What makes a difference in cessation: learning from the TiTAN project
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Division of Prevention and Rehabilitation at the University of Ottawa Heart Institute, Ottawa, Canada
Faculty of Medicine at the University of Ottawa, Ottawa, Canada
Clinic of Social and Family Medicine at the University of Crete, Greece
Publication date: 2018-06-13
Corresponding author
Sophia Papadakis   

Division of Prevention and Rehabilitation at the University of Ottawa Heart Institute, Ottawa, Canada
Tob. Prev. Cessation 2018;4(Supplement):A40
Smoking rates in Greece are among the highest in all of Europe and responsible for a large burden of respiratory and other illnesses. The TiTAN (Tobacco Treatment Training Network in Primary Care) project was funded by Global Bridges to provide leadership and coordination for the dissemination of both a professional training program and practice tools that are tailored to support busy primary care providers and increase the number of tobacco control champions working in Heraklion Crete (2014-2016) and in a second phase Greece & Cyprus (2017-2019). This presentation will focus on lessons learned in the implementation and sustainability of the TiTAN training network.

Material and Methods:
The intervention program involves an adaptation of the Ottawa Model for Smoking Cessation. A pre-post evaluation has been used to examine the impact of the program on: i) provider attitudes, knowledge, intentions; and ii) rates of evidence-based tobacco treatments (5As) delivery.

Pre-post evaluation data suggests the TiTAN project has had a significant influence on provider’s attitudes and confidence in tobacco treatment delivery. Local adaptation, and clinical leadership have been important parts of the TiTAN program’s success. Teaching techniques such as role-play, interactive case studies, booster training, and social media have been used to enhance clinician skill and confidence in tobacco treatment delivery. An overview of the evidence-based techniques, key messages and training materials which have been designed for use in the TiTAN project will be presented. Facilitators and challenges faced in the scale-up of the TiTAN network will be discussed.

TiTAN Greece & Cyprus is supported by Global Bridges: Healthcare Alliance for Tobacco Dependence Treatment through a Pfizer Independent Grants for Learning and Change (GB- 25944945).

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