PT  - JOURNAL ARTICLE
AU  - Sophia Papadakis
AU  - Adam G. Cole
AU  - Robert D. Reid
AU  - Mustafa Coja
AU  - Debbie Aitken
AU  - Kerri-Anne Mullen
AU  - Marie Gharib
AU  - Andrew L. Pipe
TI  - Increasing Rates of Tobacco Treatment Delivery in Primary Care Practice: Evaluation of the Ottawa Model for Smoking Cessation
AID  - 10.1370/afm.1909
DP  - 2016 May 01
TA  - The Annals of Family Medicine
PG  - 235--243
VI  - 14
IP  - 3
4099  - http://www.annfammed.org/content/14/3/235.short
4100  - http://www.annfammed.org/content/14/3/235.full
SO  - Ann Fam Med2016 May 01; 14
AB  - PURPOSE We report on the effectiveness of the Ottawa Model for Smoking Cessation (OMSC), a multicomponent knowledge translation intervention, in increasing the rate at which primary care providers delivered smoking cessation interventions using the 3 A’s model—Ask, Advise, and Act, and examine clinic-, provider-and patient-level determinants of 3 A’s delivery.METHODS We examined the effect of the knowledge translation intervention in 32 primary care practices in Ontario, Canada, by assessing a cross-sectional sample of patients before the implementation of the OMSC and a second cross-sectional sample following implementation. We used 3-level modeling (clinic, clinician, patient) to examine the main effects and predictors of 3 A’s delivery.RESULTS Four hundred eighty-one primary care clinicians and more than 3,500 tobacco users contributed data to the evaluation. Rates of delivery of the 3 A’s increased significantly following program implementation (Ask: 55.3% vs 71.3%, P <.001; Advise: 45.5% vs 63.6%, P <.001; Act: 35.4% vs 54.4%, P <.001). The adjusted odds ratios (AOR) for the delivery of 3 A’s between the pre- and post-assessments were AOR = 1.94; (95% CI, 1.61–2.34) for Ask, AOR = 1.92; (95% CI, 1.60–2.29) for Advise, and AOR = 2.03; (95% CI, 1.71–2.42) for Act. The quality of program implementation and the reason for clinic visit were associated with increased rates of 3 A’s delivery.CONCLUSIONS Implementation of the OMSC was associated with increased rates of smoking cessation treatment delivery. High quality implementation of the OMSC program was associated with increased rates of 3 A’s delivery.