Tobacco Treatment TrAining Network in Greece & Cyprus

The overall aim of the TiTAN Greece \& Cyprus project is to expand the Global Bridges Tobacco Treatment Training Network in the WHO Europe region through a focus on primary health care providers in Greece and Cyprus. A robust evaluation will be conducted alongside the TiTAN program. A pre-post evaluation will be used to examine the impact on the TiTAN program on: 1. Provider engagement (number of providers attending training), number of local champions; 2. Provider knowledge, beliefs, perceived behavioral control, and intentions related to the delivery of tobacco treatment; 3. Rates of evidence-based tobacco treatments (5As) are delivered to patients who smoke; 4. Provider satisfaction with training program, resources, and network outreach activity and areas for improvement; and 5. Estimates on the impact on patient-level outcomes including number of patient quit smoking at 1 and 3-month follow-up. All PHC providers will be surveyed before and after the intervention program is delivered. We will randomly select a sub-sample of providers and will survey patients from their practice before and after the intervention program in order to validate changes in 5As delivery. Qualitative interviews will be completed with a sub-sample of providers at the end of year 1.