Delivering the English smoking treatment services

Bauld, Linda; Coleman, Tim; Adams, Catherine; Pound, Elspeth; Ferguson, Janet

doi:10.1111/j.1360-0443.2005.01024.x

Cited by 25 publications

(20 citation statements)

References 7 publications

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“…While the SCC program targets all adult smokers in South Korea, the Stop Smoking Services in the UK focuses more on young persons, pregnant women, and economically disadvantaged smokers (Bauld et al, 2005). The 4-week cessation rate of the Stop Smoking Services program was 49% between 2010-2011 (The Health and Social Care Information Center, 2011).…”

Section: Discussionmentioning

confidence: 99%

The National "Smoking Cessation Clinics" Program in the Republic of Korea: Socioeconomic Status and Age Matter

Kim

Oh²,

Lim³

et al. 2013

Asian Pacific Journal of Cancer Prevention

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Multivariate logistic regression analyses were performed correcting for intra-class correlations within public health centers. Results: The overall 6-month quit rate was high (46.8%). Higher odds of smoking cessation were positively associated with higher levels of behavioral counseling sessions, but not nicotine replacement therapy (NRT). Cessation rates were lower for Medicaid participants than for regular health insurance participants. Disadvantaged younger smokers were less likely to participate in the program. Older smokers were more likely to quit regardless of SES. Stress was cited as major reason for failure. Conclusions: SES inequalities across different age groups exist in smoking cessation among Korean adult male smokers. There is a need for intervention programs specifically targeting sub-populations of SES by different age groups.

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Section: Discussionmentioning

confidence: 99%

The National "Smoking Cessation Clinics" Program in the Republic of Korea: Socioeconomic Status and Age Matter

Kim

Oh²,

Lim³

et al. 2013

Asian Pacific Journal of Cancer Prevention

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“…It is therefore important to explore how services are perceived by those in the target groups to provide insights into how access to and uptake of services could be improved. Nottingham's smoking cessation service, New Leaf, provides a standard range of evidence-based smoking cessation interventions typical of those available nationally[15]. In this study, we have attempted, using qualitative methods, to determine whether disadvantaged smokers in Nottingham are aware of existing local smoking cessation services, to explore how they view the services on offer, and to identify specific barriers and motivators to improve access to smoking cessation services in this target population.…”

Section: Introductionmentioning

confidence: 99%

Barriers and motivators to gaining access to smoking cessation services amongst deprived smokers – a qualitative study

Roddy

Antoniak

Britton

et al. 2006

BMC Health Serv Res

136

144

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BackgroundSmoking is strongly associated with disadvantage and is an important contributor to inequalities in health. Smoking cessation services have been implemented in the UK targeting disadvantaged smokers, but there is little evidence available on how to design services to attract this priority group.MethodsWe conducted focus groups with 39 smokers aged 21–75 from the most socio-economically deprived areas of Nottingham UK who had made an unsuccessful attempt to quit within the last year without using smoking cessation services, to identify specific barriers or motivators to gaining access to these services.ResultsBarriers to use of existing services related to fear of being judged, fear of failure, a perceived lack of knowledge about existing services, a perception that available interventions – particularly Nicotine Replacement Therapy – are expensive and ineffective, and negative media publicity about bupropion. Participants expressed a preference for a personalised, non-judgemental approach combining counselling with affordable, accessible and effective pharmacological therapies; convenient and flexible timing of service delivery, and the possibility of subsidised complementary therapies.ConclusionWe conclude that smokers from these deprived areas generally had low awareness of the services available to help them, and misconceptions about their availability and effectiveness. A more personalised approach to promoting services that are non-judgemental, and with free pharmacotherapy and flexible support may encourage more deprived smokers to quit smoking.

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“…[22][23][24] In addition, there is a robust foreign literature. [25][26][27][28] However, there is only 1 study of the views of African-American physicians, 29 none focusing on physicians caring for low-income patients, and none using primarily qualitative methods. This last gap-the absence of studies using qualitative methods-represents an important shortcoming in the smoking cessation literature.…”

mentioning

confidence: 99%

Barriers to the Provision of Smoking Cessation Services Reported by Clinicians in Underserved Communities

Blumenthal

2007

The Journal of the American Board of Family Medicine

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Purpose: This qualitative study describes barriers to the provision of smoking cessation services among primary care providers serving medically underserved populations in the state of Georgia.Methods: Eighty-two health care professionals, including clinicians, nurses, administrators, and support staff, participated in 10 focus groups. All sessions were audiotaped and transcribed. A line-by-line analysis of each transcript was conducted.Results: Barriers were grouped into 5 major themes: lack of time, patient unreadiness to change, inadequate patient resources, inadequate provider resources, and inadequate cessation clinical skills. Within this framework, a number of barriers were identified that are of special importance when caring for the underserved. Examples included the tendency of patients to present in "crisis" rather than on an appointment basis; patients' inability to pay out-of-pocket expenses for drug therapy; patients' inability to take time from work for cessation services; limited prescribing authority for clinicians in certain settings; inadequate availability of patient education materials, especially non-English materials; and the need for additional training in smoking cessation for providers.Conclusion: "Safety net" providers encounter barriers to providing smoking cessation services that are similar to barriers faced by clinicians serving more affluent and nonminority populations, but also encounter additional barriers that apply most particularly to the underserved.

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Delivering the English smoking treatment services

Cited by 25 publications

References 7 publications

The National "Smoking Cessation Clinics" Program in the Republic of Korea: Socioeconomic Status and Age Matter

The National "Smoking Cessation Clinics" Program in the Republic of Korea: Socioeconomic Status and Age Matter

Barriers and motivators to gaining access to smoking cessation services amongst deprived smokers – a qualitative study

Barriers to the Provision of Smoking Cessation Services Reported by Clinicians in Underserved Communities

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