Part 3: Research Proposal for Implementing Tobacco Cessation Treatment in Primary Care

Design

Healthcare-based smoking cessation programs have been developed to facilitate the delivery of evidence-based treatments by connecting patients with quitlines, however, primary care referrals to quitlines are low and most referred smokers fail to call for assistance (Vidrine, Shete, Cao, et al., 2013). Here, the Consolidated Framework for Implementation Research (CFIR) will guide a pre-post, mixed methods design (Coffey et al., 2021; Damschroder et al., 2009). A Hybrid Type 3 design as proposed by Curran, et al. will be employed (Curran et al., 2012). A combined implementation strategy tailored to the healthcare setting may reduce staff de-motivation towards change (Coffey et al., 2021). Hybrid 3 criteria are as follows: 1) AAC was developed using scientific literature and has shown increased efficacy compared to the AAR method (Pineiro et al., 2020; Pineiro et al., 2019; Vidrine, Shete, Cao, et al., 2013; Vidrine, Shete, Li, et al., 2013). 2) Quitlines for smoking cessation have impressive efficacy and real-world effectiveness (Fiore MC et al., 2008; Ossip-Klein & McIntosh, 2003; Rabius et al., 2004; Stead et al., 2013). 3) AAC involves little risk to patients.

Participatory action research (PAR) will be used to target factors in implementation through self-reflection where participants reflect on and improve their practices which will improve researcher and participant collaboration (Coffey et al., 2021). We will measure multiple…