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Evaluation & the Health Professions
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Health Care Workers in the Dominican Republic: Self-Perceived Role in Smoking Cessation

Ann M. Dozier

University of Rochester Medical Center, ann_dozier@ urmc.rochester.edu

Deborah J. Ossip

University of Rochester Medical Center

Sergio Diaz

Pontificia Universidad Catolica Madre y Maestra, Dominican Republic

Essie Sierra-Torres

Rochester Institute of Technology

Zahira Quiñones de Monegro

Pontificia Universidad Catolica Madre y Maestra, Dominican Republic

Latoya Armstrong

Smoke Free Kids

Nancy P. Chin

University of Rochester Medical Center

Scott McIntosh

University of Rochester Medical Center

A Dominican Republic (DR)—based multi-community trial of smoking cessation viewed health care workers (HCWs) as potential interventionists. Effectively engaging them requires a clear understanding of their attitudes and practices regarding smoking. A Rapid Assessment Procedure, conducted among HCWs in six economically disadvantaged communities, included physicians, nurses, other health professionals, paraprofessionals, and lay workers. Attitudes and practices about smoking were consistent across the 82 HCWs and mostly reflected community views. HCWs lacked proactiveness related to smoking cessation and had a limited view of their role, attributing clients' quitting successes to personal will. Prior cessation training was limited, although interest was generally high. Material resources about smoking cessation were virtually absent. DR HCWs' views represented features both distinct from and common to HCWs elsewhere. Any intervention with HCWs must first raise awareness before addressing their role in smoking cessation, discussing implementation barriers, and include training and materials about risks and effective interventions.

Key Words: tobacco cessation • qualitative methods • Dominican Republic

Evaluation & the Health Professions, Vol. 32, No. 2, 144-164 (2009)
DOI: 10.1177/0163278709333152
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