Part 5: Research Proposal for Implementing Tobacco Cessation Treatment in Primary Care

Evaluation Plan

We will evaluate acceptability, adoption, appropriateness, feasibility, fidelity, implementation cost, penetration/reach, and sustainability/sustainment (Smith & Hasan, 2020). Because the AAC treatment model has been tested and earlier stages focused on acceptability and feasibility, we will focus on later stage testing of implementation including adoption, cost, penetration, reach, fidelity, and sustainability (Smith & Hasan, 2020). Our evaluation data collection will include structured surveys, administrative records, data extraction from the EHR, and direct observation (Smith & Hasan, 2020). Surveys will be used to assess attitudes and perceptions of both clinic staff and patients. Using the EHR, we will be able to measure pre- and post-implementation of cessation medication prescriptions and referrals to the quitline, but it will be less useful for reasons why those best practices were not followed. Surveys will help illuminate those reasons. We will measure burden on clinic staff by asking about if the intervention was acceptable, compatible, easy, and useful. We will also ask about next steps regarding implementation and sustainability (Smith & Hasan, 2020). We will look at current clinic practices and determine if there are business models for sustainability that would include billing for tobacco treatment services (Salloum et al., 2021).

Implementing and sustaining nicotine treatment requires resources, most notably…