Implementing Tobacco Use Guidelines in Community Health Centers in Vietnam Public Health System
| Status: | Recruiting |
|---|---|
| Conditions: | Smoking Cessation |
| Therapuetic Areas: | Pulmonary / Respiratory Diseases |
| Healthy: | No |
| Age Range: | 18 - 80 |
| Updated: | 10/21/2018 |
| Start Date: | August 2015 |
| End Date: | March 2019 |
| Contact: | Ann Rounds, BS |
| Email: | Ann.Rounds@nyumc.org |
| Phone: | 646-501-2696 |
Implementing Tobacco Use Guidelines in Community Health Centers in Vietnam Public Health System:a Rural Model
Vietnam has a smoking prevalence that is the second highest among South East Asian countries
(SEACs). With a population of approximately 90 million, Vietnam also has the second largest
total number of adult smokers (over 16 million) in SEA. According to the World Health
Organization (WHO), most reductions in mortality from tobacco use in the near future will be
achieved through helping current users quit. Tobacco use treatment, as defined by the U.S.
Preventive Health Service Guideline (Guideline) on Treating Tobacco use and Dependence, is
evidence-based and highly cost-effective. Yet, in the U.S. and globally, adoption of
recommended care is suboptimal. The objective of this proposal is to fill the current
research-to-practice gap by conducting a randomized controlled trial that compares the
effectiveness and cost effectiveness of two practical and highly replicable strategies for
implementing evidence-based guidelines for the treatment of tobacco use in public health
clinics in Vietnam. The proposed implementation strategies draw on evidence-based approaches,
and the WHO's recently released guidelines for implementing Article 14 of the Framework
Convention on Tobacco Control (FCTC). The FCTC is an evidence-based treaty that was developed
by the WHO in response to the globalization of the tobacco epidemic. Vietnam ratified the
FCTC in 2004; however, they have not taken steps to implement Article 14 which specifies the
need to integrate best practices for treating tobacco use and dependence into routine
preventive care. The proposed implementation strategies also build on the growing literature
that supports the effectiveness of integrating community health workers as members of the
health care team to improve access to preventive services.
(SEACs). With a population of approximately 90 million, Vietnam also has the second largest
total number of adult smokers (over 16 million) in SEA. According to the World Health
Organization (WHO), most reductions in mortality from tobacco use in the near future will be
achieved through helping current users quit. Tobacco use treatment, as defined by the U.S.
Preventive Health Service Guideline (Guideline) on Treating Tobacco use and Dependence, is
evidence-based and highly cost-effective. Yet, in the U.S. and globally, adoption of
recommended care is suboptimal. The objective of this proposal is to fill the current
research-to-practice gap by conducting a randomized controlled trial that compares the
effectiveness and cost effectiveness of two practical and highly replicable strategies for
implementing evidence-based guidelines for the treatment of tobacco use in public health
clinics in Vietnam. The proposed implementation strategies draw on evidence-based approaches,
and the WHO's recently released guidelines for implementing Article 14 of the Framework
Convention on Tobacco Control (FCTC). The FCTC is an evidence-based treaty that was developed
by the WHO in response to the globalization of the tobacco epidemic. Vietnam ratified the
FCTC in 2004; however, they have not taken steps to implement Article 14 which specifies the
need to integrate best practices for treating tobacco use and dependence into routine
preventive care. The proposed implementation strategies also build on the growing literature
that supports the effectiveness of integrating community health workers as members of the
health care team to improve access to preventive services.
The long-term goal of the project is to develop a generalizable model for implementing
evidence-based tobacco use treatment within existing health systems locally and globally. The
objective of this proposal is to fill the current research-to-practice gap by conducting a
randomized controlled trial that compares the effectiveness and cost of two practical and
highly replicable strategies for implementing evidence-based guidelines for the treatment of
tobacco use in public health clinics and community based settings in Vietnam. The proposed
implementation strategies draw on evidence-based approaches and the WHO's recently released
guidelines for implementing Article 14 of the Framework Convention on Tobacco Control (FCTC).
The FCTC is an evidence-based treaty that was developed by the WHO in response to the
globalization of the tobacco epidemic Article 14specifies the need to integrate clinical best
practices for treating tobacco use and dependence into routine preventive care. The proposed
implementation strategies also build on the growing literature that supports the
effectiveness of integrating community health workers as members of the health care team to
improve access to preventive services.
evidence-based tobacco use treatment within existing health systems locally and globally. The
objective of this proposal is to fill the current research-to-practice gap by conducting a
randomized controlled trial that compares the effectiveness and cost of two practical and
highly replicable strategies for implementing evidence-based guidelines for the treatment of
tobacco use in public health clinics and community based settings in Vietnam. The proposed
implementation strategies draw on evidence-based approaches and the WHO's recently released
guidelines for implementing Article 14 of the Framework Convention on Tobacco Control (FCTC).
The FCTC is an evidence-based treaty that was developed by the WHO in response to the
globalization of the tobacco epidemic Article 14specifies the need to integrate clinical best
practices for treating tobacco use and dependence into routine preventive care. The proposed
implementation strategies also build on the growing literature that supports the
effectiveness of integrating community health workers as members of the health care team to
improve access to preventive services.
Inclusion Criteria:
- Patient eligibility:
- Current patients at community health center for routine visit
- 18 years or older
- Current or regular smoker (>1 cigarette in past 7 days)
- Willingness to complete survey
- 18 years or older
- Willingness to complete survey or interview
We found this trial at
1
site
Click here to add this to my saved trials
