1. Funding Proposals Submitted 2010 Andrew Stripp

2. Contents EAHC – Midwives Project SOcial Networks to Improve Cessation Services (SONICS) Skype What next?

3. 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

4. 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.

5. Stage 1 A steering group from 10 Central and Eastern Europe ENQ members to be created Stage 2 Create a course curriculum (Jennifer Percival) Stage 3 Curriculum to be delivered to trainers (Quitlines) in 10 Central and Eastern European Countries Stage 4 Trainers to deliver curriculum to midwives across country 5 Training Dates in each country (50 in total) Stage 5 Pregnant women offered interventions and signposted to National Quitline services

6. 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.

7. 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...

8. 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

9. 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

10. 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 / PositiveDisadvantages / Negative Calls are free of chargePotential line delays / connection issues Increases geographical reachUser needs to be sitting at a computer Option of video is availableLimited to those who are online Offers a home based f2f serviceF2F interaction may dissuade people Counselor can display materials ‘live’ Potential to run groups or work with a ‘buddy’

11. 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.

12. 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 1Assessment (1 or 2 weeks prior to quit date) Session 2Quit date Session 31 week post quit date Session 42 weeks post quit date Session 53 weeks post quit date Session 64 weeks post quit date (4 week follow-up appointment)

13. Skype Online Client Experience Survey 6 month study including evaluation Potential uptake for all EU countries?

14. Looking into the future ENQ 2011 Conference – Amsterdam Skype I-Phone Applications (Apps) Joint funding proposals – workshop today