TiTAN Greece & Cyprus – Primary Care Tobacco Treatment TrAining Network in Greece & Cyprus

Introduction Our goals are to: 1) disseminate a high-quality tobacco dependence treatment training program to PHC providers based on guidelines of best practice; 2) disseminate a tool kit of patient/ provider resources to support integration of tobacco treatment into PHC settings; 3) provide outreach and booster education to the network of PHC providers. Material and Methods The TiTAN program is designed to move beyond generic smoking cessation training and provide training and protocols that have been tailored for use in busy primary care practice. The program involves an adaptation of the Ottawa Model for Smoking Cessation that was successfully pilot tested (n=52) in Greece as part of the TiTAN Crete Project (2014-2016). The TiTAN-Greece & Cyprus Project we will further expand the network by training 300 PHC providers (family medicine residents, PHC nurses, allied health professionals) in four geographic regions in Greece (Crete, Athens, Ioannina, Thessaloniki) and Cyprus. Results A pre-post evaluation (n=300) will be used to examine the impact of the program on: i) provider attitudes, knowledge, intentions; and ii) rates of evidence-based tobacco treatments (5As) delivery. We will randomly select a sub-sample of providers (n=20) and will survey patients (n=800) from their practice in order to validate changes in 5As delivery. Conclusions The TiTAN project will provide leadership and coordination for the dissemination of both a professional training program and practice tools that are tailored to support busy PHC providers and increase the number of tobacco control champions working in Greece and Cyprus.