Using an Interactive Self-Directed Module to Teach Nicotine Use Disorder Management

Authors

DOI:

https://doi.org/10.5195/ijms.2023.3274

Keywords:

electronic nicotine delivery systems, E-learning, Smoking cessation, Clinical Education, Tobacco cessation, Nicotine use disorder, Self-directed module, Pharmacologic therapy, Clinical counseling, Smoking cessation training

Abstract

Background

Tobacco use is the largest and most preventable cause of morbidity and mortality. Though cessation counseling is an effective treatment, its priority is lowered in overcrowded medical curricula, reducing students’ confidence in clinical counseling. Self-directed e-modules help with didactic lectures and could be used to teach nicotine cessation practices. This study evaluated an interactive self-directed module on students’ knowledge acquisition and confidence in nicotine use disorder management.

Methods

This pre-post interventional study had 155 medical students complete the module between January and December 2022. Students were given knowledge-based pre- and post-module tests, and later a post-module survey to evaluate their learning experience and comfort with nicotine use disorder management. Paired differences between pre- and post-module tests were assessed for the overall- and question-specific scores. The survey data was qualitatively analyzed.

Results

The module significantly improved students' overall test scores with a mean difference of 13.4 (95% CI: 10.5-16.3) between the pre- and post-module tests. There was a significant increase in understanding of electronic nicotine devices' role in smoking cessation (difference: 29.7; CI: 21.2-38.2), evidence-based pharmacology therapy (difference:15.5; CI: 9.2-21.8), and combination treatment plans (difference: 16.1; CI: 8.8-16.1). Topics related to nicotine use disorder diagnosis and the harms of electronic nicotine devices showed no significant change. Additionally, students self-reported a significant improvement in comfort with nicotine use disorder management (difference: 0.75; CI: 0.58-0.93).

Conclusion

Medical students developed knowledge of and confidence in nicotine use disorder management with this interactive self-directed e-module.

References

1. World Health Organization. Tobacco. Available from: https://www.who.int/news-room/fact-sheets/detail/tobacco. Updated 21 Jul 2023; cited 2025 Mar 9.

2. Herold R, Schiekirka S, Brown J, Bobak A, McEwen A, Raupach T. Structured smoking cessation training for medical students: a prospective study. Nicotine Tob. Res. 2016;18(12):2209–15.

3. Zhou S, Van Devanter N, Fenstermaker M, Cawkwell P, Sherman S, Weitzman M. A study of the use, knowledge, and beliefs about cigarettes and alternative tobacco products among students at one US medical school. Acad. Med. 2015;90(12):1713–9.

4. Elfandi S, Poudyal H. Tobacco cessation curriculum in medical schools: a scoping review. J. Clin. Exp. 2023;38(5):1614–23.

5. Raupach T, Al-Harbi G, McNeill A, Bobak A, McEwen A. Smoking cessation education and training in UK medical schools: a national survey. Nicotine Tob. Res. 2015;17(3):372–5.

6. Cook DA, Levinson AJ, Garside S, Dupras DM, Erwin PJ, Montori VM. Internet-based learning in the health professions: a meta-analysis. JAMA. 2008;300(10):1181–96.

7. Ayoub F, Moussa M, Papatsoris AG, Abou Chakra M, Chahine NB, Fares Y. The online learning in medical education: a novel challenge in the era of COVID-19 pandemic. Hell. Urol. 2020;32(2):89–96

8. Moriates C, Valencia V, Stamets S, Joo J, MacClements J, Wilkerson L, Cox SM. Using interactive learning modules to teach value-based health care to health professions trainees across the United States. Acad. Med. 2019;94(9):1332–6.

9. Esquela-Kerscher A, Krishna NK, Catalano JB, Lundberg PS, Kerry JA. Design and effectiveness of self-directed interactive learning modules based on PowerPoint™. Med. Sci. Educ. 2016;26:69–76.

10. SAS Institute Inc. SAS 9.5. Cary, NC: SAS Institute Inc.; 2024.

11. Varma S. Preliminary item statistics using point-biserial correlation and p-values. Educ. Data Stat. Insights. 2016;16(07):1–7.

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Published

2025-10-28

How to Cite

Aggarwal, A., Radke, J., Vakkalanka, J. P., Halbur, C., Sopp, T., Sander, M. L., & Weber, A. N. (2025). Using an Interactive Self-Directed Module to Teach Nicotine Use Disorder Management. International Journal of Medical Students. https://doi.org/10.5195/ijms.2023.3274

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Forthcoming

Section

Short Communication

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