Tobacco treatment TrAining Network in Crete (TiTAN Crete)

The goal of the Tobacco treatment TrAining Network in Crete (TiTAN Crete) is to develop a network of trained primary health care (PHC) providers in Crete, Greece that will integrate treatment of tobacco dependence into daily clinical practice and become champions of tobacco control policy.TiTAN Crete is a project being conducted as a partnership between the Clinic of Social and Family Medicine at the University of Crete (Crete, Greece) and the Division of Prevention and Rehabilitation at the University of Ottawa Heart Institute (Ottawa, Canada). As part of this two-year project we will undertake to design and deliver a multi-component tobacco treatment training program specifically for use in primary care providers practices in Crete. The program will adapt a successful intervention program developed by the University of Ottawa Heart Institute for use in Crete. The training program and in-practice supports have been designed to support primary care providers in delivering the latest evidence-based tobacco treatments to their patients who smoke. The effectiveness of the training program will be tested using a pre-post evaluation design. Data collection will occur in all participating practices before implementation of the program and repeated 6-months later to determine effect on the delivery of evidence-based tobacco treatments. The assets created as part of the TiTAN Crete Program will be available for use more broadly in Crete and Greece following the conclusion of the project

    WHAT’S NEW:

  • TiTAN Crete Primary Care Provider Kick-off Training Session – September 23rd 2015.
  • TiTAN Crete Primary Care Provider Tool Kit.
  • European Smoking Cessation Guidelines 2015 Update.

THE TITAN CRETE TRAINING NETWORK

TiTAN Team

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Clinic of Social and Family Medicine, University of Crete

The Clinic of Social and Family Medicine (CSFM), University of Crete was founded to meet the needs of the local population and to promote research in PHC. The CSFM offers teaching and research opportunities to undergraduates, postgraduates and continued professional training in areas of PHC and had developed its formal postgraduate training program (MSc) in general practice/family medicine and PHC. Actively engaged in international and European research protocols, it has established itself as a pioneering -and unique for Greece- PHC educational and teaching center.

Primary Care Practice Based Research Network

The Primary Care Practice Based Research Network (PBRN) is the first Primary Health Care (PHC) network in Greece to bring together University research activities and daily PHC practice. It is also the first network to embrace both public and private GP practices in translational research. The network contributes to research projects, continued training, and quality of care in PHC in Crete. PBRN members meet monthly and are involved in writing, submitting and implementing studies in collaboration with the Clinic of Social and Family Medicine .

University of Ottawa Heart Institute

The University of Ottawa Heart Institute (UOHI) is one of Canada’s leading Cardiovascular Research and Treatment Centre’s. The UOHI’s Division of Prevention and Rehabilitation has been committed to providing, disseminating world-class, evidence-based tobacco dependence treatment programs in order to increase the number of smokers who quit, reduce the overall prevalence of smoking and strengthen infrastructure for tobacco control in Canada. The UOHI is committed to knowledge translation and influencing professional practice in the treatment of tobacco use. The division has established a leading program of research and dissemination network in clinical approaches to smoking cessation over the last 20 years.

The Ottawa Model for Smoking Cessation

The Ottawa Model for Smoking Cessation (OMSC) is an evidence-based program to support the integration of evidence-based tobacco treatment into clinical settings that has been developed by the University of Ottawa Heart Institute. The OMSC is designed to systematically identify, provide treatment, and offer follow-up to all smokers seen in clinical practice settings including primary care, speciality clinics and hospitals. The OMSC network currently include more than 350 organizations/clinics in Canada.

Global Bridges

Global Bridges is a worldwide science-based initiative to help healthcare providers to treat tobacco dependence while advocating for effective tobacco control policy. The goal of the Global Bridges initiative is to create and mobilize a global network of healthcare professionals and organizations dedicated to advancing effective tobacco dependence. The TiTAN Crete Program is funded by a Global Bridges grant.

TiTAN Crete Team

Professor Christos Lionis, MD, PhD, HonFRCGP

Dr. Lionis is Professor of General Practice and Primary Health Care, and Director of the Clinic of Social and Family Medicine within the School of Medicine at the University of Crete. Prof Lionis has extensive experience in implementing educational and research initiatives within PHC and is actively involved in the development of Primary Care and General Practice in Greece.

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Dr.Constantine Vardavas, MD, RN, MPH, PhD, FCCP

Dr. Constantine Vardavas is a Research Associate of the Clinic of Social and Family Medicine, Faculty of Medicine of the University of Crete Greece. He is an experienced researcher in national, European and International tobacco regulatory science and is the current co Editor-in-Chief of the scientific journal, Tobacco Induced Diseases. He was the scientific director of the HEART Project, a Harvard led initiative to promote tobacco control networking in Greece, a position which places him at a vantage point for developing a tobacco dependence training curriculum that can be applied in Greece.

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Dr.Sophia Papadakis,PhD,MHA

Dr. Sophia Papadakis is a Scientist with the Division of Prevention and Rehabilitation at the University of Ottawa Heart Institute and an Adjunct Professor in the Faculty of Medicine at the University of Ottawa. Dr. Papadakis is currently a Visiting Scientist in the Clinic of Social and Family Medicine at the University of Crete. Sophia is a tobacco treatment specialist and has been involved in the design of several highly successful continuing medical education programs in tobacco control. Dr. Papadakis’ work has been focused on ensuring tobacco treatment training is tailored to the realities of busy primary care clinicians. Prior to joining the team at the University of Crete, Dr. Papadakis is the Program Director for the Primary Care Smoking Cessation Program at the University of Ottawa Heart Institute. She has led the development of a network of 80 family health teams in the province of Ontario who are partnered in the Ottawa Model for Smoking Cessation.

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Professor Andrew Pipe,MD

Dr. Andrew Pipe is Chief of the Division of Prevention and Rehabilitation at the University of Ottawa Heart Institute and Professor in the Faculty of Medicine at the University of Ottawa. Dr. Pipe is one of Canada's foremost experts on tobacco treatment in clinical settings and an international expert in smoking cessation. He was instrumental in the development of the widely adopted Ottawa Model for Smoking Cessation at the Heart Institute. Dr. Pipe has been involved in the development of several tobacco treatment training programs which target health care professionals.

Περισσότερα

Dr Ioanna Tsiligianni, MD, PhD, MPH, IPCRG Board Director

Dr Ioanna Tsiligianni is a general practitioner serving a rural area in Crete since 2003. She is a npj Primary Care Respiratory Medicine Associate Editor and she is on the Board of directors of IPCRG. She holds a master in Public Health & Health Care Management (MPH/HCM) and two PhDs one from the Faculty of Medicine, University of Crete regarding interstitial lung diseases and one from the University of Groningen regarding health status and COPD. She collaborates as a researcher with the University Medical Centre of Groningen, The Netherlands, Department of General Practice, the Clinic of Social and Family Medicine, Faculty of Medicine, University of Crete, and the Pulmonologist Department in the Faculty of Medicine, University of Crete. She had a six months sub-specialization in smoking cessation techniques, Pulmonology Department, University of Crete. She has more than 60 publications in international pubmed journals and a significant presentation on international and national conferences. She was the chair of the 7th IPCRG World Conference. She coordinated the development of the first national guidelines for primary care on COPD and asthma in Greece. The main topic of her research is primary care respiratory medicine with a special focus on COPD and asthma. She is also interested in health outcomes assessment as well as in the use of diagnostic tools in chronic diseases. Most of her current research is mainly related to COPD, health status and lung function, primary health care, and family medicine

Dr.Manolis Symvoulakis,MD,PhD

Dr. Symvoulakis, is a practicing GP within the PBRN and affiliated with the CSFM. He has collaborated extensively with the research team in the past and is experienced with issues related to the implementation of training modules within PHC settings.

Mr. Myron Galenianos, BSc, MSc

Grants Manager

Mr. Galenianos, is the grants manager of the CSFM of the University of Crete. He has extensive experience in handling national and international grants. Mr. Galenianos will be responsible for financial administration.

Ms.Charis Girvalaki, BSc. MPH, PhD candidate

Research Assistant

Charis Gravelakis is a doctoral trainee in the Clinic of Family Medicine at the University of Crete. Ms. Gravelakis doctoral research will examine the use of the theory of planned behavior in understanding outcomes related to the TiTAN Crete intervention program among primary care physicians.

Ms. Chrysanthi Psaroudaki,BSc

Assistant

Ms. Psaroudaki will provide administrative support to the project team including GP recruitment, scheduling and logistics for training and data collection activities.

TiTAN Crete

TiTAN Crete was designed by a team of international experts to train primary care physicians in Crete in the latest evidence-based treatments to address tobacco use with their patients

TRAINING MATERIALS

The TiTAN Crete Program will host a 1-day kick-off training session for members of the Primary Care Practice-Based Research Network on September 23rd 2015. The session is designed to build knowledge and skills of primary care providers in delivery the latest evidence-based practices for addressing tobacco use with clients. The training session will include presentations from international experts in tobacco control and breakout sessions with case studies to build clinician skills in the tobacco treatment delivery. This workshop will be followed by three follow-up sessions which will cover more advanced topics in tobacco treatment.

Agenda

TiTAN Crete Primary Care Smoking Cessation Training

Wednesday Sepetmber 23rd, 2015
Kranidis Conference Room, Medical School, University of Crete, Heraklion

    Learning Objectives:
    Upon completion of the workshop, participant will be able to:

  • 1. Describe the pathophysiology of nicotine addiction.
  • 2. Define the fundamental elements of evidence based tobacco treatment delivery and techniques for addressing smoking with patients using the 3A’s (Ask, Advise, Act) for smoking cessation in clinical settings.
  • 3. Deliver effective advice to quit smoking to patients motivated and not motivated to quit.
  • 4. Describe principles in the use of pharmacotherapy and best practices in the use of first-line pharmacotherapies for smoking cessation.
  • 5. Implement effective techniques for motivating smokers and preparing for a quit attempt within a brief clinic visit and addressing common barriers (e.g. motivation, cravings, caffeine) to successful quitting.
  • 6. Understand techniques for tobacco treatment in special populations.
  • 7. Become familiar with the practice tools (Tobacco Use Survey, Smoking Consult Form, and Quit Plan) and protocols for applying the OMSC in your practice setting.
  • 8. Understand the role of clinicians in tobacco control policies.

For more information contact:

  • chrisanthimail@yahoo.gr
  • charis@tobcontrol.eu

Faculty

  • Dr. Christos Lionis, MD, PhD, Clinic of Social and Family Medicine, University of Crete, Heraklion, Crete, Greece
  • Dr. Panagiotis Behrakis, MD, Hellenic Cancer Society, Athens, Greece
  • Dr. Ioanna Mitrouska, MD, Smoking Cessation Clinic, PAGNI, Heraklion, Crete, Greece
  • Dr. Sophia Papadakis, PhD , Division of Prevention and Rehabilitation, University of Ottawa Heart Institute, Ottawa Canada
  • Dr. Andrew Pipe. MD, Division of Prevention and Rehabilitation, University of Ottawa Heart Institute, Ottawa Canada
  • Dr. Constantine Vardavas, MD, PhD,Clinic of Social and Family Medicine, University of Crete, Heraklion, Crete & Hellenic Cancer Society, Athens, Greece

Agenda

Detailed Schedule Click here

Provider Assessment

To be added following session

PROVIDER TOOLS

The following tools are designed to support evidence-based tobacco treatment into primary care practice routines. The tools are designed to save time with evaluation and documentation and organize and effective initial consult and follow-up consult with patients.

Tobacco Use Screener

The tobacco use screener can be used to collect tobacco use profile of patients. The tool is designed to be given to patients to complete prior to their appointment with the clinician.

Click here

Consult Form

Provider tool for initial consultation and follow-up consultation includes real time reminders and rapid documentation.

Click here

Quit Plan Booklets

The Quit Plan booklet is an educational resource for patients ready to quit smoking. This document can be used as an educational tool during clinic visits and should be taken home with patients to refer to following the clinic visit.

Click here

Nicotine Replacement Therapies brochure for GP's Practice

Click here

Cost of meds brochure for GP's practice

Click here

Poster for GP's practices

Click here

Advise to Quit (Patient not Ready)

Advise to Quit (Patient not Ready)

Advise to Quit (Cut Back to Quit)

Advise to Quit (Ready)

Follow-up Visit (2-weeks)

Quit Plan Visit (ACT)

Follow-up Visit (1 year)

EUROPEAN SMOKING CESSATION GUIDELINE

The European Smoking Cessation Guidelines are the main output of a project undertaken by European Network on Smoking Prevention (ENSP_ to create a coherent and reliable set of guidelines for healthcare professionals working in the field of smoking cessation. The Guidelines form a complete range of tools to support smoking cessation strategies. The work was undertaken by the Editorial Board comprising seven eminent professors and the Board of Revisers from across the entire European continent and is the first of its kind. European Smoking Cessation Guidelines: The authoritative guide to a comprehensive understanding of the implications and implementation of treatments and strategies to treat tobacco dependence

Greek : http://www.ensp.org/sites/default/files/ESPN-BOOK-GREEK-LOW.pdf

English: http://www.ensp.org/escg

For more information: http://www.ensp.org/escg

CONTACT US

Referral to Quit Smoking Clinic (PAGNI)

Quit Smoking Program at Heraklion Hospital. Tel: 2810542107

CONTACT US

University of Crete
Faculty of Medicine - Department of Social Medicine
P.O. Box:2208, 71003
Iraklion, Crete, Greece
P: +30 2810 394621
© 2015