Impact of Smoking Cessation Training for Community Pharmacists in Indonesia

  • Kristina, Susi Ari (Department of Management and Community Pharmacy, Faculty of Pharmacy, Gadjah Mada University) ;
  • Thavorncharoensap, Montarat (Social and Administrative Pharmacy Excellence Research Unit, Department of Pharmacy, Faculty of Pharmacy, Mahidol University) ;
  • Pongcharoensuk, Petcharat (Social and Administrative Pharmacy Excellence Research Unit, Department of Pharmacy, Faculty of Pharmacy, Mahidol University) ;
  • Prabandari, Yayi Suryo (Department of Public Health, Faculty of Medicine, Gadjah Mada University)
  • Published : 2015.04.29


Background: Community pharmacists play an important role in tobacco control and adequate training on smoking cessation is essential. Materials and Methods: A quasi-experimental pre-test/post-test design was used. A one-day workshop on smoking cessation organized by Indonesian Pharmacists Association as part of PCE program was offered to 133 community pharmacists. The workshop consisted of a 3-hour lecture and a 3-hour role-play session. Pre-training and post-training surveys assessed the impact of training on parameters including knowledge, perceived role and self-efficacy with respect to smoking cessation counseling practices. Intention and ability to perform counseling using the 5A framework was assessed after training only. Results: After PCE, knowledge score significantly increased from $24.9{\pm}2.58$ to $35.7{\pm}3.54$ (p<0.001). Perceived role and self-efficacy in smoking cessation counseling also significantly increased from $25.8{\pm}2.73$ to $28.7{\pm}2.24$, and $27.6{\pm}4.44$ to $32.6{\pm}3.63$, respectively (p<0.001). After the workshop, most participants were willing to ask, advise, and assess patients who ready to quit, but were still less likely to assist in quitting plans and arranging follow up counseling. More than 75% pharmacists were able to perform cessation counseling and 65% of them can completely perform a 5A brief intervention. Conclusions: PCE can enhance pharmacists' knowledge, perceived role, self-efficacy in cessation counseling practices, and create willingness and ability to perform cessation counseling. Future training is recommended to improve skills in assisting quitting plans and arranging follow up.


Continuing education;counseling;Indonesian pharmacists;smoking cessation


  1. Beaglehole R, Bonita R, Horton R ea (2011). Priority actions for the non-communicable disease crisis. Lancet, 377, 1438-47.
  2. Binnal A, Rajesth G, Denny C, et al (2012). Insights into the tobacco cessation scenario among dental graduates: an Indian perspective. Asian Pac J Cancer Prev, 13, 2611-7.
  3. Brewster J, Ashley M, Laurier C, et al (2005). On the front line of smoking cesssation: Education needs of community pharmacists. Can Pharm J, 138, 26-31.
  4. Dent LA, Harris KJ, Noonan CW (2007). Tobacco interventions delivered by pharmacists: A summary and systematic review. Pharmacotherapy, 27, 1040-51.
  5. El Hajj MS, Al Nakeeb RR, Al-Qudah RA (2012). Smoking cessation counseling in Qatar: community pharmacists' attitudes, role perceptions and practices. Int J Clin Pharm, 34, 667-76.
  6. Ficarra MG, Gualano MR, Capizzi S, et al (2010). Tobacco use prevalence, knowledge and attitudes among Italian hospital healthcare professionals. Eur J Public Health, 1-6.
  7. Goniewicz ML, Lingas EO, Czogala J, et al (2010). The role of pharmacists in smoking cessation in Poland. Eval Health Prof, 33, 81-95.
  8. Hudmon KS, Corelli KL (2009). ASHP therapeutic position statement on the cessation of tobacco use. Am J Health-Syst Pharm, 66, 291-307.
  9. Kimman M, Norman R, Jan S, et al (2012). The burden of cancer in member countries of the Association of South East Asian Nation (ASEAN). Asian Pac J Cancer Prev, 13, 411-20.
  10. Kristina SA, Thavorncharoensap M, Pongcharoensuk P, et al (2014). Effectiveness of tobacco education for pharmacy students in Indonesia. Asian Pac J Cancer Prev, 15, 10783-6.
  11. Martin BA, Burkiewitz RH, Chewning BA (2010). Effect of a tobacco cessation continuing professional education program on pharmacists' confidence, skills, and practice-change behaviors. Am J Pharm Assoc, 50, 9-16.
  12. Oberoi SS, Sharma G, Nagpal A, et al (2014). Tobacco cessation in India: how can oral health professionals contribute. Asian Pac J Cancer Prev, 15, 2383-91.
  13. Paek Y, Lee S, Kim Y, et al (2014). Effect on smoking quit rate of telling smokers their health risk appraisal in terms of health age: a randomized control trial. Asian Pac J Cancer Prev, 15, 4963-68.
  14. Panda R, Persai D, Mathur M, et al (2013). Perception and practices of physicians in addressing the smokeless tobacco epidemic: Findings from two states in India. Asian Pac J Cancer Prev, 14, 7237-41.
  15. Rao SVK, Mejia G, Roberts-Thomson K, et al (2013). Epidemiology of oral cancer in Asia in the past decade- An update (2000-2012). Asian Pac J Cancer Prev, 14, 5567-77.
  16. Saba M, Diep J, Bittoun R, et al (2014a). Provision of smoking cessation services in Australian community pharmacies: a simulated patient study. Int J Clin Pharm, 36, 604-14.
  17. Saba M, Diep J, Saini B, et al (2014b). Meta-analysis of the effectiveness of smoking cessation interventions in community pharmacy. J Clin Pharm and Ther, 1-8.
  18. Schindel TJ, Kehrer JP, Yuksel N, et al (2012). University-based continuing education for pharmacists. Am J Pharm Educ, 76.
  19. Shelley D, Cantrell J (2010). The effect of linking community health centers to a state-level smoker's quitline on rates of cessation assistance. BMC Health Serv Res, 10, 25.
  20. Tong EK, Strouse R, Hall J, et al (2010). National survey of U.S. health professionals' smoking prevalence, cessation practices, and beliefs. Nicotine Tob Res, 12, 724-33.
  21. Wong KY, Seow A, Koh WP, et al (2010). Smoking cessation and lung cancer risks in an Asian population: findings from the Singapore Chinese Health Study. Br J Cancer, 103, 1093-6.
  22. Zheng W, McLerran DF, Rolland BA, et al (2014). Burden of total and cause-specific mortality related to tobacco smoking among adults aged $\geq$ 45 years in Asia: A pooled analysis of 21 cohorts. Plos Medicine, 11.

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