Introduction:
The purpose of the study was to evaluate the effectiveness of a one-day training program in changing the perceptual role of participants and their self-efficacy to introduce tobacco treatment delivery into their daily clinical practice in the near future.

Material and Methods:
The training program took place in Brussels in April 2016. A pre-post study design was used to evaluate the effectiveness and data from 44 health care professionals from Eastern European Region were analyzed. A 15-item survey was used for the data collection.

Results:
The training program managed to establish new social and clinical norms related to tobacco dependence treatment in primary care practice settings, increase providers perceptions about the ease of delivering tobacco treatment and self-efficacy to deliver smoking cessation treatment. All six items of perceived behavioral control were significantly improved, 3 out of 4 items of subjective norms, 3 out of 5 items of attitudes significantly changed and 5 out of 6 items of self-efficacy. Immediately after the intervention health care professionals were more confident to advice their patient to quit smoking, mean (SD)= 8.77(1.6) vs. 8.28(2.3), p=0.019; provide brief smoking cessation counseling, 8.72(1.6) vs. 8.03(2.7), p<0.001; provide counseling to patients not ready to quit 8.16(1.8) vs. 7.11(1.9), p<0.001; prescribe pharmacotherapy 6.64(2.6) vs. 5.89(3.6), p=0.003 and provide smoking cessation counselling 8.40(2.0) vs. 7.11(3.1), p<0.001.

Conclusions:
The results indicate that a one-day smoking cessation training program, can alter attitudes, subjective norms/normative beliefs, perceived behavioral control and intentions of the health care professionals in delivering tobacco dependence treatment interventions.

Funding:
This work was supported by Global Bridges: Healthcare Alliance for Tobacco Dependence Treatment and Pfizer Independent Grants for Learning and Change.