Evidence map›Paper›PMID 38386654›Full record

Trial reportPloS one2024

Effectiveness of online training in improving primary care doctors' competency in brief tobacco interventions: A cluster-randomized controlled trial of WHO modules in Delta State, Nigeria.

Nnamdi Stephen Moeteke, Patrick Oyibo, Oboratare Ochei, Maureen Iru Ntaji, Nyemike Simeon Awunor, Mitchell Oritsewino Adeyemi, Ibobo Mike Enemuwe, Eseoghene Agbatutu, Oluwaseun Opeyemi Adesoye

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in PloS one, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Effectiveness of an Online Training Program on Brief Tobacco Intervention (BTI) for Nurses: A Quasi-Experimental Study. The E-Learning BTI Project.Journal of nursing scholarship : an official publication of Sigma Theta Tau International Honor Society of Nursing · 2025
    Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Nnamdi Stephen MoetekeDepartment of Community Medicine, Delta State University Teaching Hospital, Oghara, Delta State, Nigeria.ORCID 0000-0003-4808-9094
Patrick OyiboDepartment of Health Services Research and Management, City, University of London, London, United Kingdom.ORCID 0000-0002-6467-5416
Oboratare OcheiDepartment of Community Medicine, Delta State University Teaching Hospital, Oghara, Delta State, Nigeria.
Maureen Iru NtajiDepartment of Community Medicine, Delta State University Teaching Hospital, Oghara, Delta State, Nigeria.
Nyemike Simeon AwunorDepartment of Community Medicine, Delta State University Teaching Hospital, Oghara, Delta State, Nigeria.ORCID 0000-0001-7622-3882
Mitchell Oritsewino AdeyemiDepartment of Community Medicine, Delta State University Teaching Hospital, Oghara, Delta State, Nigeria.
Ibobo Mike EnemuweDepartment of Community Medicine, Delta State University Teaching Hospital, Oghara, Delta State, Nigeria.
Eseoghene AgbatutuDepartment of Community Medicine, Delta State University Teaching Hospital, Oghara, Delta State, Nigeria.
Oluwaseun Opeyemi AdesoyeDepartment of Community Medicine, Delta State University Teaching Hospital, Oghara, Delta State, Nigeria.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe World Health Organization (WHO) strongly recommends that brief tobacco interventions should be routinely offered in primary care. However, medical doctors do not consistently and effectively intervene during their encounters with cigarette smokers. There is a paucity of studies assessing the effect of training on the tobacco intervention competency of primary care doctors in Nigeria.

aimTo evaluate the effectiveness of online training in improving competency in brief tobacco interventions among primary care doctors in Delta State, Nigeria.

methodsA cluster-randomized controlled trial was conducted among eligible doctors working in government-owned facilities. The 22 eligible Local Government Areas (LGAs) served as clusters. The intervention group received a WHO six-hour online course on brief tobacco cessation intervention, delivered via Zoom. The control group received no intervention. A structured questionnaire was sent to participants via WhatsApp before and six months after the training. The primary outcome variables were scores for knowledge, attitude, self-efficacy, and practice. Differences in change of scores between intervention and control groups were assessed with t-test. To adjust for clustering, these inter-group differences were further analyzed using linear mixed-effects regression modeling with study condition modeled as a fixed effect, and LGA of practice entered as a random effect.

resultsThe intervention group had a significantly higher mean of change in scores for knowledge (effect size 0.344) and confidence (effect size 0.52).

conclusionThe study shows that training, even online, positively affects clinician competency in brief tobacco intervention. This is important for primary care systems in developing countries. Mandatory in-service training and promotion of the WHO modules are recommended.

Indexed as

Education, DistanceEducation, MedicalPhysiciansPrimary Health CareTobacco Use CessationClinical CompetenceHumansInternetNigeria

Identifiers

PMID38386654
PMCPMC10883549

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.