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Advancing the Role of Pharmacy in Tobacco Cessation

提升药房在戒烟中的作用

基本信息

批准号：
10251201
负责人：
KAREN S HUDMON
金额：
$ 28.31万
依托单位：
PURDUE UNIVERSITY
依托单位国家：
美国
项目类别：
财政年份：
2019
资助国家：
美国
起止时间：
2019-09-18 至 2024-08-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/10251201
关键词：
Address Arizona Awareness Bupropion California Centers for Disease Control and Prevention (U.S.)Colorado Communities Continuing Education Counseling Development E-learning Ensure Evaluation Excision FDA approved Faculty Feedback Funding Future Goals Grant Health Health Expenditures Health Personnel Health Professional Hour Human Resources Idaho Indiana Individual Kentucky Laws Maine Methodology Methods Minor Morbidity - disease rate New Mexico Online Systems Oregon Participant Patient Care Patients Persons Pharmaceutical Preparations Pharmacists Pharmacotherapy Pharmacy Schools Pharmacy Students Pharmacy facility Phase Population Process Program Development Protocols documentation Provider Role Schools Series Site Smoke Smoker Speed Statutes and Laws Students Surveys Time Tobacco Tobacco Use Cessation Tobacco use Trainers Training Training Training Programs United States United States Public Health Service Work authority base care outcomes effective therapy evidence base experience innovation meetings member mortality nicotine replacement novel strategies program dissemination programs quitline response skills smoking cessation theories tobacco user varenicline

项目摘要

Although most tobacco users would like to quit, the majority do not receive professional assistance, and fewer than 5% who try to quit on their own are successful. The most effective approach for quitting combines pharmacotherapy with counseling, yet few clinicians routinely address tobacco use in practice. In recent years, only minor advancements have been made toward increasing the proportion of patients who receive professional assistance or use FDA-approved cessation medications, and novel approaches are needed to disrupt the status quo. One largely untapped yet highly accessible population of providers is pharmacists. In 2004, New Mexico implemented the first protocol granting pharmacists authority to prescribe smoking cessation medications, and eight additional states recently have signed similar legislation into law (with another 14 states in the process). While the passage of legislation is an essential first step, the second step – preparing the profession to act on these new prescriptive authorities – is equally important. The primary objective of this R25 application is to provide assistance to states attempting to advance pharmacy’s role in tobacco cessation. Through partnerships with key organizations, we will develop and disseminate training programs for all members of the pharmacy profession: pharmacists, pharmacy technicians, and pharmacist preceptors who host experiential training sites for pharmacy students. Program development and dissemination will be grounded in theory, building upon strong methodology established in our team’s prior work. More broadly, we will build bridges between the pharmacy profession, State Departments of Health, and tobacco quitlines, thereby providing patients with increased access to evidence-based methods for quitting. The specific aims of this R25 application are to: AIM 1. Develop a suite of live and enduring web-based tobacco cessation training programs for (a) pharmacy personnel, including pharmacists and technicians, and (b) pharmacist preceptors who host experiential training sites for pharmacy students. AIM 2. In a pilot Phase I (Years 01/02), conduct a series of 5 live training programs for Indiana pharmacists and launch web-based trainings for Indiana pharmacists and technicians. AIM 3. Revise materials, as appropriate, based on feedback from Phase I participants prior to a full-launch Phase II (Years 02–05), providing live and web-based trainings in states where pharmacists can prescribe smoking cessation medications. Overall, an estimated 5,680 pharmacists and 1,000 technicians will be trained. AIM 4. Apply a mixed methods evaluation approach to estimate the reach and impact of the training programs. This proposed educational initiative is both timely and needed—importantly, it capitalizes on heightened awareness due to recent legislative advances, and it builds upon our team’s decades of experience in training pharmacists, technicians, and students to assist their patients with the cessation of tobacco use.

虽然大多数烟草使用者都想戒烟，但大多数人得不到专业帮助，而且得到帮助的人更少