Tobacco Treatment TrAining Network in Greece & Cyprus

Summary

The overall aim of the TiTAN Greece \& Cyprus project is to expand the Global Bridges Tobacco Treatment Training Network in the WHO Europe region through a focus on primary health care providers in Greece and Cyprus. A robust evaluation will be conducted alongside the TiTAN program. A pre-post evaluation will be used to examine the impact on the TiTAN program on:

1. Provider engagement (number of providers attending training), number of local champions;
2. Provider knowledge, beliefs, perceived behavioral control, and intentions related to the delivery of tobacco treatment;
3. Rates of evidence-based tobacco treatments (5As) are delivered to patients who smoke;
4. Provider satisfaction with training program, resources, and network outreach activity and areas for improvement; and
5. Estimates on the impact on patient-level outcomes including number of patient quit smoking at 1 and 3-month follow-up.

All PHC providers will be surveyed before and after the intervention program is delivered. We will randomly select a sub-sample of providers and will survey patients from their practice before and after the intervention program in order to validate changes in 5As delivery. Qualitative interviews will be completed with a sub-sample of providers at the end of year 1.

Conditions

• Tobacco Use

Interventions

BEHAVIORAL

Training

The training program consists of a one-day core session addressing tobacco use with patients in the context of a busy primary care practice setting.The curriculum design was designed to be 2/3 theory and 1/3 practical. The program employs teaching techniques including role-play and case-study approaches known to enhance practice change.

BEHAVIORAL

Provider and Patient Tools

Provider and patient tools were translated and adapted for use in primary care settings in Greece. A tool kit of resources will be distributed to providers which includes: patient tobacco use survey; provider consult form; provider medication reference sheet; patient quit plan booklet; and, waiting room posters. The provider consult form uses a checklist style set-up and provides real-time reminders for conducting an initial smoking cessation visit and follow-up appointments. The TiTAN Crete tools are available online at www.titan.uoc.gr

BEHAVIORAL

E-blast and Webinars

In order to develop the network and continue to provide training opportunities for skills development we will develop a communication platform via an email list-serv to proactively communicate with providers who participate in the TiTAN program. A quarterly e-blast will be sent to all health care professionals involved in the TiTAN program. The e-blast will address the latest evidence-base practice, and skill development. Links to videos will also be provided. A webinar series will be scheduled to cover topics identified as interest by the primary health care providers. The webinar series will also be linked the Global Bridges EPACTT project.

Sponsors & Collaborators

• Ottawa Heart Institute Research Corporation

  collaborator OTHER

• Aristotle University Of Thessaloniki

  collaborator OTHER

• Global Bridges Healthcare Alliance for Tobacco Dependence Treatment (Mayo Clinic)

  collaborator UNKNOWN

• University of Ioannina

  collaborator OTHER

• University of Nicosia

  collaborator OTHER

• Pfizer Grants for Learning and Change

  collaborator UNKNOWN

• University of Crete

  lead OTHER

Principal Investigators

• Christos Lionis, MD, PhD · University of Crete

Study Design

Allocation

NA

Purpose

TREATMENT

Masking

NONE

Model

SINGLE_GROUP

Eligibility

Min Age

18 Years

Sex

ALL

Healthy Volunteers

Yes

Timeline & Regulatory

Start

2017-02-28

Primary Completion

2019-09-30

Completion

2019-12-31

Countries

• Greece

Study Locations