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Accelerating Tobacco Cessation within Healthcare Systems of European LMICs: A Multi-Country Implementation-Effectiveness Trial

Objective

The countries of Georgia, Armenia, Serbia, and Albania suffer from a public health crisis where high smoking rates drive a devastating burden of non-communicable diseases (NCDs). This crisis is compounded by a critical implementation gap: proven cessation services, standard in many HICs, are not systematically integrated into routine healthcare.
The Accelerating Tobacco Cessation in Healthcare Systems (ACTS) project is an implementation science study designed to close this evidence-to-practice gap. Using a pragmatic Hybrid Type 2 design, a large-scale, multi-country cluster randomized trial will be conducted, recruiting 1,700 patients across 34 primary and specialist care sites. The trial will simultaneously evaluate clinical effectiveness (smoking abstinence) and, importantly, a comprehensive set of implementation outcomes guided by the RE-AIM framework (e.g. reach, adoption, fidelity, cost). The Consolidated Framework for Implementation Research (CFIR) will guide the systematic, co-creative adaptation of a multi-component intervention package (behavioural support, pharmacotherapy, digital tools) to each unique national context, with a strong focus on health equity.
A foundational principle is our equitable HIC-LMIC partnership with joint scientific leadership and co-creation embedded in all activities to ensure local ownership.
The primary outputs will be a validated, scalable model for integrated care, delivered through a practical ‘Implementation Playbook’ and ‘Policy Toolkit’. These tools provide policymakers with an evidence-based roadmap for sustainable, national scale-up. By generating robust, real-world implementation knowledge, ACTS will strengthen health systems, reduce the NCD burden, and provide a replicable model for other low- and middle-income countries.

Fields of science (EuroSciVoc)

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Keywords

Project’s keywords as indicated by the project coordinator. Not to be confused with the EuroSciVoc taxonomy (Fields of science)

Programme(s)

Multi-annual funding programmes that define the EU’s priorities for research and innovation.

Topic(s)

Calls for proposals are divided into topics. A topic defines a specific subject or area for which applicants can submit proposals. The description of a topic comprises its specific scope and the expected impact of the funded project.

Funding Scheme

Funding scheme (or “Type of Action”) inside a programme with common features. It specifies: the scope of what is funded; the reimbursement rate; specific evaluation criteria to qualify for funding; and the use of simplified forms of costs like lump sums.

HORIZON-RIA - HORIZON Research and Innovation Actions

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Call for proposal

Procedure for inviting applicants to submit project proposals, with the aim of receiving EU funding.

(opens in new window) HORIZON-HLTH-2025-01

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Coordinator

UNIVERSITAETSKLINIKUM HAMBURG-EPPENDORF
Net EU contribution

Net EU financial contribution. The sum of money that the participant receives, deducted by the EU contribution to its linked third party. It considers the distribution of the EU financial contribution between direct beneficiaries of the project and other types of participants, like third-party participants.

€ 1 061 135,00
Address
Martinistrasse 52
20251 Hamburg
Germany

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Region
Hamburg Hamburg Hamburg
Activity type
Higher or Secondary Education Establishments
Links
Total cost

The total costs incurred by this organisation to participate in the project, including direct and indirect costs. This amount is a subset of the overall project budget.

€ 1 061 135,00

Participants (11)