scholarly journals The cost-effectiveness of smoking cessation services provided by general dental practice, general medical practice, pharmacy and NHS Stop Smoking Services in the North of England

2015 ◽  
Vol 44 (2) ◽  
pp. 119-127 ◽  
Author(s):  
Julia I. Csikar ◽  
Gail V. Douglas ◽  
Sue Pavitt ◽  
Claire Hulme
Keyword(s):  
Smoking Cessation ◽  
Cost Effectiveness ◽  
Medical Practice ◽  
Dental Practice ◽  
General Medical Practice ◽  
The North ◽  
Stop Smoking ◽  
Smoking Cessation Services ◽  
Stop Smoking Services ◽  
The Cost

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.

Smoking Attitudes and Prevalence of a Somali Population in London

2007 ◽  
Vol 2 (2) ◽  
pp. 68-72 ◽  
Author(s):  
Lianne Straus ◽  
Andy McEwen ◽  
Helen Croker
Keyword(s):  
Smoking Cessation ◽  
The United Kingdom ◽  
Stop Smoking ◽  
Preventative Health ◽  
Smoking Cessation Services ◽  
Stop Smoking Services ◽  
The Uk ◽  
The Relationship ◽  
Over 40 Years ◽  
Smoking Attitudes

AbstractThis research examines the prevalence and attitudes of smoking among a Somali population in London. Eight focus groups and 77 assisted questionnaires were conducted. Findings show that there was little knowledge of local smoking cessation services and several themes arose including: the format and ineffective promotion of the United Kingdom National Health Service (NHS) Stop Smoking Services, health prom xotion and ambivalence towards preventative health behaviour. Smoking rates in this Somali population appear to be higher than in the UK general population, and higher still among men over 40 years old and those that regularly use qat. Smoking cessation services for the Somali population may be more popular if there were group clinics and culturally effective promotion of the services. The relationship between qat use and smoking should be considered when targeting services to the Somali population.

scholarly journals Evaluating clinical stop-smoking services globally: Proposal for a minimum data set

2017 ◽  
Author(s):  
Andrew L. Skinner ◽  
Robert West ◽  
Martin Raw ◽  
Emma Anderson ◽  
Marcus R. Munafò
Keyword(s):  
Smoking Cessation ◽  
Service Providers ◽  
Premature Death ◽  
Global Network ◽  
Minimum Data Set ◽  
Data Set ◽  
Minimum Data ◽  
Stop Smoking ◽  
Smoking Cessation Services ◽  
Stop Smoking Services

AbstractBackground and aimsBehavioural and pharmacological support for smoking cessation improves the chances of success and represents a highly cost-effective way of preventing chronic disease and premature death. There are a large number of clinical stop-smoking services around the world. These could be connected into a global network to provide data to assess what treatment components are most effective, for what populations, in what settings. This requires data to be collected according to a minimum standard set of data items. This paper sets out a proposal for this global minimum data set.MethodsWe reviewed sets of data items used in clinical services that have already benefited from standardised approaches to using data. We identified client and treatment data items that may directly or indirectly influence outcome, and outcome variables that were practicable to obtain in clinical practice. We then consulted service providers in countries that may have an interest in taking part in a global network of smoking cessation services, and revised the sets of data items according to their feedback.ResultsThree sets of data items are proposed. The first is a set of features characterising treatments offered by a service. The second is a core set of data items describing clients’ characteristics, engagement with the service, and outcomes. The third is an extended set of client data items to be captured in addition to the core data items wherever resources permit.ConclusionsWe propose minimum standards for capturing data from clinical smoking cessation services globally. This could provide a basis for meaningful evaluations of different smoking cessation treatments in different populations in a variety of settings across many countries.

scholarly journals Associations between Practitioner Personality and Client Quit Rates in Smoking Cessation Behavioural Support Interventions

2017 ◽  
Vol 13 (2) ◽  
pp. 103-109 ◽  
Author(s):  
Heather L. Gainforth ◽  
Sarita Y. Aujla ◽  
Emma Beard ◽  
Emma Croghan ◽  
Robert West
Keyword(s):  
Smoking Cessation ◽  
Outcome Measure ◽  
Success Rates ◽  
Specific Training ◽  
Five Dimensions ◽  
Quit Smoking ◽  
Stop Smoking ◽  
Random Intercept ◽  
Stop Smoking Services ◽  
Multi Level

Introduction:There is wide variation in the success rates of practitioners employed to help smokers to stop, even once a range of potential confounding factors has been taken into account.Aim:This paper examined whether personality characteristics of practitioners might play a role success rates.Methods:Data from 1,958 stop-smoking treatment episodes in two stop-smoking services (SSS) involving 19 stop-smoking practitioners were used in the analysis. The outcome measure was clients’ biochemically verified quit status 4 weeks after the target quit date. The five dimensions of personality, as assessed by the Ten-Item Personality Inventory, were included as predictor variables: openness, conscientiousness, agreeableness, extraversion, and neuroticism. A range of client and other practitioner characteristics were used as covariates. A sensitivity analysis was conducted to determine if managers' ratings of practitioner personality were also associated with clients’ quit status.Results:Multi-level random intercept models indicated that clients of practitioners with a higher extraversion score had greater odds of being abstinent at four weeks (self-assessed: OR = 1.10, 95% CI = 1.01–1.19; manager-assessed: OR = 1.32, 95% CI = 1.21–1.44).Conclusions:More extraverted stop smoking practitioners appear to have greater success in advising their clients to quit smoking. Findings need to be confirmed in larger practitioner populations, other SSS, and in different smoking cessation contexts. If confirmed, specific training may be needed to assist more introverted stop smoking practitioners.

Cost-effectiveness of a Specialised Medium Secure Personality Disorder Service

2017 ◽  
Vol 41 (S1) ◽  
pp. S87-S88
Author(s):  
R. Woodward ◽  
R. Lingam ◽  
F. Papouli
Keyword(s):  
Cost Effectiveness ◽  
Personality Disorder ◽  
Current Model ◽  
Primary Objective ◽  
Service Development ◽  
North East ◽  
The North ◽  
Episodes Of Care ◽  
Competing Interest ◽  
The Cost

IntroductionThe Oswin unit located in the North East of England is commissioned primarily for offenders screened on the offender personality disorder (OPD) pathway based on measures of personality disorder being linked to moderate to high risks to other persons.ObjectivesThe Oswin Unit was re-designed in early 2014 meeting commissioning specifications to meet objectives based on access, measuring quality and reducing. The primary objective of this pathway is to ensure personality Disorder offenders have access to “community-to-community”, joint-up care and monitoring of risks. The Oswin unit implemented a re-designed service offering individuals formulation based assessments and risk management embedded in the OPD pathway. The overall objective of this project is to evaluate the effectiveness and risk amelioration of this hospital-based service.AimAs part of a broader service development and evaluation project, the cost-effectiveness of the current model of the unit was compared to that of the unit prior to the redesign of the service.MethodCollection of data on number of admission and length of stay and calculation of expenses per capita. Retrospective analysis of costs of care.ResultsAnalysis of comparative figures post-implementation of this new model of care found 41% more episodes of care. Cost-analysis indicated a saving of £200,000.ConclusionThe new Oswin Model meets commissioning objectives in offering access to hospital-based care and focused treatments for prisoners ‘stuck’ in prison pathways. This finding led to further investigation using thematic measures of quality of care to evaluate the effectiveness of this service and risk amelioration.Disclosure of interestThe authors have not supplied their declaration of competing interest.

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