{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,15]],"date-time":"2025-08-15T02:25:03Z","timestamp":1755224703024,"version":"3.43.0"},"reference-count":41,"publisher":"Cambridge University Press (CUP)","license":[{"start":{"date-parts":[[2025,8,13]],"date-time":"2025-08-13T00:00:00Z","timestamp":1755043200000},"content-version":"unspecified","delay-in-days":224,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Prim Health Care Res Dev"],"published-print":{"date-parts":[[2025]]},"abstract":"<jats:title>Abstract<\/jats:title>\n\t  <jats:sec id=\"S1463423625100388_as1\">\n\t    <jats:title>Aim:<\/jats:title>\n\t    <jats:p>This study examines the impact of a continuing medical education (CME) intervention on smoking cessation among primary-care professionals (PCPs) and explores the relationship between PCP smoking status and patient tobacco-treatment delivery.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S1463423625100388_as2\">\n\t    <jats:title>Background:<\/jats:title>\n\t    <jats:p>High rates of tobacco use among PCPs have been reported in several European countries. PCPs who smoke are less motivated to provide cessation support to their patients.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S1463423625100388_as3\">\n\t    <jats:title>Methods:<\/jats:title>\n\t    <jats:p>A before-after study was conducted with 228 PCPs from Greece and Cyprus. The intervention included a one-day CME training, a 2.5-hour seminar three months later, and practice tools. Expert faculty provided informal support to smoking PCPs. Changes in PCP smoking status and 5As (ask, advise, assess, assist, and arrange) tobacco treatment delivery were assessed before and six months after training. Analysis of variance (ANOVA) and analysis of covariance (ANCOVA) were used to evaluate the association between the training and PCP smoking status and 5As delivery.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S1463423625100388_as4\">\n\t    <jats:title>Findings:<\/jats:title>\n\t    <jats:p>At baseline, 18% (<jats:italic>n<\/jats:italic> = 47) of PCPs were current smokers, and 39% (<jats:italic>n<\/jats:italic> = 66) were ex-smokers. At follow-up, 31.9% of current smokers reported quitting (<jats:italic>n<\/jats:italic> = 15\/47; <jats:italic>p<\/jats:italic> &lt; 0.001). Smoking cessation was higher among female PCPs (<jats:italic>p<\/jats:italic> = 0.02) and those in Cyprus and Thessaloniki (<jats:italic>p<\/jats:italic> &lt; 0.01). PCPs reported increased 5As delivery at follow-up, with the highest rates among ex-smokers (&gt;6 months) and never smokers. PCPs reported significant quitting rates following a comprehensive evidence-based training intervention. The findings suggest that addressing PCPs\u2019 smoking status can improve both health-care provider and patient smoking outcomes.<\/jats:p>\n\t  <\/jats:sec>","DOI":"10.1017\/s1463423625100388","type":"journal-article","created":{"date-parts":[[2025,8,13]],"date-time":"2025-08-13T01:00:57Z","timestamp":1755046857000},"update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":0,"title":["Changes in the smoking status of primary care professionals and their association with rates of tobacco treatment delivery: the TiTAN Greece &amp; Cyprus tobacco dependence treatment training programme"],"prefix":"10.1017","volume":"26","author":[{"ORCID":"https:\/\/orcid.org\/0009-0007-4834-2594","authenticated-orcid":false,"given":"Stavros","family":"Stafylidis","sequence":"first","affiliation":[{"name":"Aristotle University of Thessaloniki"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-2414-7036","authenticated-orcid":false,"given":"Sophia","family":"Papadakis","sequence":"additional","affiliation":[{"name":"University of Crete"},{"name":"University of Ottawa Heart Institute"},{"name":"University of Ottawa"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8736-619X","authenticated-orcid":false,"given":"Paraskevi","family":"Katsaounou","sequence":"additional","affiliation":[{"name":"National and Kapodistrian University of Athens"},{"name":"National and Kapodistrian University of Athens"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0171-9570","authenticated-orcid":false,"given":"Constantine","family":"Vardavas","sequence":"additional","affiliation":[{"name":"University of Crete"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7922-7491","authenticated-orcid":false,"given":"Ioanna","family":"Tsiligianni","sequence":"additional","affiliation":[{"name":"University of Crete"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7507-507X","authenticated-orcid":false,"given":"George","family":"Samoutis","sequence":"additional","affiliation":[{"name":"St George\u2019s, University of London Medical School at University of Nicosia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Athina","family":"Tatsioni","sequence":"additional","affiliation":[{"name":"University of Ioannina"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2306-1626","authenticated-orcid":false,"given":"Marilena","family":"Anastasaki","sequence":"additional","affiliation":[{"name":"University of Crete"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6849-0972","authenticated-orcid":false,"given":"Charis","family":"Girvalaki","sequence":"additional","affiliation":[{"name":"University of Crete"},{"name":"European Network for Smoking and Tobacco Prevention (ENSP)"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1280-1801","authenticated-orcid":false,"given":"Andrew","family":"Pipe","sequence":"additional","affiliation":[{"name":"University of Ottawa Heart Institute"},{"name":"University of Ottawa"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9324-2839","authenticated-orcid":false,"given":"Christos","family":"Lionis","sequence":"additional","affiliation":[{"name":"University of Crete"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9772-4595","authenticated-orcid":false,"given":"Emmanouil","family":"Smyrnakis","sequence":"additional","affiliation":[{"name":"Aristotle University of Thessaloniki"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2025,8,13]]},"reference":[{"key":"S1463423625100388_ref25","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2648.2010.05532.x"},{"key":"S1463423625100388_ref11","unstructured":"ENSP (2016) ENSP Guidelines for treating tobacco dependence. 3rd edn. 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