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Smoking Cessation in the Netherlands: Introducing a new Referral Strategy for Primary Healthcare Providers

Implementation of a New Referral Strategy for Smoking Cessation in Primary Care: a Quasi Experimental study followed by Process Evaluation and

Status
Recruiting
Phases
Unknown
Study type
Interventional
Source
NL-OMON
Registry ID
NL-OMON29270
Enrollment
200
Registered
2019-11-18
Start date
2020-03-01
Completion date
Unknown
Last updated
2024-02-28

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Not applicable.

Interventions

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

Sponsors

Trimbos-instituut
Lead Sponsor

Eligibility

Inclusion criteria

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

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 outcomes

Primary

MeasureTime frame
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

MeasureTime frame
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.

Contacts

Public ContactLiza Meeuwsen

Leids Universitair Medisch Centrum

e.g.meeuwsen@lumc.nl+31 - (0)71 - 526 8433

Outcome results

None listed

Source: NL-OMON (via WHO ICTRP)