Tobacco treatment TrAining Network in Crete (TiTAN-Crete): protocol for a controlled before-after study
Tobacco treatment TrAining Network in Crete (TiTAN-Crete): protocol for a controlled before-after study
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DOI：
10.18332/tpc/63823
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发表时间：
2016-06-01
影响因子：
1.8
通讯作者：
Lionis, Christos
中科院分区：
文献类型：
--
作者：
Girvalaki, Charis;Papadakis, Sophia;Lionis, Christos
希腊的烟草使用率是欧洲最高的国家之一，造成了巨大的慢性病和死亡负担。有很大一部分吸烟者表示有戒烟的兴趣。家庭医学实践已被确定为识别烟草使用者、提供戒烟建议和提供烟草治疗干预的重要环境。5A模式(询问、建议、评估、协助、安排)是解决临床环境中烟草使用的循证模式。希腊初级保健临床医生在执业中解决烟草使用问题的比率尚不清楚，但与其他国家一样，据悉是次优的。这篇文章描述了一项前后对照研究的原理、设计和方案，以比较希腊伊拉克利翁初级保健实践中戒烟干预的有效性。泰坦-克里特岛的干预措施包括为期一天的烟草治疗培训计划，分发提供者和患者资源，以及两次助推器培训课程。将对参与的提供者和他们诊所的横断面患者样本进行调查。结果测量包括提供者态度和信念的变化，感知的行为控制，意图，以及与戒烟治疗相关的障碍。提供者向患者提供烟草治疗的比率将通过患者5A交付的报告来衡量。将使用多水平建模来检查干预的效果。这项研究将使人们更好地了解如何最好地帮助希腊的临床医生提高向吸烟者提供戒烟治疗的比率。
INTRODUCTION Rates of tobacco use in Greece are among the highest in Europe and are responsible for an enormous burden of chronic disease and death. A large proportion of tobacco users report an interest in quitting. Family medicine practices have been identified as important settings for identifying tobacco users, delivering advice to quit smoking, and providing tobacco treatment interventions.The 5A's (ask, advice, assess, assist, arrange) schema is an evidence-based model for addressing tobacco use in clinical settings. The rates at which primary care clinicians in Greece address tobacco use in their practice is unknown but, as in other countries, is understood to be sub-optimal. This paper describes the rationale, design, and protocol for a pre/post, controlled study to compare the effectiveness of a smoking cessation intervention delivered in primary care practices in Heraklion, Greece. The TiTAN-Crete intervention includes a 1-day tobacco treatment training program, dissemination of provider and patient resources and two booster training sessions. Participating providers and a cross-sectional sample of patients from their practices, will be surveyed. Outcome measures include changes in provider attitudes and beliefs, perceived behavioral control, intentions, and barriers related to smoking cessation treatment delivery.Rates at which providers deliver tobacco treatment to patients will be measured by patient report of 5As delivery. Multi-level modeling will be used to examine the effects of the intervention. This study will lead to a better understanding of how to best assist clinicians in Greece to enhance the rates at which smoking cessation treatments are delivered to smokers.