Part 4: Research Proposal for Implementing Tobacco Cessation Treatment in Primary Care

Implementation Strategies

We will model our strategies after the previous work in the field (Cullen et al., 2022; Proctor et al., 2013). Phase one will create awareness and build interest. Thought leaders throughout Kansas will help identify clinics and work to elicit interest. Phase two will work to identify and train clinic champions within each participating clinic. Research staff will disseminate information about the AAC process and implementation program to the clinic through champions. In phase three we will initiate action within the clinic and promote adoption of the new processes. Clinic champions will work with research staff to establish and implement the new workflow. Clinic champions will vary by clinic depending on staff and resources. They will be either an administrator or clinician that can facilitate our progress. Our workflow process is outlined in figure 2.

We will collect qualitative data pre- and post- implementation to elicit opinions of both clinic staff and patients. We will also include Likert type scales to collect quantitative data. Adoption and maintenance will be assessed at the clinic setting and staff levels. Adoption will be assessed by overall percentages and variance across roomers and clinicians in assessing nicotine and tobacco use in all patients, identifying patients who smoked or used other forms of nicotine, prescribing NRT or cessation medication, and referring to KanQuit treatment. Finally…