TY - JOUR T1 - Study protocol of the TiTAN Crete project: Development of a tobacco treatment training network in Crete, Greece JF - European Respiratory Journal JO - Eur Respir J DO - 10.1183/13993003.congress-2015.PA5123 VL - 46 IS - suppl 59 SP - PA5123 AU - Charis Girvalaki AU - Aristoula Saridaki AU - Sophia Papadakis AU - Constantine Vardavas AU - Christos Lionis Y1 - 2015/09/01 UR - http://erj.ersjournals.com/content/46/suppl_59/PA5123.abstract N2 - Introduction: The goal of the TiTAN Crete project is to develop a network of trained primary health care (PHC) providers in Crete that will integrate treatment of tobacco dependence into daily clinical practice and become champions of tobacco control policy.Methods Design: A pre-post cross-sectional cluster control group study design will be used. This project will take place in the prefecture of Heraklion and Rethymno. The intervention program will be implemented in PHC practices in Heraklion (n=15). The three A's (Ask, Advise, Act) model will be used as the clinical framework for integrating tobacco treatment into routine primary care practice.Intervention practices will be exposed to an evidence-based multi-component intervention program. A sample of control practices will be recruited from Rethymno (n=10) who will not exposed to the intervention. From each PHCP a total of n=36 patients will be recruited before and after the intervention so as to collect information from n=1440 patients.Outcome measures: The primary outcomes measures will be: Provider knowledge, attitudes, beliefs, perceived behavioral control, and intentions related to the delivery of tobacco treatment; and provider behaviors related to the delivery of tobacco treatment interventions.Analyses: A three-level model will be constructed for each outcome measure (ask, advise, cessation assistance), with the following levels: patients (level 1), provider (level 2); and clinic (level 3).Conclusions: Our project's future direction is to provide the methodology, tools and resources that would support the long-term development of a training protocol for PHCP in Greece in the area of smoking cessation. ER -