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Cited by 34Smoking Behavior and CessationSubstance Abuse Treatment and OutcomesHealth Policy Implementation Science

Factors associated with differences in quit rates between ‘specialist’ and ‘community’ stop-smoking practitioners in the English stop-smoking services

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McDermott, Máirtín S., Beard, Emma, Brose, Leonie S., West, Robert, McEwen, Andy·2013·Nicotine & Tobacco Research
DOI 10.1093/ntr/nts262
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Abstract

INTRODUCTION: Behavioral support improves smokers' chances of quitting, but quit rates are typically lower for smokers supported by "community practitioners" for whom smoking cessation is a small part of their job than for those supported by "specialist practitioners" for whom it is the main role. This article examined the factors that might contribute to this. METHOD: A total of 573 specialist practitioners and 466 community practitioners completed a 42-item online survey that covered demographic and employment information, current practices, levels of training, and 4-week CO-verified quit rates. Responses were compared for community and specialist practitioners. Mediation analysis was undertaken to assess how far "structural" and "modifiable" variables account for the difference in quit rates. RESULTS: Specialist practitioners reported higher 4-week CO-verified quit rates than community practitioners (63.6% versus 50.4%, p < .001). Practitioners also differed significantly in employment variables, evidence-based practices, and levels of training. Six "modifiable" variables (proportion of clients using an "abrupt" quit model, duration of first session, always advising on medications, number of days training received, number of sessions observed when starting work, and number of sessions having been observed in practice and received feedback) mediated the association between practitioners' role and quit rates over and above the "structural" variables, explaining 14.3%-35.7% of the variance in the total effect. CONCLUSIONS: "Specialist" practitioners in the English stop-smoking services report higher success rates than "community" practitioners and this is at least in part attributable to more extensive training and supervision and greater adherence to evidence-based practice including advising on medication usage and promoting abrupt rather than gradual quitting.

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Authors
McDermott, M. S., Beard, E., Brose, L. S., West, R., & McEwen, A.
Affiliations
  • King's College London (GB)
  • Cancer Research UK (GB)
  • University College London (GB)
ORCID
Venue
Nicotine & Tobacco Research
Publisher
Oxford University Press (OUP)
Published
2012-12-13
Volume
15
Issue
7
Pages
1239-1247
ISSN
  • 1462-2203 (ISSN-L)
  • 1469-994X
DOI
10.1093/ntr/nts262
OpenAlex
W2154002404
Cited by
34
References
35
Citations by year
2025: 1 · 2024: 1 · 2022: 2 · 2021: 3 · 2019: 3 · 2018: 6 · 2017: 4 · 2016: 3 · 2015: 6 · 2014: 5
FWCI
2.36
Type
journal article
Language
en
Open access
Licence
other-oa
Locations
  • Nicotine & Tobacco Research (publishedVersion)
  • PubMed (publishedVersion)
  • Research Portal (King's College London) (publishedVersion, other-oa)
  • Research Online (University of Wollongong) (submittedVersion)
  • UCL Discovery (University College London) (submittedVersion)
  • Figshare (submittedVersion)
  • HighWire Press Open Archive (submittedVersion)
Funders
  • Cancer Research UK (14135)
  • National Institute for Health and Care Research (DOH T336/BSS/M)
Topics
  • Health Sciences › Medicine › Physiology › Smoking Behavior and Cessation
  • Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
  • Health Sciences › Health Professions › General Health Professions › Health Policy Implementation Science
Keywords
smoking cessation, quit rates, behavioral support, evidence-based practice, mediation analysis
MeSH terms
Adult, Aged, England, Female, Humans, Male, Middle Aged, Specialization, Smoking Cessation, Treatment Outcome, Health Care Surveys, Young Adult

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