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Research paper
Effectiveness of a mobile, drop-in stop smoking service in reaching and supporting disadvantaged UK smokers to quit
  1. Andrea Venn1,
  2. Anne Dickinson2,
  3. Rachael Murray1,
  4. Laura Jones3,
  5. Jinshuo Li4,
  6. Steve Parrott4,
  7. Ann McNeill5
  1. 1Division of Epidemiology and Public Health and UK Centre for Tobacco and Alcohol Studies, University of Nottingham, Nottingham, UK
  2. 2Division of Primary Care, University of Nottingham, Nottingham, UK
  3. 3Unit of Public Health, Epidemiology and Biostatistics and UK Centre for Tobacco and Alcohol Studies, University of Birmingham, Birmingham, UK
  4. 4Department of Health Sciences and UK Centre for Tobacco and Alcohol Studies, University of York, York, UK
  5. 5National Addiction Centre, Institute of Psychiatry and UK Centre for Tobacco and Alcohol Studies, King's College London, London, UK
  1. Correspondence to Dr Andrea Venn, Division of Epidemiology and Public Health and UK Centre for Tobacco and Alcohol Studies (UKCTAS), University of Nottingham, Clinical Sciences Building, City Hospital, Nottingham, NG5 1PB, UK; andrea.j.venn{at}btinternet.com, andrea.venn{at}nottingham.ac.uk

Abstract

Background In countries where there are large disparities in smoking with persistent high rates among disadvantaged groups, there is a need to ensure that stop smoking services (SSS) reach such smokers. The primary aim of this study was to evaluate the effectiveness of a mobile, drop-in, community-based SSS in reaching more disadvantaged smokers, particularly those from routine and manual (RM) occupation groups, than standard services; secondary aims were to evaluate effectiveness in reaching those who had not previously accessed SSS, triggering unplanned quit behaviour, helping people quit and cost-effectiveness.

Methods Following a 4-week pilot period, a mobile drop-in SSS was delivered across various public locations in Nottingham City, UK for 6 months, offering behavioural and pharmacological support via one-to-one consultations with trained cessation advisors. Detailed demographic and smoking behaviour data were collected from all clients accessing the mobile SSS, and Nottingham's standard SSS for comparison.

Results Compared with smokers accessing the standard SSS (n=1856), mobile SSS smokers (n=811) were significantly more likely to be from the RM group (33.3% vs 27.2%, p=0.002), and to be first-time SSS users (67.8% vs 59.3%, p<0.001). Nearly 1 in 10 smokers setting a quit date through the mobile SSS had no prior quit intentions. The cost per smoker setting a quit date for the mobile SSS was only slightly higher than the standard SSS (£224 vs £202).

Conclusions A mobile drop-in SSS is an effective way of reaching more disadvantaged smokers from RM occupations, as well as those who have not previously accessed standard SSS and those without prior quit intentions.

  • Cessation
  • Socioeconomic status
  • Health Services

This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/

https://doi.org/10.1136/tobaccocontrol-2014-051760

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