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Tobacco cessation within TB programmes: A ‘real world’ solution for countries with dual burden of disease

Objective

We aim to reduce the burden of tobacco-related lung diseases. Our approach is to integrate inexpensive tobacco cessation strategies of proven efficacy into TB control programmes. This has three advantages: a) Preventing non-communicable diseases as well as reducing TB-related deaths; b) TB patients are more likely to quit tobacco than healthy smokers – ‘teachable moments’; and c) in the absence of specialist infrastructure, an approach to ‘piggyback’ cessation on existing programmes is a desirable policy imperative.
We will first assess the effectiveness and cost-effectiveness of tobacco cessation strategies in helping TB patients to quit and improving their TB outcomes - the effectiveness goal; and then explore how best these strategies can be delivered, sustained and scaled-up – the implementation goal. We propose six work packages for Bangladesh, Nepal and Pakistan - high TB and tobacco burden countries.
WP1 Development & Feasibility: To optimise the delivery of tobacco cessation strategies within TB programmes (focus group discussions [FGD], interviews, surveys, expert panel workshops)
WP2 & 3 Effect and economic evaluation: To assess the effectiveness and cost effectiveness of cytisine with behavioural support vs. behavioural support alone on tobacco cessation and TB outcomes (randomised controlled trial [RCT])
WP4 Process evaluation: To study the design and delivery of the tobacco cessation strategies (FGD, observations, exit interviews)
WP5 Context evaluation: To study the influence of contextual factors on the RCT outcomes (lit. review, interviews, surveys, analysis)
WP6 Scale up & Sustainability: To assess sustainability of the cessation strategies and identify the likely costs, obstacles and opportunities for scaling these up (FGD, interviews, cost and outcomes analysis)
Our ambition is that by studying the ‘real world’ influences on the implementation and success of tobacco cessation we will be able to translate our findings into benefits for patients

Field of science

  • /social sciences/other social sciences/social sciences interdisciplinary/sustainable development

Call for proposal

H2020-HCO-2015
See other projects for this call

Funding Scheme

RIA - Research and Innovation action
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Coordinator

UNIVERSITY OF YORK
Address
Heslington
YO10 5DD York North Yorkshire
United Kingdom
Activity type
Higher or Secondary Education Establishments
EU contribution
€ 1 085 001,25

Participants (9)

ARK FOUNDATION
Bangladesh
EU contribution
€ 477 773,75
Address
House No B 130 Road No 21 New Dohs Mohakhali
1206 Dhaka
Activity type
Other
HEALTH RESEARCH AND SOCIAL DEVELOPMENT FORUM

Participation ended

Nepal
EU contribution
€ 0
Address
Thapathali 11
44601 Kathmandu
Activity type
Research Organisations
MINISTRY OF NATIONAL HEALTH SERICES, REGULATION AND COORDINATION

Participation ended

Pakistan
EU contribution
€ 113 925
Address
Lg & Rd Complex Prime Ministers National Health Complex Epi Building
Islamabad
Activity type
Public bodies (excluding Research Organisations and Secondary or Higher Education Establishments)
THE INITIATIVE
Pakistan
EU contribution
€ 430 743,75
Address
Orange Grove Farm Mainkorung Road
44000 Islamabad
Activity type
Research Organisations
HEINRICH-HEINE-UNIVERSITAET DUESSELDORF
Germany
EU contribution
€ 209 845
Address
Universitaetsstrasse 1
40225 Dusseldorf
Activity type
Higher or Secondary Education Establishments
THE UNIVERSITY OF EDINBURGH
United Kingdom
EU contribution
€ 60 096,25
Address
Old College, South Bridge
EH8 9YL Edinburgh
Activity type
Higher or Secondary Education Establishments
UNIVERSITY OF LEEDS
United Kingdom
EU contribution
€ 357 205
Address
Woodhouse Lane
LS2 9JT Leeds
Activity type
Higher or Secondary Education Establishments
VSEOBECNA FAKULTNI NEMOCNICE V PRAZE
Czechia
EU contribution
€ 140 141,25
Address
U Nemocnice 2
12808 Praha 2
Activity type
Public bodies (excluding Research Organisations and Secondary or Higher Education Establishments)
HERD INTERNATIONAL PVT LTD
Nepal
EU contribution
€ 125 097,50
Address
Thapathali 11
44601 Kathmandu
Activity type
Private for-profit entities (excluding Higher or Secondary Education Establishments)