Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Enhancing implementation of tobacco use prevention and cessation counselling guideline among dental providers: a cluster randomised controlled trial | Amemori et al. Implementation Science 2011 6 13 http content 6 1 13 IMPLEMENTATION SCIENCE Implementation Science STUDY PROTOCOL Open Access Enhancing implementation of tobacco use prevention and cessation counselling guideline among dental providers a cluster randomised controlled trial 1 2 3 4 1 Masamitsu Amemori Tellervo Korhonen Taru Kinnunen Susan Michie Heikki Murtomaa Abstract Background Tobacco use adversely affects oral health. Tobacco use prevention and cessation TUPAC counselling guidelines recommend that healthcare providers ask about each patient s tobacco use assess the patient s readiness and willingness to stop document tobacco use habits advise the patient to stop assist and help in quitting and arrange monitoring of progress at follow-up appointments. Adherence to such guidelines especially among dental providers is poor. To improve guideline implementation it is essential to understand factors influencing it and find effective ways to influence those factors. The aim of the present study protocol is to introduce a theory-based approach to diagnose implementation difficulties of TUPAC counselling guidelines among dental providers. Methods Theories of behaviour change have been used to identify key theoretical domains relevant to the behaviours of healthcare providers involved in implementing clinical guidelines. These theoretical domains will inform the development of a questionnaire aimed at assessing the implementation of the TUPAC counselling guidelines among Finnish municipal dental providers. Specific items will be drawn from the guidelines and the literature on TUPAC studies. After identifying potential implementation difficulties we will design two interventions using theories of behaviour change to link them with relevant behaviour change techniques aiming to improve guideline adherence. For assessing the implementation of TUPAC guidelines the electronic dental record audit and self-reported questionnaires .
