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首页> 外文期刊>Tobacco Prevention and Cessation >Effectiveness of the TITAN-CRETE intervention on rates of tobacco treatment delivery in primary care.
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Effectiveness of the TITAN-CRETE intervention on rates of tobacco treatment delivery in primary care.

机译：TITAN-CRETE干预措施在初级保健中对烟草治疗交付率的有效性。

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Introduction: To report on the effectiveness of the ‘TiTAN Crete – Tobacco Treatment Training Network’ intervention program in influencing general practitioner’s (GP) knowledge, attitudes, self-efficacy and rates of 4As (ask, advice, assist, arrange) tobacco dependence treatment delivery. Material and Methods: A before-after evaluation design was used. The TiTAN Crete intervention included one core training and two booster sessions as well as the dissemination of practice and patient tools to support 4As treatment into clinical routines among a sample of GPs on the islands of Crete in Greece (2015-2016). Participating GPs (n=14), and a cross-sectional sample of patients from their practices (n=984), were surveyed before-and-after the implementation of the intervention program. Multi-level modeling was used to examine the effects of the intervention. Results: High rate of satisfaction were documented, with the majority of general practitioners indicating the training session met their expectations to a “great extent”. Significant increases were documented in six of the thirteen tobacco treatment knowledge areas assessed between the pre and post assessment. A significant increase in GPs self-efficacy was documented between the pre and post assessment (12.5% vs. 64.3%; p=0.016). Rates of delivery of the 4As increased significantly following program implementation (ask: 58.0% vs. 82.8%, p=0.001; advise: 52.5% vs. 81.5%, p Conclusions: The TiTAN Crete intervention was associated with significant increases in GP’s knowledge and attitudes regarding evidence-based tobacco dependence treatment as well as rates of tobacco treatment delivery. Funding: This work was supported by Global Bridges: Healthcare Alliance for Tobacco Dependence Treatment and Pfizer Independent Grants for Learning and Change (GB-13522581).
机译：简介：报告“ TiTAN克里特岛-烟草治疗培训网络”干预计划在影响全科医生（GP）知识，态度，自我效能和4As率（询问，建议，协助，安排）的烟草依赖治疗方面的有效性交货。材料和方法：使用前后评估设计。 TiTAN克里特岛的干预措施包括一次核心培训和两次强化培训，以及在希腊克里特岛上的全科医生样本中（2015-2016年）传播实践和患者工具，以支持将4As治疗纳入临床常规。在干预计划实施前后，对参与的全科医生（n = 14）和来自其实践的患者横断面样本（n = 984）进行了调查。使用多级建模来检查干预措施的效果。结果：记录的满意率很高，大多数全科医生表明培训课程“在最大程度上”达到了他们的期望。在评估之前和评估之后的13个烟草治疗知识领域中，有6个领域记录了显着增长。评估前和评估后，GP的自我效能显着提高（12.5％对64.3％; p = 0.016）。计划实施后，4As的交付率显着增加（询问：58.0％vs. 82.8％，p = 0.001;建议：52.5％vs. 81.5％，p结论：TiTAN Crete干预与GP知识和知识的显着增加有关。关于基于证据的烟草依赖治疗的态度以及烟草治疗的实施率资助：这项工作得到了全球桥梁：烟草依赖治疗医疗保健联盟和辉瑞学习与变革独立补助金（GB-13522581）的支持。

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