Adherence makes perfect: Improving practice nurses’ adherence to smoking cessation guidelines

To aid smokers to quit, effective smoking cessation interventions such as the provision of smoking cessation advice by general practice staff, are essential. Within the general practice, preventive tasks are often delegated to practice nurses. Practice nurses increase the quality of care and relieve general practitioners from their excessive workload. Yet, adherence to smoking cessation guidelines is often suboptimal. As intervention impact can be defined as Effect x Reach x Implementation, this results in restrictive effects on public health.

Guideline adherence can be predicted by environmental, organizational and innovation factors, as well as individual characteristics of the practice nurses. Computer tailoring is effective in influencing such characteristics, providing respondents with personalized feedback adjusted to their individual situation and beliefs. Additionally, the delivery of interventions through the Internet enables a large reach against low cost, and the possibility for respondents to use the intervention at times that are convenient to them. Therefore, this project aims to develop and test a computer tailored intervention aimed to improve practice nurse’s rates of adherence to the STIMEDIC guideline, a recently disseminated evidence-based Dutch smoking cessation guideline for health professionals.

This project is a collaboration between Maastricht University, CAPHRI School for Public Health and Primary Care (budgetholder) and the University of Amsterdam.

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Research team:
Status: Ongoing since January 2014
Funding: Dutch Cancer Society