scholarly journals Perceptions towards electronic cigarettes for smoking cessation among Stop Smoking Service users

2015 ◽  
Vol 21 (2) ◽  
pp. 421-433 ◽  
Author(s):  
Frances C. Sherratt ◽  
Lisa Newson ◽  
Michael W. Marcus ◽  
John K. Field ◽  
Jude Robinson
Keyword(s):  
Smoking Cessation ◽  
Electronic Cigarettes ◽  
Service Users ◽  
Stop Smoking ◽  
Stop Smoking Service

scholarly journals Understanding recruitment and retention in the NHS community pharmacy stop smoking service: perceptions of smoking cessation advisers

BMJ Open ◽  
2016 ◽  
Vol 6 (7) ◽  
pp. e010921 ◽  
Author(s):  
Ratna Sohanpal ◽  
Carol Rivas ◽  
Liz Steed ◽  
Virginia MacNeill ◽  
Valerie Kuan ◽  
...  
Keyword(s):  
Smoking Cessation ◽  
Community Pharmacy ◽  
Recruitment And Retention ◽  
Stop Smoking ◽  
Stop Smoking Service

scholarly journals The Roy Castle Fag Ends Stop Smoking Service: A Successful Client-Led Approach to Smoking Cessation

2006 ◽  
Vol 1 (1) ◽  
pp. 13-18 ◽  
Author(s):  
Christine Owens ◽  
Jane Springett
Keyword(s):  
Primary Care ◽  
Smoking Cessation ◽  
Smoking Cessation Service ◽  
Cessation Rate ◽  
Quit Attempt ◽  
Community Approach ◽  
Stop Smoking ◽  
Stop Smoking Services ◽  
Patient Barriers ◽  
Stop Smoking Service

AbstractThe Roy Castle Fag Ends Community Stop Smoking Service (RCFE) is commissioned by three primary care trusts (PCTs) to provide the adult smoking-cessation service across Liverpool. The service is not theoretically driven but there are several principles governing RCFE, which maintain the client-led, person-centred philosophy. Unique aspects are that the service is provided by trained lay advisors with a nonmedical background and there is no waiting list — clients can self-refer by calling a helpline or walking into a meeting. At RCFE, clients control their own quit attempt as well as self-regulating attendance at meetings and discharge from the service. Relapsed clients are also welcomed back without fear of criticism or the need for an appointment. Possible reasons for the success of RCFE include the client-led methodology, the community approach that removes doctor–patient barriers that may exist, and the nature of the group meetings, which allows interaction between clients who are at different stages of the quit process. Introducing some of the RCFE principles into other stop-smoking services may help to increase the overall smoking-cessation rate in England.

scholarly journals ‘You Just Went In and You Got It All Sorted Straightaway’ – What is the Appeal of a Community-Based Mobile Stop Smoking Service?

2014 ◽  
Vol 10 (1) ◽  
pp. 65-73 ◽  
Author(s):  
Manpreet Bains ◽  
Andrea Venn ◽  
Rachael L. Murray ◽  
Ann McNeill ◽  
Laura L. Jones
Keyword(s):  
Service Users ◽  
Socioeconomically Disadvantaged ◽  
Community Based ◽  
Stop Smoking ◽  
Framework Approach ◽  
Stop Smoking Services ◽  
Informal Settings ◽  
Stop Smoking Service ◽  
Over Time

Introduction: Not enough smokers access existing stop smoking services (SSS). Developing more accessible and effective SSS is important, particularly for smokers from socioeconomically disadvantaged groups where smoking is more prevalent.Aims: To consider smokers’ reasons for accessing a community-based mobile SSS (MSSS) for initial and follow-up consultations, and to explore their experiences of the service over time.Methods: The MSSS was delivered in socioeconomically disadvantaged areas of Nottingham (UK). Thirty-six smokers were interviewed, and 11 of these also completed follow-up interviews four to six weeks after their quit date. Interviews were analysed using the framework approach.Results: Many participants had considered quitting before they had knowledge of the MSSS. Features of the MSSS participants found appealing for both initial and follow-up consultations included the drop-in format, convenient times and locations that fit around their existing routines, and that the service was informal and held in a non-health setting. Participants found visiting standard SSS, particularly clinics held in health settings, stressful and formal resulting in them feeling uncomfortable discussing smoking in these settings.Conclusions: Developing instantly accessible and convenient SSS that can be delivered in familiar and informal settings within smokers’ communities may facilitate access and help to retain service users over time.

scholarly journals Opinions of women from deprived communities on the NHS stop smoking service in England - person-centered perspectives.

2016 ◽  
Vol 4 (2) ◽  
pp. 346
Author(s):  
Anjum Memon ◽  
John Barber ◽  
Emma Rumsby ◽  
Samantha Parker ◽  
Lisa Mohebati ◽  
...  
Keyword(s):  
Smoking Cessation ◽  
Qualitative Study ◽  
Work Place ◽  
Structured Interviews ◽  
Women Smokers ◽  
Stop Smoking ◽  
Smoking Cessation Services ◽  
Stop Smoking Services ◽  
Care Capacity ◽  
Stop Smoking Service

Background In most European countries, women are relatively more susceptible to smoking-related diseases, find it more difficult to quit and more likely to relapse than men. With the aim to improve understanding of women’s needs from smoking cessation services, this qualitative study examines perceptions of women from deprived communities on the National Health Service Stop Smoking Service in England.Methods A qualitative study of 11 women, smokers and ex-smokers, who had used Stop Smoking Services located in disadvantaged communities in East Sussex, England. Data were collected through focus group and semi-structured interviews, and were subjected to thematic analysis.Results Women felt that services tailored to their needs would improve cessation rates. They expect smoking cessation facilitators to be non-judgemental and to offer psychological insight into addiction. However, women’s opinions differed on the importance for facilitators to be female or ex-smokers, and on the preference of group or one-to-one services, some women expressed a preference for women only groups. The women praised the continuity of care, capacity for peer support, flexibility of time and location and free cessation aids offered. Conversely, the women felt that services were poorly advertised, that access was not universally good, and that services at work place and drop-in groups would improve access for working women and women with young children.Conclusion Flexible services that are tailored towards the needs of individual smokers and better dissemination of information regarding the range of services available could facilitate greater uptake of smoking cessation services for women in deprived communities.

scholarly journals Evaluation of a Pharmacy Supported e-Cigarette Smoking Cessation Intervention in North West England

2021 ◽  
Author(s):  
Alan D. Price ◽  
Margaret Coffey ◽  
Lawrence Houston ◽  
Penny A. Cook
Keyword(s):  
Smoking Cessation ◽  
Cigarette Smoking ◽  
Service Providers ◽  
Electronic Cigarettes ◽  
Public Health Intervention ◽  
Smoking Cessation Intervention ◽  
Service Users ◽  
Cessation Intervention

Abstract Background: Cigarette smoking cessation has been described as the world’s most important public health intervention. Electronic cigarettes are a relatively new tool for assisting smoking cessation but there is a lack of data on their efficacy. This article reports on a pharmacy supported e-cigarette smoking cessation intervention undertaken in a metropolitan area in the north of England.Methods: Longitudinal mixed-methods evaluation incorporating analysis of secondary data, interviews with service users, and interviews with service providers at 3-month and 12-month follow-up, with an additional text message survey of service users at 12-month follow-up. Results: The four-week follow-up data suggest that for every twenty people given an e-cigarette, six quit smoking tobacco and three people cut their cigarette intake by more than five cigarettes per day. Long-term follow-up results were positive but only a small number of participants were still engaged with the study at 12 months. Service users and providers spoke positively about the combination of e-cigarettes and pharmacy support.Conclusions: E-cigarette distribution combined with pharmacy support appears to be an agreeable and effective intervention for smoking cessation, but further data are needed on long-term quit rates and health effects.

scholarly journals Evaluating NHS Stop Smoking Service engagement in community pharmacies using simulated smokers: fidelity assessment of a theory-based intervention

BMJ Open ◽  
2019 ◽  
Vol 9 (5) ◽  
pp. e026841 ◽  
Author(s):  
Sandra Jumbe ◽  
Wai Y James ◽  
Vichithranie Madurasinghe ◽  
Liz Steed ◽  
Ratna Sohanpal ◽  
...  
Keyword(s):  
Smoking Cessation ◽  
Staff Training ◽  
Community Pharmacies ◽  
Intervention Fidelity ◽  
Pharmacy Staff ◽  
Stop Smoking ◽  
Fidelity Assessment ◽  
Service Engagement ◽  
Trained Staff ◽  
Stop Smoking Service

ObjectivesSmokers are more likely to quit if they use the National Health Service (NHS) Stop Smoking Service (SSS). However, community pharmacies experience low service uptake. The Smoking Treatment Optimisation in Pharmacies (STOP) programme aims to address this problem by enhancing staff training using a theory-based intervention. In this study, we evaluated intervention fidelity using simulated smokers (actors) to assess smoker engagement and enactment of key intervention components by STOP trained staff.DesignAn observational pilot study.SettingsFive community pharmacies in North East London with an NHS SSS.MethodsSix actors, representative of East London’s population, were recruited and trained to complete intervention fidelity assessments. Consenting pharmacy staff from five participating pharmacies received STOP Intervention training. Four weeks after the staff training, the actors visited the participating pharmacies posing as smokers eligible for smoking cessation support. Engagement behaviour by pharmacy staff and enactment of intervention components was assessed using a scoring tool derived from the STOP logic model (scoring range of 0–36), and contemporaneous field notes taken by actors.Results18 of 30 completed assessments were with STOP trained staff (10/18 were counter assistants). Mean score for smoker engagement was 24.4 (SD 9.0) points for trained and 16.9 (SD 7.8) for untrained staff, respectively. NHS SSS leaflets (27/30) were the most common smoking cessation materials seen on pharmacy visits. Most trained counter staff engaged with smokers using leaflets and a few proactively offered appointments with their cessation advisors. Appropriate use of body language was reported on 26/30 occasions alongside the use of key phrases from the STOP training session (n=8). Very few pharmacy staff wore STOP promotional badges (4/30).ConclusionsSTOP training may change client engagement behaviour in pharmacy staff and could improve the uptake of the NHS SSS. A cluster randomised controlled trial is currently in progress to evaluate its effectiveness and cost-effectiveness.Trial registration numberISRCTN16351033.

Beliefs, Practices, and Self-efficacy of US Physicians Regarding Smoking Cessation and Electronic Cigarettes: A National Survey

2016 ◽  
Vol 19 (2) ◽  
pp. 197-207 ◽  
Author(s):  
Andrew S. Nickels ◽  
David O. Warner ◽  
Sarah Michelle Jenkins ◽  
Jon Tilburt ◽  
J. Taylor Hays
Keyword(s):  
Smoking Cessation ◽  
National Survey ◽  
Self Efficacy ◽  
Electronic Cigarettes

Efficacy of electronic cigarettes for tobacco smoking cessation: An adapted systematic review

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
T O'Dowd
Keyword(s):  
Smoking Cessation ◽  
Cohort Studies ◽  
Randomised Controlled Trials ◽  
Electronic Cigarettes ◽  
Controlled Trials ◽  
Significant Heterogeneity ◽  
Smoking Reduction ◽  
Significant Difference ◽  
Randomised Controlled

Abstract Background Worldwide smoking remains the leading cause of preventable morbidity and mortality. Electronic cigarettes (ECs) are increasingly used by tobacco smokers as an aid to smoking cessation; however, their efficacy remains uncertain. Methods Electronic databases, clinical trial registries and grey literature sources were searched. The aim was to examine randomised controlled trials or prospective cohort studies, published since the 2016 Cochrane review on this topic, that assessed the efficacy of ECs in achieving smoking cessation among current smokers. Results Two RCTs and five cohort studies, including a total of 16,460 participants, were eligible for inclusion. One RCT found sustained 1-year abstinence of 18.0% in the EC group versus 9.9% in the nicotine replacement therapy group (RR: 1.83; 95% CI 1.30 to 2.58; P < 0.001). The second RCT did not find a statistically significant difference in abstinence rates between EC users and non-users (RR 0.71). Of the five included cohort studies, four reported statistically significant RRs. Two found a positive association (RRs of 1.45 and 1.84) between EC use and smoking cessation but two studies showed EC use was associated with reduced smoking cessation (RRs of 0.25 and 0.35). Due to significant heterogeneity between the studies the data were deemed unsuitable for pooling into a meta-analysis. All trials assessing smoking reduction reported higher rates of reduction among EC users. No serious adverse events were reported with EC use. Follow-up periods of included trials ranged from one to four years, with an average of 1.6 years. Conclusions There is limited, low-quality evidence that ECs are an effective intervention for smoking cessation and smoking reduction. The overall quality of evidence is low as it is based on a small number of studies with inconsistent and imprecise results. Due to the short follow-up periods of the included trials, the long-term safety of ECs is unclear from this review. Key messages Limited evidence that electronic cigarettes are an effective smoking cessation intervention. Further well-designed randomised controlled trials are required to investigate the efficacy of ECs for smoking cessation.

scholarly journals Creating Standardized Tools for the Pharmacist-Led Assessment and Pharmacologic Management of Adult Canadians Wishing to Quit Smoking: A Consensus-Based Approach

Pharmacy ◽  
2021 ◽  
Vol 9 (2) ◽  
pp. 80
Author(s):  
Kristi Butt ◽  
Nardine Nakhla
Keyword(s):  
Smoking Cessation ◽  
Assessment Tool ◽  
Treatment Plan ◽  
Treatment Algorithm ◽  
Vital Role ◽  
Patient Assessment ◽  
Stop Smoking ◽  
Patient Consent ◽  
Pharmacologic Management ◽  
Documentation Form

Tobacco use continues to be recognized as the single most preventable cause of death worldwide. As the gatekeepers of and experts on pharmacotherapy, pharmacists play a vital role in facilitating smoking cessation. While existing frameworks have enabled pharmacists to provide smoking cessation services in Canada for many years, the way in which they are delivered vary considerably across the nation. The purpose of this initiative was to create standardized tools for the pharmacists providing cessation services to ensure all Canadians wishing to stop smoking have equal access to consistent, evidence-based care. An iterative process using repeated rounds of voting was employed to establish consensus among key opinion leaders on the most important items to include in tools for the pharmacist-led assessment and pharmacologic management of Canadian adults wishing to stop smoking. The results were used to create eight standardized documents for national use by pharmacists: a readiness to quit assessment tool, a patient consent form, a patient assessment form for past users of tobacco and/or tobacco-like products, a patient assessment form for current users of tobacco and/or tobacco-like products, a treatment algorithm, a treatment plan summary form, a prescribing documentation form, and a follow-up & monitoring documentation form. Although not described in detail in these documents, other strategies for smoking cessation (e.g., non-pharmacologic strategies (including quitting “cold turkey” and behavioural interventions), harm reduction strategies, etc.) should be considered when pharmacotherapy is inappropriate or undesired; care should be individualized based on a patient’s previous experiences and current motivation. No single approach to treatment is endorsed by the authors. The consensus-based approach described here provides a suggested framework for harmonizing the pharmacist-led management of other ailments to optimize patient care.

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