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June 14, 2026BMJ Public HealthOpen Access

Change in self-reported tobacco cessation support practices among HIV providers in Kisumu, Kenya: a pre–post evaluation of a web-based training programme nested within the IN-ToUCH cluster randomised trial

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Authors

YOYvonne OlandoRORaphael M OnyangoEBElizabeth A. Bukusi

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Overview

Pre–post evaluation shows improved tobacco cessation support by HIV providers after web-based training.

Key Points

  • Evaluate the effectiveness of a web-based training program on tobacco cessation support practices among HIV providers in Kenya.
  • Pre–post evaluation conducted within 19 HIV clinics participating in a cluster randomized trial.
  • Healthcare providers completed baseline and follow-up surveys after self-paced training on tobacco cessation using the 5As framework.
  • Statistical analysis included McNemar’s test and multivariable mixed-effects logistic regression to assess associations.
  • 201 out of 246 healthcare providers (81.7%) completed the follow-up survey.
  • Significant increases in self-reported delivery of the 5As: asking (92.0% vs 68.2%, p<0.001), advising (93.5% vs 70.2%, p<0.001), assessing (89.6% vs 67.2%, p<0.001), assisting (90.1% vs 56.7%, p<0.001), and arranging follow-up (82.1% vs 36.3%, p<0.001).
  • Certificate-level training linked to higher odds of delivering all 5A components (OR 2.0, 95% CI 1.3 to 3.3).

Cite This Study

Olando et al. (2026) studied this question.

synapsesocial.com/papers/6a2e4753b1cc60ccdea8be55https://doi.org/10.1136/bmjph-2025-003544
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Understanding HIV care providers’ support for tobacco cessation among people living with HIV in Western Kenya: a formative qualitative study2024
  2. 2Barriers and facilitators to delivering tobacco cessation interventions at HIV care clinics in Sub-Saharan Africa: Qualitative application of the consolidated framework forimplementation research2026
  3. 3Assessing the Impact of Smoking Cessation Training for Healthcare Providers: A Pre-Post Intervention Study by the Buntong Health Clinic Quit Smoking Clinic Team2025
  4. 4Abstract 78: A Mixed-Methods Assessment of Factors Associated with Sustained Delivery of Tobacco Use Treatment in HIV Clinics in Vietnam2025
  5. 5Improving tobacco cessation interventions in hospitals: Pre–post evaluation of an innovative health systems intervention in Catalonia (Spain)2024