative literature","volume":"4","author":"Twyman","year":"2014","journal-title":"BMJ Open"},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"e164","DOI":"10.2196\/jmir.4420","article-title":"Prevalence and frequency of mHealth and eHealth use among US and UK smokers and differences by motivation to quit","volume":"17","author":"Borrelli","year":"2015","journal-title":"J. Med. Internet Res."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"172","DOI":"10.1164\/rccm.201705-0909CI","article-title":"Lung cancer screening and smoking cessation clinical trials. SCALE (Smoking Cessation within the Context of Lung Cancer Screening) collaboration","volume":"197","author":"Joseph","year":"2018","journal-title":"Am. J. Respir. Crit. Care Med."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"88","DOI":"10.1016\/j.amepre.2020.01.031","article-title":"Smoking-cessation interventions after lung cancer screening guideline change","volume":"59","author":"Li","year":"2020","journal-title":"Am. J. Prev. Med."},{"key":"ref_21","unstructured":"Association for Treating Tobacco Use and Dependence (2021, November 22). Core Competencies for Evidence-Based Treatment of Tobacco Dependence. Available online: https:\/\/www.attud.org\/pdf\/Standards.pdf."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"229","DOI":"10.1017\/jsc.2014.30","article-title":"Increasing the quality and availability of evidence-based treatment for tobacco dependence through unified certification of tobacco treatment specialists","volume":"11","author":"Sheffer","year":"2016","journal-title":"J. Smok. Cessat."},{"key":"ref_23","unstructured":"The Council for Tobacco Treatment Training Programs (2021, November 22). Accredited Programs. Available online: https:\/\/ctttp.org\/accredited-programs\/."},{"key":"ref_24","doi-asserted-by":"crossref","unstructured":"Sheffer, C.E., Al-Zalabani, A., Aubrey, A., Bader, R., Beltrez, C., Bennett, S., Carl, E., Cranos, C., Darville, A., and Greyber, J. (2021). The emerging global tobacco treatment workforce: Characteristics of tobacco treatment specialists trained in council-accredited training programs from 2017 to 2019. Int. J. Environ. Res. Public Health, 18.","DOI":"10.3390\/ijerph18052416"},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1002\/aehe.20018","article-title":"Student Engagement in Online Learning: What Works and Why","volume":"40","author":"Meyer","year":"2014","journal-title":"ASHE High. Educ. Rep."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"765","DOI":"10.1016\/j.amepre.2021.04.021","article-title":"Tobacco treatment specialist training for lung cancer screening providers","volume":"61","author":"Roughgarden","year":"2021","journal-title":"Am. J. Prev. Med."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"1480","DOI":"10.1093\/ntr\/nty125","article-title":"Evaluation of a Train-the-Trainer Program to build capacity for training tobacco treatment specialists","volume":"21","author":"Jolicoeur","year":"2019","journal-title":"Nicotine Tob. 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