Effectiveness of specialist group treatment for smoking cessation vs. one-to-one treatment in primary care
Abstract
Objective Using a quasi-experimental design, this paper contributes to an important debate about the most effective form of psychological treatment to aid smoking cessation: group treatment provided by specialists or one-to-one treatment provided in the community by primary care nurses or pharmacists.Methods Data were routinely collected from 1501 clients of a large London stop smoking service that offered both group and one-to-one treatment.Results A quarter (25%) of the clients were continuously abstinent 4 weeks post-quit: 30% for those receiving group treatment and 19% for one-to-one (Fisher's exact [2-sided]<.001). The difference between the specialist and community-based treatment remained after all possible confounding factors were controlled for (OR: 2.27, p<.001).Conclusions In the same service with the same management structure and training programme, group treatment offered by the specialist service yielded higher success rates than counselling by trained primary care nurses and pharmacists.
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Findings from the study team's earlier studies with NHS Stop Smoking Services suggest that group interventions may be more effective in practice.
“Findings from our earlier studies with NHS SSSs suggest that group interventions may be more effective in practice 24 but that smokers, given a choice, will choose one-to-one support.”
From Evaluating Long-term Outcomes of NHS Stop Smoking Services (ELONS): a prospective cohort study (2015) · cites this paper as [24]
Smokers, given a choice, will choose one-to-one support.
“Findings from our earlier studies with NHS SSSs suggest that group interventions may be more effective in practice 24 but that smokers, given a choice, will choose one-to-one support.”
From Evaluating Long-term Outcomes of NHS Stop Smoking Services (ELONS): a prospective cohort study (2015) · cites this paper as [24]
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- Authors
- McEwen, A., West, R., & McRobbie, H.
- Affiliations
- Cancer Research UK (GB)
- University of Auckland (NZ)
- Corresponding author
- McEwen, Andy
- Venue
- Addictive Behaviors
- Publisher
- Elsevier BV
- Published
- 2006-09
- Volume
- 31
- Issue
- 9
- Pages
- 1650-1660
- ISSN
- 0306-4603 (ISSN-L)
- OpenAlex
- W2082579921
- Cited by
- 67
- References
- 29
- Citations by year
- 2024: 1 · 2022: 2 · 2021: 5 · 2019: 4 · 2018: 2 · 2017: 4 · 2016: 4 · 2015: 7 · 2014: 1 · 2013: 3 · 2012: 6
- FWCI
- 3.98
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Addictive Behaviors (publishedVersion)
- PubMed (publishedVersion)
- UCL Discovery (University College London) (submittedVersion)
- Topics
- Health Sciences › Medicine › Physiology › Smoking Behavior and Cessation
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Social Sciences › Psychology › Applied Psychology › Behavioral Health and Interventions
- Keywords
- smoking cessation, group therapy, primary care nurses, pharmacists, nicotine dependence, abstinence rates
- MeSH terms
- Smoking Prevention, Adult, Community Health Nursing, Community Pharmacy Services, Counseling, Female, Follow-Up Studies, Humans, London, Male, Middle Aged, Primary Health Care, Psychotherapy, Group, Socioeconomic Factors, State Medicine, Smoking Cessation, Treatment Outcome
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