Publication: Effectiveness of debriefing after a short training on brief tobacco intervention for nursing students: a randomized clinical trial
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Date
2025-05-13
Authors
Ramos Morcillo, Antonio Jesús ; Leal Costa, César ; Suárez Cortés, María ; Molina Rodríguez, Alonso ; Ruzafa Martínez, María
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Facultad de Enfermería
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Publisher
Elsevier
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DOI
https://doi.org/10.1016/J.NEPR.2025.104393
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info:eu-repo/semantics/article
Description
Abstract
Aim: To determine the effectiveness of debriefing after the objective assessment of brief tobacco interventions (BTI) training and its changes after 3 and 9 months. Design: Controlled clinical trial with random assignment by blocks. Methods: 145 sec-year students enrolled in a 4-year nursing degree program participated in the study, with 80 in the intervention group and 65 in the control group. Training according to the 5As (Ask, Advise, Assess, Assist and Arrange) and 5Rs (Relevance, Risks, Rewards, Roadblocks and Repetition) model was provided to both the control and experimental groups as a brief tobacco intervention strategy in primary care. Presentation of three clinical scenarios through videotaped objective structured clinical examination (VOSCE) and assessment with the BTI-St© tool. Posterior debriefing with the experimental group. Descriptive statistical analyses, 2-factor repeated measures ANOVA. Each subject was measured 5 times. (ID protocol: NCT06564766). Results: The time*group interaction results demonstrated significant differences with large effect sizes across all three scenarios. In the experimental groups, the most notable differences were observed immediately after the debriefing compared with baseline. Although these differences decreased over time, they remained present at 3 and 9 months in all scenarios relative to the baseline. Conclusions: The inclusion of debriefing in a brief intervention for learning about BTI within the context of primary care of nursing students resulted in a significant increase in their learning and greater durability, at least after nine months.
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Citation
Nurse Education in Practice 86 (2025) 104393
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