Background:
Smoking in Poland remains one of the most important public health challenges. Roughly a quarter Polish adults report current smoking. The rate of smoking among Polish females is high, leading cancer, and lung cancer in particular, to rise in this group. Thus, there is a need for novel approaches to promote cessation in Poland.

Objective:
The aim of the study was to examine facilitators and barriers to translating the QuitAid intervention, a pharmacy-delivered smoking cessation program developed in the United States, in Poland.

Methods:
In the current study, we explored key factors necessary for adaptation and implementation of the QuitAid program in Poland and identify next steps and future directions. The QuitAid program is a 5-session pharmacist-delivered smoking cessation medication management intervention.

Results:
There is a lack of data on utilizing pharmacists to deliver smoking cessation services in Poland. However, current data suggests that pharmacists are perceived as a source for smoking cessation advice by smokers. Additionally, most Polish pharmacists (79%) report sufficient knowledge to provide tobacco cessation counseling. Barriers to implementing the QuitAid intervention include a need for pharmacists to receive reimbursement for providing smoking cessation and providing pharmacotherapy at no cost to smokers interested in quitting. Other factors which will likely impact on the implementation of QuitAid in Poland include standardized training for pharmacists, a well-developed network of pharmacies and pharmacy outlets in Poland which can support the implementation of the intervention, and a standardized documentation and billing system for providing both pharmacotherapy and the QuitAid intervention.

Conclusions:
Using available resources, such as pharmacists, more effectively, through a community-based approach, is critical to reduce the burden of cancer associated with smoking in Poland, particularly among females.