We Can Quit2 (WCQ2): a community-based intervention on smoking cessation for women living in disadvantaged areas of Ireland—study protocol for a pilot cluster randomised controlled trial

Hayes, Christine; Ciblis, Aurelia; Darker, Catherine; Dougall, Nadine; Vance, Joanne; O’Connell, Nicola; Dobbie, Fiona; Loudon, Kirsty; Burke, Emma; Devane, Declan; Bauld, Linda

doi:10.1186/s40814-019-0511-9

Cited by 7 publications

(41 citation statements)

References 28 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The Irish Cancer Society (ICS) established Local (Area) Advisory Groups (LAGs), which included representation from the Health Service Executive (HSE), ICS and community groups to oversee trial planning in each cluster pair. 28 A c c e p t e d M a n u s c r i p t 7 Recruitment occurred in four sequential time periods (waves) according to availability of trained CFs. The recruitment plan estimated a 12-week period to engage relevant community and primary care stakeholders prior to active recruitment.…”

Section: Participantsmentioning

confidence: 99%

“…resource centre. 28 The CFs who delivered the programme were community development/health staff who had worked with SED women and may have had experience in delivering stop-smoking support for ICS. Suitable CFs were identified by the LAGs for training.…”

Section: Interventionmentioning

confidence: 99%

“…Eight districts (four cluster pairs) of approximately 8-10,000 women per district were identified according to cluster eligibility criteria. 28 A mixed-methods process evaluation was also conducted.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Peer-Delivery of a Gender-Specific Smoking Cessation Intervention for Women Living in Disadvantaged Communities in Ireland We Can Quit2 (WCQ2)—A Pilot Cluster Randomized Controlled Trial

Hayes

Patterson

Castelló

et al. 2021

Nicotine &Amp; Tobacco Research

Self Cite

View full text Add to dashboard Cite

Introduction We Can Quit” (WCQ) is community-based stop-smoking program delivered by trained community facilitators, based on the socio-ecological framework and developed using a Community-based Participatory Research approach, targeting women living in socioeconomically disadvantaged (SED) areas of Ireland. Aims and Methods The We Can Quit2 (WCQ2) pilot trial assessed the feasibility of WCQ. A pragmatic cluster randomized controlled trial with a process evaluation WCQ2, was conducted in four matched pairs of SED districts (8–10 000 women per district). Districts were independently randomized to WCQ (group support + nicotine replacement therapy), or to individual support delivered by health professionals. Participants were adult women smokers interested in quitting, who were living or working in trial districts. Recruitment of districts and 194 women in four waves (49 women per wave); retention at 12 weeks and 6 months; fidelity to intervention delivery and acceptability of trial-related processes were assessed. Validated smoking abstinence at 12-week and 6-month post-intervention was recorded, missing data assumed as continued smoking. Results Eight districts were recruited. 125/188 (66.5%) eligible women consented. The 49 women target was reached in wave4. Retention at 12 weeks was (Intervention [I]: 55.4%; Control [C]: 51.7%), at 6 months (I: 47.7%; C: 46.7%). Smoking abstinence at 12 weeks was (I: 23.1%, [95% CI: 14.5 to 34.7]; C: 13%, [95% CI: 6.9 to 24.1]). 83.8% of session activities were delivered. Trial-related processes were acceptable to facilitators. Low literacy was highlighted as a barrier for participants’ acceptability. Conclusions WCQ was feasible to deliver by trained facilitators and indicated a positive direction in abstinence rates. Low literacy will need to be addressed in a future trial design. Implications This pilot trial showed that a stop-smoking intervention tailored to a group of women smokers living in SED areas which was delivered by trained local women within their local communities was feasible. Furthermore, although not formally compared, more WCQ women were abstinent from smoking at the end of treatment. The results are relevant to enhance the design of a fully powered effectiveness trial, and provide important evidence on the barriers to deliver a tailored smoking cessation service to SED women smokers in Ireland.

show abstract

Section: Participantsmentioning

confidence: 99%

Section: Interventionmentioning

confidence: 99%

See 1 more Smart Citation

Peer-Delivery of a Gender-Specific Smoking Cessation Intervention for Women Living in Disadvantaged Communities in Ireland We Can Quit2 (WCQ2)—A Pilot Cluster Randomized Controlled Trial

Hayes

Patterson

Castelló

et al. 2021

Nicotine &Amp; Tobacco Research

Self Cite

View full text Add to dashboard Cite

show abstract

“…The WCQ intervention also included speci c optional advice from community pharmacists to support NRT use. Activities focused on increasing self-e cacy; on peersupport by sharing experiences at sessions and celebrating achievements with family, friends, and the local community (26,27). WCQ participants also received activity worksheets and were invited to keep a personal smoking diary from the rst session to increase the understanding on their smoking behaviour.…”

Section: Wcq2 Pilot Trial Overviewmentioning

confidence: 99%

“…Hence, a qualitative, mixed-method process evaluation was embedded into the WCQ2 trial, following MRC speci c guidance. The aim was to test the robustness of the pilot trial design with respect to context for intervention delivery, implementation processes, and strategies to optimise trial methodology for progression to a full pragmatic DT (27). To our knowledge few smoking cessation feasibility trials have applied MRC process evaluation guidance, with only one completing a process similar to the current study (34).…”

Section: Introductionmentioning

confidence: 99%

A Process Evaluation of ‘We Can Quit’: a Community-Based Smoking Cessation Intervention Targeting Women From Areas of Socio-Disadvantage in Ireland

Darker

Burke

Castelló

et al. 2021

Preprint

Self Cite

View full text Add to dashboard Cite

Background: Smoking poses a serious risk of early preventable death and disease especially for women living with socio-economic disadvantage (SED). A smoking cessation programme ‘We Can Quit’ was developed in Ireland tailored to SED women. The programme includes group-based support delivered by trained lay local women and free nicotine replacement therapy (NRT). The intervention was pilot tested in a cluster randomised controlled trial, ‘We Can Quit 2’. A process evaluation assessed feasibility and acceptability of the programme and trial processes.Methods: Embedded qualitative design using the Medical Research Council’s (MRC) process evaluation framework. Semi-structured interviews with trial participants (N=18) and programme deliverers, the community facilitators (CFs; N=8). Thematic analysis was used for interview transcripts.Results: Results focused on programme and trial operational factors. Peer-modelling, a non-judgemental environment, and CFs supportive role of group support were viewed as facilitative. Potential for broader message diffusion into the social networks of participating women was observed. Free NRT was helpful for cessation. Some participants expressed concerns about NRT side effects. Community pharmacists provided guidance relating to NRT and additional support between programme meetings. Provision of saliva samples proved challenging. Low literacy was a barrier for engagement with programme and trial-related materials. Hypothetical scenarios of direct or indirect observational fidelity assessment for a future definitive trial (DT) were acceptable. Conclusions: The We Can Quit intervention and trial-related processes were feasible and acceptable to participants and Community Facilitators. Any future DT will need to address low literacy.Trial registration: Controlled trials ISRCTN74721694.

show abstract

A process evaluation of ‘We Can Quit’: a community-based smoking cessation intervention targeting women from areas of socio-disadvantage in Ireland

et al. 2022

Self Cite

View full text Add to dashboard Cite

Background Smoking poses a serious risk of early preventable death and disease especially for women living with socio-economic disadvantage (SED). A smoking cessation programme, ‘We Can Quit’, was developed in Ireland tailored to SED women. This includes group-based support delivered by trained lay local community facilitators (CFs) and free nicotine replacement therapy (NRT). The intervention was pilot tested in a cluster randomised controlled trial, ‘We Can Quit 2’. This paper reports on the WCQ2 process evaluation which assessed feasibility and acceptability of the programme and trial processes. Methods Embedded qualitative design using the UK Medical Research Council’s process evaluation framework. Semi-structured interviews with trial participants (N = 21) and CFs (N = 8). Thematic analysis was utilised. Results Peer-modelling, a non-judgemental environment, CFs facilitation of group support were viewed as acceptable programme related factors. Some participants expressed concerns about NRT side effects. Provision of free NRT was welcomed and accepted by participants, although structural barriers made access challenging. Pharmacists took on a role that became larger than originally envisaged – and the majority provided additional support to women in their quit attempts between group meetings which augmented and supplemented the intervention sessions provided by the CFs. Participants reported good acceptance of repeated measures for data collection, but mixed acceptability of provision of saliva samples. Low literacy affected the feasibility of some women to fully engage with programme and trial-related materials. This was despite efforts made by intervention developers and the trial team to make materials (e.g., participant intervention booklet; consent forms and participant information leaflets) accessible while also meeting requirements under 2018 European General Data Protection Regulation legislation. Hypothetical scenarios of direct (e.g., researcher present during programme delivery) and indirect (e.g., audio recordings of programme sessions) observational fidelity assessments for a future definitive trial (DT) were acceptable. Conclusions Intervention and trial-related processes were generally feasible and acceptable to participants and CFs. Any future DT will need to take further steps to mitigate structural barriers to accessing free NRT; and the established problem of low literacy and low educational attainment in SED areas, while continuing to comply within the contemporary legislative research environment. Trial registration WCQ2 pilot trial (ISRCTN74721694).

show abstract

We Can Quit2 (WCQ2): a community-based intervention on smoking cessation for women living in disadvantaged areas of Ireland—study protocol for a pilot cluster randomised controlled trial

Cited by 7 publications

References 28 publications

Peer-Delivery of a Gender-Specific Smoking Cessation Intervention for Women Living in Disadvantaged Communities in Ireland We Can Quit2 (WCQ2)—A Pilot Cluster Randomized Controlled Trial

Peer-Delivery of a Gender-Specific Smoking Cessation Intervention for Women Living in Disadvantaged Communities in Ireland We Can Quit2 (WCQ2)—A Pilot Cluster Randomized Controlled Trial

A Process Evaluation of ‘We Can Quit’: a Community-Based Smoking Cessation Intervention Targeting Women From Areas of Socio-Disadvantage in Ireland

A process evaluation of ‘We Can Quit’: a community-based smoking cessation intervention targeting women from areas of socio-disadvantage in Ireland

Contact Info

Product

Resources

About