Tobacco Treatment TrAining Network in Greece & Cyprus

NCT03040349 | Unknown

• 1 other identifier: ELKE4599
• Study Type: interventional
• Target: 300
• Locations: 1 country
• Sites: 1

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

Conditions

Tobacco Use

Keywords

primary care; greece; cyprus; tobacco use treatment; evidence-based guidelines

Outcome Measures

Primary Outcomes (1)

• Provider Performance in the Delivery of Cessation Treatments assessed via patient exit survey

  Performance in the delivery of each of the 5As will be assessed via exit interview with eligible patients. The survey will ask participants to respond either "yes" or "no" or "don't know" regarding whether their PHC provider asked them about their smoking status (ask); advised them to quit smoking (advise); assessed their readiness to quit (assess); provided assistance with quitting (assist); prescribed pharmacotherapy, provided self-help materials, and arranged follow-up support

  Change between pre-intervention and post intervention (3-months)

Secondary Outcomes (2)

• Provider Self-efficacy assessed by questionnaire

  Change between pre-intervention and post-training (1-month)

• Provider knowledge assessed by questionnaire

  Change between pre-intervention and post intervention (3-months)

Study Arms (1)

TiTAN Intervention

EXPERIMENTAL

The TiTAN Crete program has adapted the existing curricula and resources originally developed at the University of Ottawa Heart Institute and which are specific to primary practice settings. To facilitate maximum uptake the intervention program was adapted to reflect: language; cultural appropriateness; local patient beliefs and attitudes regarding tobacco-use and cessation; local social and clinical norms; provider perceptions surrounding 5As delivery; and, practice characteristics. The TiTAN multi-component training includes: 1) a 1-day foundational tobacco treatment training program for general practitioners, 2) the dissemination of provider and patient tools, and 3) E-blasts and webinars to supplement skills development and continuing medical education through e-learning.

Behavioral: Training; Behavioral: Provider and Patient Tools; Behavioral: E-blast and Webinars

Interventions

Training BEHAVIORAL

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.

TiTAN Intervention

Provider and Patient Tools BEHAVIORAL

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

TiTAN Intervention

E-blast and Webinars BEHAVIORAL

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.

TiTAN Intervention

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• are a current smoker (\>5 cigarette per day on most days of the week);
• are 18 years of age or older;
• are scheduled for an annual exam or non-urgent medical appointment at the primary care clinic;
• are able to read and/or understand Greek; and,
• have the mental capacity to provide informed consent and complete study protocols.

You may not qualify if:

• n/a

Sponsors & Collaborators

• University of Crete: lead
• Ottawa Heart Institute Research Corporation: collaborator
• Aristotle University Of Thessaloniki: collaborator
• Global Bridges Healthcare Alliance for Tobacco Dependence Treatment (Mayo Clinic): collaborator
• University of Ioannina: collaborator
• University of Nicosia: collaborator
• Pfizer Grants for Learning and Change: collaborator

Study Sites (1)

University of Crete

Heraklion, Crete, 71500, Greece

Location

MeSH Terms

Conditions

Tobacco Use

Condition Hierarchy (Ancestors)

Behavior

Study Officials

• Christos Lionis, MD, PhD

  University of Crete

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Christos Lionis

CONTACT

302810394621; lionis@uoc.gr

Sophia Papadakis

CONTACT

306982551782; sophiapapadakis@gmail.com

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Professor, Clinic of Social and Family Medicine, Dept Medicine

Study Record Dates

• First Submitted: January 30, 2017
• First Posted: February 2, 2017
• Study Start: February 1, 2017
• Primary Completion: September 1, 2019
• Study Completion: December 1, 2019
• Last Updated: February 2, 2017

Record last verified: 2017-01

Data Sharing

• IPD Sharing: Will not share

Locations

GR (1)