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document
Enhancing implementation of tobacco use prevention and cessation counselling guideline among dental providers : a cluster randomised controlled trial . 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 will be used . DISCUSSION To improve guideline adherence , the theoretical-domains approach could provide a comprehensive basis for assessing implementation difficulties , as well as designing and evaluating interventions . After having identified implementation difficulties , we will design and test two interventions to enhance TUPAC guideline adherence . Using the cluster randomised controlled design , we aim to provide further evidence on intervention effects , as well as on the validity and feasibility of the theoretical-domain approach . The empirical data collected within this trial will be useful in testing whether this theoretical-domain approach can improve our understanding of the implementation of TUPAC guidelines among dental providers . TRIAL REGISTRATION Current Controlled Trials ISRCTN15427433 .
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Intervention_Educational
tobacco use prevention and cessation counselling guideline
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Intervention_Educational
Tobacco use prevention and cessation ( TUPAC ) counselling guidelines
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Intervention_Educational
theory-based approach to diagnose implementation difficulties of TUPAC counselling guidelines among dental providers .
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Intervention_Educational
TUPAC counselling guidelines
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Intervention_Educational
TUPAC
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Intervention_Educational
theories of behaviour change
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Intervention_Educational
guideline adherence
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Intervention_Educational
TUPAC guidelines
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Outcome_Mental
Theories of behaviour change
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Outcome_Other
questionnaire
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Outcome_Other
electronic dental record audit
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Outcome_Other
self-reported questionnaires
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Participant_Condition
prevention and cessation counselling guideline among dental providers
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Participant_Condition
tobacco use habits