Transcript Funding Proposals SubmittedAndrew Stripp Contents EAHC – Midwives Project SOcial Networks to Improve Cessation Services (SONICS) Skype What next?

Funding Proposals Submitted
2010
Andrew Stripp
Contents
EAHC – Midwives Project
SOcial Networks to Improve
Cessation Services (SONICS)
Skype
What next?
Executive Agency for Health
and Consumers (EAHC)
• Project Title: Enabling midwives in Europe to
reduce levels of smoking during pregnancy and
prevent or reduce postpartum relapse rates
• 24 Months
• Fostering healthier ways of life for pregnant
women and reduction of health inequalities
Objectives
The objective of the project is to improve
public health in Europe by addressing
maternal smoking during pregnancy and
afterwards.
The project aims to do this by engaging with
midwives in Europe and offering them training
and skills to conduct smoking cessation
activities with pregnant women.
• A steering group from 10 Central and Eastern Europe
Stage 1 ENQ members to be created
Stage 2
• Create a course curriculum (Jennifer Percival)
• Curriculum to be delivered to trainers (Quitlines) in 10
Stage 3 Central and Eastern European Countries
• Trainers to deliver curriculum to midwives across country
Stage 4 • 5 Training Dates in each country (50 in total)
• Pregnant women offered interventions and signposted to
Stage 5 National Quitline services
SONICS
SOcial Networks to Improve Cessation Services
The SONICS project is designed to explore
network and communication mechanisms.
Working with stakeholders across the
European Network of Quitines (ENQ) to:
– Interact and share new evidence,
– Make decisions on how and when to implement
new knowledge,
– Adopt practices intended to improve outcomes.
NAQC and ENQ
USA funded research is underway to
investigate how network connections within
and between quitlines in North America
(NAQC) impact the implementation of
evidence-based practices and new innovations
No such research in Europe YET...
Network Comparison
We hope to study the structure and function
of ENQ, taking into account any factors that
may impact the implementation and adoption
of evidence-based practices by quitlines
The results will allow us to compare networks
and other influences between North America
and Europe
Skype
In 2006 the Cochrane Collaboration published the
systematic review on the effectiveness of telephone
counseling to aid smoking cessation.
The results show that of all the methods of
delivering psychological support to smokers,
telephone counseling has the strongest evidence
base behind it.
2006: Stead, LF, Perera R, Lancaster T: ‘Telephone Counselling for
Smoking Cessation’ The Cochrane Collaboration
Skype
We seek to discover if Skype video counselling
has a place within smoking cessation.
How will it be received?
What are the barriers?
Advantages / Positive
Disadvantages / Negative
Calls are free of charge
Potential line delays / connection issues
Increases geographical reach
User needs to be sitting at a computer
Option of video is available
Limited to those who are online
Offers a home based f2f service
F2F interaction may dissuade people
Counselor can display materials ‘live’
Potential to run groups or work with a ‘buddy’
Skype – Study Design
The first task is to establish the feasibility of this
kind of approach and develop the intervention
content.
The second is to decide if it is effective before
moving to a full randomised controlled trial.
This will be an observational study including a
qualitative component and a single arm
quantitative evaluation.
Approach
Face to face focus Groups x 2 (n=5)
GP 1 – Skype Users / GP 2 -Non-Skype Users
Web registration for 50 participants
6 x Proactive counselling
sessions (if needed)
Session 1
Assessment (1 or 2 weeks prior to quit date)
Session 2
Quit date
Session 3
1 week post quit date
Session 4
2 weeks post quit date
Session 5
3 weeks post quit date
Session 6
4 weeks post quit date (4 week follow-up
appointment)
Skype
Online Client Experience Survey
6 month study including evaluation
Potential uptake for all EU countries?
Looking into the future
ENQ 2011 Conference – Amsterdam
Skype
I-Phone Applications (Apps)
Joint funding proposals – workshop
today