Clinical trial NCT02718872: Tobacco Cessation Training Program in Spanish-speaking Countries
Official title: Development and Dissemination of a Tobacco Cessation Training Program for Healthcare Professionals in Spanish-speaking Countries
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Smoking
Smoking Cessation
Lead sponsor: Institut Català d'Oncologia
Sponsor class: OTHER
Collaborators: name: Instituto Oncológico del Oriente Boliviano
name: Instituto de Cancerología y Hospital Dr. Bernardo del Valle
name: Instituto de Enfermedades Respiratoiras INERAM Prof. Dr. Juan Max Boettner
First posted: 2016-03-24
Enrollment: 300
Sex: ALL
Minimum age (years): 18
Maximum age (years): 70
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: NA
Intervention model: SINGLE_GROUP
Primary purpose: HEALTH_SERVICES_RESEARCH

Brief summary: This project is responsive to the identified gap of lack of tobacco cessation training programs in Latin American \& Caribbean countries. Currently, smoking rates in the Latin American and Caribbean region are high, and previous surveys show that health professionals do not have enough skills to help smokers to quit. In consequence, in absence of trained health professionals, many smokers who visit health care services are under-treated. The Fruitful Project aims to adapt an original on-line course developed in Spain to the reality of the three Latin American countries (Bolivia, Guatemala and Paraguay) and disseminate evidence-based tobacco cessation interventions among health care professionals.

Detailed description: Tobacco cessation training programs to treat tobacco dependence have measureable effects on patients' smoking. Tobacco consumption in low and middle income countries is increasing, but these countries usually lack measures to face the epidemic, including tobacco cessation training programs addressed to their health professionals and organizations.

Based on a previous online training program for hospital workers in Spain, the Fruitful Study aims are twofold:

1. to adapt the course to the reality of 3 Spanish-speaking low and middle income countries (Bolivia, Guatemala, and Paraguay) and;
2. to evaluate the effectiveness of the program among the participant hospitals and workers.

Investigators use a mixed methods design with a pre-post evaluation (quantitative approach) and in-depth interviews and focus groups (qualitative approach). The main outcomes will be:

1. participants' attitudes, knowledge and behaviors before and after the training and
2. the level of implementation of tobacco control policies within the hospitals before and after the training.

The theoretical framework for this project includes Card's adapting model and Roger's diffusion of innovations model.

This study will show whether it is possible to adapt an online course to the reality of developing countries. In addition, investigator will measure whether an online program will produce changes in tobacco control policies at the organizational level and increase the level of knowledge, attitudes and perception in tobacco cessation at participants' level.

Eligibility criteria: Inclusion Criteria:

* Health professionals of the participating centers

Exclusion Criteria:

* No exclusion criteria

Primary outcomes:
measure: Knowledge, attitudes, and behaviors of trainees
timeFrame: six month
Secondary outcomes:
measure: Compliance with tobacco control policies in hospitals
timeFrame: one year
Other outcomes:
Locations:
Study officials:
affiliation: Institut Català d'Oncologia - Institut d'Investigació Biomèdica de Bellvitge - Universitat de Barcelona ICO-IDIBELL-UB
name: Crisitna Martínez, PhD
role: PRINCIPAL_INVESTIGATOR
References:
citation: Martinez C, Company A, Guillen O, Margalef M, Arrien MA, Sanchez C, Caceres de Leon P, Fernandez E; Group of Hospital Coordinators in the Fruitful Project. Adaptation, Implementation Plan, and Evaluation of an Online Tobacco Cessation Training Program for Health Care Professionals in Three Spanish-Speaking Latin American Countries: Protocol of the Fruitful Study. JMIR Res Protoc. 2017 Jan 27;6(1):e7. doi: 10.2196/resprot.6487.