An effective national training and assessment programme for Wales

1. An effective national training and assessment programme for Wales Smoking Cessation in Wales Conference 2013Cardiff, Tuesday 29th January 2013Melanie McIlvarDirector National Centre for Smoking Cessation and Training

2. Aim:To improve the quality of behavioural support offered to smokers wanting to quit with stop smoking services Side effects: • Secure the place that stop smoking services have within public health • Promote and develop the professional identity of individual stop smoking practitioners

3. Approach: • Evidence-based content • Comprehensive design and process • Evaluation to establish effectiveness • Quality and quantity

4. 1. Evidence-based content • Identification of evidence-based behaviour change techniques (BCTs)1,2 • Analysis of BCTs to establish those for which we have evidence of effectiveness3 • Michie S, Hyder N, Walia A, West R (2011) • Michie S, Churchill S, West R (2011) • West R, Walia A, Hyder N, Shahab L, Michie S (2010)

5. Behaviour change techniques (BCTs) • Describe treatment programme • Build rapport • Describe what behavioural support involves • Facilitate and advise on use of social support • Describe stop smoking medications • Assist smoker to set a quit date • Enhance motivation and self-efficacy • Emphasise the importance of the not-a-puff rule • Secure commitment to the not-a-puff rule • Help smoker cope with barriers, cues and triggers • Review experience of medication usage • Advise on adjustment of medication use • Use CO measurement • Deal with discrepancies between self-report and CO measures • Deal with lapses • Assess commitment, readiness and ability to quit

8. 3. Evaluation to establish effectiveness1 1. Brose, L.S., West, R., Michie, S., Kenyon, J. A.M.K & McEwen, A. (2012)

9. 3. Face-to-face training evaluation • Trainees’ confidence in their own competences to deliver effective stop smoking support • Additional question responses at follow-up • 1,039 trainees in 39 courses • 35 courses with follow-up data (N=740)

10. 3. Evaluation to establish effectiveness1 Not confident 1. Brose, L.S., Michie, S., West, R. & McEwen, A. (2012)

12. 4. Quality and quantity • 16,322 practitioners registered with the NCSCT • 8,532 practitioners have passed the NCSCT knowledge assessment • 3,849 of these have gone on to become fully NCSCT Certified by also passing the practice assessment

13. Wales To date (28.01.13): • 14 passed the knowledge assessment • 21 Fully NCSCT Certified • 1 x Face-to-face course delivered - 100% agreed that the course was very interesting, enjoyable and useful - 96.2% agreed that the course had improved their skills - 100% would recommend the course

14. Training benefits • Supports the delivery of high quality and effective interventions – good news for clients! • Provides you with formal recognition of your core knowledge and skills • Offers reassurance and opportunity for reflection • Supports professional identity • Provides access to an on-going resource • Provides access to NCSCT specialty modules

18. www.ncsct.co.uk