No registrations found.
ID
Source
Brief title
Health condition
Not applicable.
Sponsors and support
Intervention
Outcome measures
Primary outcome
The percentage of patients that were asked about their smoking status
The percentage of patients who smoke that were advised to quit
The percentage of patients who smoke that were referred to evidence-based behavioural SCC (smoking cessation care)
The percentage of patients who smoke that were connected to evidence-based behavioural SCC
Secondary outcome
Smoking cessation care
The percentage of patients that were supported by the participating HA or PN themselves
The types of evidence-based behavioural support which patients who smoke were referred to
The percentage of patients who smoke that were referred to non-evidence-based behavioural SCC
The percentage of referred patients with smoking-related complaints or diseases
Patients characteristics
Smoking status
Socioeconomic status
Smoking habits (e.g. daily or occasional smoking)
Motivation to quit smoking
Smoking related symptoms
Furthermore, relevant practice (e.g., guideline implementation in practice, connection to evidence-based SCC providers) and healthcare provider characteristics (e.g., perceived advantages and disadvantages of smoking cessation counselling, perceptions of patients who smoke’ quit motivation) will be assessed at baseline (T01) through questionnaires, and used for subgroup analyses.
Background summary
Rationale:
Most smokers are motivated to quit smoking and about a third of all Dutch smokers make serious quit attempts. However, since only a quarter of all quit attempts is supported by evidence-based smoking cessation care, a limited amount of smokers successfully quit following such attempts. Two factors that possibly contribute to the underutilisation of evidence-based smoking cessation support in the Netherlands are: lack of quit advices given by primary healthcare providers and a low referral rate to behavioural smoking cessation support. To ensure that smokers receive the best smoking cessation support, it is important that primary healthcare providers provide all patients who smoke with an adequate quit advice and successfully refer patients that are motivated to quit, to behavioural smoking cessation support.
Objective:
The main goal of this study is to implement a new referral strategy, based on ask-advise-connect (AAC), in the Dutch primary healthcare system and to determine whether patients who smoke are increasingly successfully referred to evidence-based behavioural smoking cessation support, using this new referral strategy compared to care-as-usual.
Study design:
Quasi experimental pre-post design.
Study objective
After implementation of the referral strategy, based on AAC, more smoking patients will be supported during their quit attempts by evidence-based smoking cessation support.
Study design
4
Intervention
In the intervention condition, participating healthcare providers will be educated to apply the new strategy, based on AAC, at the moment of crossover in a 'PTAM' setting. SCC coaches will be invited to join the meeting. In case of insufficient SCC referral options in the region, we will investigate the option of creating new referral options in the region by collaborating with evidence-based national SCC organisations. Online materials will be made available to support the participants and educate them more in depth about SCC and conversation techniques. 3 months after crossover a reflection meeting will be planned.
Inclusion criteria
A primary healthcare provider must be a general practitioner, pharmacist, practice nurse or doctors assistant that participates in a professional healthcare provider group in the Netherlands. We will also include patients who consulted our participating healthcare providers during the week before crossover and the subsequent time point.
There are two inclusion criteria for patients that will fill out the questionnaire: 1) they must be over 16 years old, 2) they must be able to read the Dutch language.
Exclusion criteria
Healthcare provider groups that meet any of the following criteria will be excluded from participation in this study:
1. PTAM groups that function at level 1 according to the standards of IVM, meaning that in practice they hardly prepare or report their meetings. We do not expect such groups to be able to implement the strategy as intended.
Design
Recruitment
IPD sharing statement
Plan description
Followed up by the following (possibly more current) registration
No registrations found.
Other (possibly less up-to-date) registrations in this register
No registrations found.
In other registers
| Register | ID |
|---|---|
| NTR-new | NL8172 |
| Other | METC Zuidwest Holland : N19.123/RM/rm |