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Cited by 126Smoking Behavior and CessationSubstance Abuse Treatment and OutcomesChronic Obstructive Pulmonary Disease (COPD) Research

The English smoking treatment services: short-term outcomes

Judge, Ken, Bauld, Linda, Chesterman, John, Ferguson, Janet·2005·Addiction
DOI 10.1111/j.1360-0443.2005.01027.x
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Abstract

Aims To examine the impact of socio‐demographic factors, smoking‐related behaviour and service characteristics on CO‐validated quit rates at 4‐week follow‐up in English smoking treatment services, and to compare the results with those for self‐reported quitters. Design Observational study of administrative information linked with survey data for 6959 recipients of smoking treatment services who set a quit date between October 2001 and March 2003. Setting Two contrasting areas of England, Nottingham and North Cumbria, consisting of nine primary care trust (PCT) localities. Measurements Routine monitoring data specified by the Department of Health included information about basic demographic characteristics, postcode of residence from which a deprivation category was identified, nature of intervention and smoking status at 4‐week follow‐up. These data were supplemented with additional information about referral pathways, socio‐economic status and smoking‐related behaviours obtained from consenting service recipients by NHS advisers. Findings More than one‐half of clients (53%) were CO‐validated as quitters at 4 weeks, rising to 60.7% when self‐reported cases were included. Age (OR 1.026; CI 1.022–1.029) and being extremely determined to quit (OR 1.46; CI 1.26–1.71) were associated positively with CO‐validated cessation, whereas women (OR 0.85; CI 0.77–0.94), users with lower socio‐economic status (OR 0.92; CI 0.88–0.95), those smoking 31 or more cigarettes daily (OR 0.75; CI 0.64–0.88) and those with relatively poor health status (OR 0.72; CI 0.63–0.82) were less likely to quit. Although the vast majority of users received one‐to‐one support, those who had group counselling were more likely to be successful in their quit attempt (OR 1.38; CI 1.09–1.76). Self‐report and CO‐validated quitters were similar in terms of their characteristics. Conclusions These results obtained from routine services support those obtained from clinical trials and confirm the effectiveness of counselling combined with pharmacotherapies to assist smokers to quit in the short term. However, the relative effectiveness of group interventions raises questions about why one‐to‐one counselling is used much more commonly. The importance of socio‐demographic and nicotine‐related dependency factors also suggests that local service targets for smoking cessation need to take account of the social distribution of these characteristics.

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Crossref · 10.1111/j.1360-0443.2005.01027.x

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  • A previous national evaluation of NHS Stop Smoking Services in England found that the services were effective in supporting smokers to quit in the short term (at 4 weeks) and the longer term (at 1 year), and were reaching smokers from more deprived groups.

    “The evaluation found that the services were effective in supporting smokers to quit in the short term (at 4 weeks) 17 and the longer term (at 1 year), 18 and were reaching smokers from more deprived groups.19”

    From Evaluating Long-term Outcomes of NHS Stop Smoking Services (ELONS): a prospective cohort study (2015) · cites this paper as [17]

  • The ELONS study is consistent with previous studies in demonstrating this.

    “The ELONS study is consistent with previous studies in demonstrating this.7,17”

    From Evaluating Long-term Outcomes of NHS Stop Smoking Services (ELONS): a prospective cohort study (2015) · cites this paper as [17]

  • Cessation rates identified in this study were lower at both 4 and 52 weeks than in our previous research conducted over a decade ago as part of a 'national' evaluation of the services in England shortly after they were established.

    “Cessation rates identified in this study were lower at both 4 and 52 weeks than in our previous research conducted over a decade ago as part of a 'national' evaluation of the services in England shortly after they were established.17,18”

    From Evaluating Long-term Outcomes of NHS Stop Smoking Services (ELONS): a prospective cohort study (2015) · cites this paper as [17]

  • In the 4-week analysis, combination NRT was not as effective as other medication forms.

    “This may explain some of the differences between the 4-week results that go against the findings of previous studies, 7,17 in particular our findings around combination NRT not being as effective as other medication forms.”

    From Evaluating Long-term Outcomes of NHS Stop Smoking Services (ELONS): a prospective cohort study (2015) · cites this paper as [17]

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Authors
Judge, K., Bauld, L., Chesterman, J., & Ferguson, J.
Affiliations
University of Glasgow (GB)
Corresponding author
Judge, Ken
ORCID
Venue
Addiction
Publisher
Wiley
Published
2005-03-07
Volume
100
Issue
s2
Pages
46-58
ISSN
  • 0965-2140 (ISSN-L)
  • 1360-0443
DOI
10.1111/j.1360-0443.2005.01027.x
OpenAlex
W2087860813
Cited by
126
References
29
Citations by year
2024: 1 · 2023: 1 · 2022: 4 · 2021: 2 · 2020: 2 · 2019: 1 · 2018: 7 · 2017: 7 · 2016: 6 · 2015: 10 · 2014: 4 · 2013: 9 · 2012: 14
FWCI
6.79
Type
journal article
Language
en
Open access
closed
Licence
onlinelibrary.wiley.com/termsAndConditions#vor (vor)
Locations
  • Addiction (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Physiology › Smoking Behavior and Cessation
  • Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
  • Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Chronic Obstructive Pulmonary Disease (COPD) Research
Keywords
smoking cessation, quit rates, sociodemographic factors, socioeconomic status, smoking intensity, nicotine dependence, group counseling, pharmacotherapy, primary care, health disparities, smoking cessation services, England, Nottingham, North Cumbria, deprivation, referral pathways, short-term outcomes, health status
MeSH terms
Adolescent, Adult, Female, Humans, Male, Middle Aged, Patient Compliance, Pregnancy, Preventive Health Services, Time Factors, Smoking Cessation, Treatment Outcome

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