RT Journal Article
SR Electronic
T1 Effectiveness of a mobile, drop-in stop smoking service in reaching and supporting disadvantaged UK smokers to quit
JF Tobacco Control
JO Tob Control
FD BMJ Publishing Group Ltd
SP 33
OP 38
DO 10.1136/tobaccocontrol-2014-051760
VO 25
IS 1
A1 Venn, Andrea
A1 Dickinson, Anne
A1 Murray, Rachael
A1 Jones, Laura
A1 Li, Jinshuo
A1 Parrott, Steve
A1 McNeill, Ann
YR 2016
UL http://tobaccocontrol.bmj.com/content/25/1/33.abstract
AB 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.