Learning Needs Assessment - PACT- preworkshop

1. Building a Healthier Saskatchewan - Provincial Tobacco Reduction Strategy

Stakeholders with expertise and experience in tobacco use reduction have been working with the Ministry of Health to deliver a comprehensive provincial tobacco strategy. This provincial strategy is guided by the principles of respect, engagement and transparency with three main goals: Prevention, Protection, and Cessation. To find out more about the strategy visit: www.health.gov.sk.ca/tobacco-reduction.

In a few days, you will attend a tobacco cessation workshop called PACT (Partnership to Assist with Cessation of Tobacco). PACT was designed to expand the scope of cessation training opportunities in the province; provide tools and supportive networks for those working in cessation; and provide a standardized approach to cessation delivery across health regions, facilities,and among various health care providers.

Please take a few minutes to complete the following survey. Your answers are extremely important because they will assist the cessation training team to deliver a workshop that will meet your learning objectives. All answers and information are kept strictly confidential. Thank you.

Question Title

* 1. Please estimate your knowledge/confidence level in each of the following areas:
Scale:
1. Limited Knowledge or Confidence
2. Moderate Knowledge or Confidence
3. Very Knowledgeable and Confident

	1	2	3
Initiating a conversation about tobacco use	Initiating a conversation about tobacco use 1	Initiating a conversation about tobacco use 2	Initiating a conversation about tobacco use 3
Determining the readiness of the patient to quit	Determining the readiness of the patient to quit 1	Determining the readiness of the patient to quit 2	Determining the readiness of the patient to quit 3
Recommending the most appropriate nicotine replacement therapy	Recommending the most appropriate nicotine replacement therapy 1	Recommending the most appropriate nicotine replacement therapy 2	Recommending the most appropriate nicotine replacement therapy 3
Providing patient information about Bupropion(Zyban) or Varenicline(Champix)	Providing patient information about Bupropion(Zyban) or Varenicline(Champix) 1	Providing patient information about Bupropion(Zyban) or Varenicline(Champix) 2	Providing patient information about Bupropion(Zyban) or Varenicline(Champix) 3
Knowing when to refer the patient to a physician	Knowing when to refer the patient to a physician 1	Knowing when to refer the patient to a physician 2	Knowing when to refer the patient to a physician 3
Knowledgable about Sacred Tobacco use	Knowledgable about Sacred Tobacco use 1	Knowledgable about Sacred Tobacco use 2	Knowledgable about Sacred Tobacco use 3
Helping patients make behavioral modifications	Helping patients make behavioral modifications 1	Helping patients make behavioral modifications 2	Helping patients make behavioral modifications 3
Dealing with smoking cessation medication side effects	Dealing with smoking cessation medication side effects 1	Dealing with smoking cessation medication side effects 2	Dealing with smoking cessation medication side effects 3
Dealing with patient concerns ie weight gain, stress management, withdrawal symptoms	Dealing with patient concerns ie weight gain, stress management, withdrawal symptoms 1	Dealing with patient concerns ie weight gain, stress management, withdrawal symptoms 2	Dealing with patient concerns ie weight gain, stress management, withdrawal symptoms 3
Conducting follow-up calls	Conducting follow-up calls 1	Conducting follow-up calls 2	Conducting follow-up calls 3
Referring the patient to a community resource working in cessation	Referring the patient to a community resource working in cessation 1	Referring the patient to a community resource working in cessation 2	Referring the patient to a community resource working in cessation 3
Motivational interviewing	Motivational interviewing 1	Motivational interviewing 2	Motivational interviewing 3

Question Title

* 1. Please estimate your knowledge/confidence level in each of the following areas:Scale: 1. Limited Knowledge or Confidence2. Moderate Knowledge or Confidence3. Very Knowledgeable and Confident

* 1. Please estimate your knowledge/confidence level in each of the following areas:
Scale:
1. Limited Knowledge or Confidence
2. Moderate Knowledge or Confidence
3. Very Knowledgeable and Confident