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E-Patient Counseling Trial E-PACO: Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy
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Web-based computer-tailoring for practice nurses aimed to improve smoking cessation guideline adherence: A study

D de Ruijter1, E S Smit2, H de Vries1

  • 1Department of Health Promotion, Maastricht University, Maastricht, the Netherlands.

Contemporary Clinical Trials
|April 23, 2016
PubMed
Summary

Dutch practice nurses show suboptimal adherence to smoking cessation guidelines. A web-based computer-tailored program was developed to improve adherence, with its cost-effectiveness evaluated in a randomized controlled trial.

Keywords:
Guideline adherencePractice nursesRandomized controlled trialSmoking cessationStudy protocolWeb-based computer-tailored intervention

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Area of Science:

  • Health Services Research
  • Digital Health Interventions
  • Behavioral Science

Background:

  • Practice nurses in the Netherlands exhibit suboptimal adherence to evidence-based smoking cessation guidelines.
  • Web-based computer-tailoring presents a potential strategy for enhancing guideline adherence among healthcare professionals.
  • This study addresses the need for effective interventions to improve smoking cessation support in primary care.

Purpose of the Study:

  • To describe the development of a web-based computer-tailored program for practice nurses.
  • To design a randomized controlled trial to evaluate the (cost-)effectiveness of this program.
  • To enhance the quality of smoking cessation care in Dutch general practices.

Main Methods:

  • A web-based computer-tailored program was developed, incorporating tailored advice, an online forum, and informational modules, grounded in the I-Change Model and Self-Determination Theory.
  • A randomized controlled trial was designed, comparing an intervention group with full program access to a control group with limited access.
  • Guideline adherence and behavioral predictors were measured at baseline and 6- and 12-month follow-ups; indirect effects on smokers' quit rates were also assessed.

Main Results:

  • The study details the development of a novel adherence support program.
  • The randomized controlled trial design allows for rigorous evaluation of the program's impact.
  • The program aims to improve smoking cessation counseling quality and patient outcomes.

Conclusions:

  • The developed web-based computer-tailored program has the potential to improve practice nurses' adherence to smoking cessation guidelines.
  • This intervention could significantly enhance the quality of smoking cessation care provided in Dutch general practices.
  • Adaptation for other healthcare professionals could broaden public health benefits by improving smoking cessation support.