scholarly journals Pregnant smokers’ perceptions of specialist smoking cessation services

2013 ◽  
Vol 9 (2) ◽  
pp. 85-97 ◽  
Author(s):  
Sarah J. Butterworth ◽  
Elizabeth Sparkes ◽  
Alison Trout ◽  
Katherine Brown
Keyword(s):  
Smoking Cessation ◽  
Prenatal Smoking ◽  
Sensitive Information ◽  
Mortality And Morbidity ◽  
Quit Smoking ◽  
Pregnant Smokers ◽  
West Midlands ◽  
Smoking Cessation Services ◽  
The Right ◽  
Women’S Views

Introduction: Women who continue to smoke during pregnancy are at risk of smoking-related diseases, maternity complications and expose the foetus to risks of perinatal mortality and morbidity. The number of women smoking at the time of delivery is estimated at 13.5% in England and 15.8% in the West Midlands. However, the prevalence can be elevated in certain areas, such as north Solihull.Aims: This research consults past, current and non-users of specialist smoking cessation services and reports pregnant women's views of smoking cessation delivery and potential service developments.Methods: Focus groups were conducted with 19 participants with experience of prenatal smoking.Findings: Data was analysed using thematic analysis. The main themes included: (1) improving access to clear, sensitive information on smoking and pregnancy; (2) perceptions of existing services; (3) improving current services: the right delivery and the right person; and (4) encouraging participation of pregnant smokers.Conclusions: In this area, pregnant smokers wanted easily-accessible, empathetic, non-judgemental and flexible support more than incentives or rewards to quit smoking. They also stated a preference for group cessation support as they believed that peer support would be advantageous.

OP02 Women’s Views on Smoking Cessation Services and National Tobacco Control Measures

2013 ◽  
Vol 67 (Suppl 1) ◽  
pp. A4.2-A4
Author(s):  
J Barber ◽  
E Rumsby ◽  
S Parker ◽  
L Mohebati ◽  
S Venables ◽  
...  
Keyword(s):  
Smoking Cessation ◽  
Tobacco Control ◽  
Control Measures ◽  
Smoking Cessation Services ◽  
Women’S Views

scholarly journals Smoking Cessation Services by Community Pharmacists: Real-World Practice in Thailand

2021 ◽  
Vol 18 (22) ◽  
pp. 11890
Author(s):  
Sunee Lertsinudom ◽  
Pentipa Kaewketthong ◽  
Tamonwan Chankaew ◽  
Dujrudee Chinwong ◽  
Surarong Chinwong
Keyword(s):  
Smoking Cessation ◽  
Community Pharmacy ◽  
Real World ◽  
Community Pharmacists ◽  
Self Report ◽  
P Value ◽  
Quit Smoking ◽  
Smoking Cessation Services ◽  
Before And After ◽  
Exhaled Carbon Monoxide

This study aimed to report the effectiveness of community pharmacy smoking cessation services in 13 health regions in Thailand using a retrospective data-collecting method from the Foundation of Community Pharmacy database. The participants were smokers aged at least 18 years. The outcomes were the abstinence of smoking at least 30 consecutive days by self-report only and self-report with exhaled CO level <7 ppm (if available), the number of cigarettes smoked daily, exhaled carbon monoxide (exhaled CO), and % peak expiratory flow rate (%PEFR); smokers measured these outcomes before and after receiving the smoking cessation services. Of 58 community pharmacies, 532 smokers (93% male, mean age of 42.4 ± 14.9 years) received smoking cessation services from community pharmacists. Of 235 smokers with complete data, 153 (28.8%, 153/532) smokers reported smoking abstinence by self-report. The mean number of cigarettes smoked daily reduced from 15.3 ± 8.7 to 1.9 ± 3.8 cigarettes, p-value < 0.001. The exhaled CO levels of smokers significantly reduced from 11.7 ± 5.9 ppm to 7.2 ± 4.4 ppm, p-value < 0.001. The %PEFR also significantly increased from 84.2 ± 19.4 to 89.5 ± 19.5, p-value < 0.001. In conclusion, Thai community pharmacy smoking cessation services could aid smokers to quit smoking. This study is the outcome of the real-world community pharmacy smoking cessation service; policymakers should consider this service to be included in the national healthcare policy.

scholarly journals Impact of Chinese Respiratory Physicians Participating in Smoking Cessation and Mobile Health:Methodological Assessment and Effectiveness Comparison

2020 ◽  
Author(s):  
Yizhe Wang ◽  
Rong Li ◽  
Li Zhang ◽  
Jian Kang ◽  
Dan Xiao ◽  
...  
Keyword(s):  
Smoking Cessation ◽  
Success Rate ◽  
Control Group ◽  
Cessation Rate ◽  
Real World Application ◽  
Quit Smoking ◽  
Smoking Cessation Services ◽  
Mobile Communication Technology ◽  
Single Blind

Abstract Background People who are eager to quit smoking often lack long-term, daily smoking cessation guidance. Besides, advances in mobile communication technology offer promising ways to provide tobacco dependence treatment. However, it is unclear whether doctors-WeChat network can improve the smoking cessation rate of nicotine-dependent patients. Methods In this prospective single-blind cohort study, we recruited 250 smokers from April, 2018 to August, 2018. They were randomly divided into two groups with or without doctors' active smoking cessation service and followed-up for 6 months. The smoking cessation rate and the characteristics of successful smoking cessation groups were compared. The reasons for relapse were also analyzed. Results After beginning quit for 3months, the success rate of the group with respiratory physicians actively involved was 65.0% (80/123) ; the success rate of control group was 34.7% (34/98). Quit for 6 months, the success rate of the group with respiratory physicians actively involved was 55.3% (68/123) ; the control group was 11.2% (11/98). There was no difference in weight change between the two groups. Subgroup analysis showed that among men who were younger than 45 years old or unemployment, doctors' participation has a greater impact on the success of smoking cessation. Conclusions Doctors in mobile-smoking cessation services plays a very important role to improve quit rates. Our research provides methodological guidance for further clinical trials and provides a template for further real-world application of smoking cessation services.

scholarly journals Evaluation of a complex healthcare intervention to increase smoking cessation in pregnant women: interrupted time series analysis with economic evaluation

2017 ◽  
Vol 27 (1) ◽  
pp. 90-98 ◽  
Author(s):  
Ruth Bell ◽  
Svetlana V Glinianaia ◽  
Zelda van der Waal ◽  
Andrew Close ◽  
Eoin Moloney ◽  
...  
Keyword(s):  
Time Series ◽  
Carbon Monoxide ◽  
Smoking Cessation ◽  
Interrupted Time Series ◽  
Healthcare Intervention ◽  
Interrupted Time Series Analysis ◽  
Smoking During Pregnancy ◽  
Pregnant Smokers ◽  
Smoking Cessation Services ◽  
Quitting Smoking

ObjectivesTo evaluate the effectiveness of a complex intervention to improve referral and treatment of pregnant smokers in routine practice, and to assess the incremental costs to the National Health Service (NHS) per additional woman quitting smoking.DesignInterrupted time series analysis of routine data before and after introducing the intervention, within-study economic evaluation.SettingEight acute NHS hospital trusts and 12 local authority areas in North East England.Participants37 726 records of singleton delivery including 10 594 to mothers classified as smoking during pregnancy.InterventionsA package of measures implemented in trusts and smoking cessation services, aimed at increasing the proportion of pregnant smokers quitting during pregnancy, comprising skills training for healthcare and smoking cessation staff; universal carbon monoxide monitoring with routine opt-out referral for smoking cessation support; provision of carbon monoxide monitors and supporting materials; and an explicit referral pathway and follow-up protocol.Main outcome measuresReferrals to smoking cessation services; probability of quitting smoking during pregnancy; additional costs to health services; incremental cost per additional woman quitting.ResultsAfter introduction of the intervention, the referral rate increased more than twofold (incidence rate ratio=2.47, 95% CI 2.16 to 2.81) and the probability of quitting by delivery increased (adjusted OR=1.81, 95% CI 1.54 to 2.12). The additional cost per delivery was £31 and the incremental cost per additional quit was £952; 31 pregnant women needed to be treated for each additional quitter.ConclusionsThe implementation of a system-wide complex healthcare intervention was associated with significant increase in rates of quitting by delivery.

scholarly journals Preliminary efficacy of the Quit Together Couple focused pregnancy smoking cessation intervention in Romania

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
C Meghea ◽  
R Bandici ◽  
M D Dascal
Keyword(s):  
Smoking Cessation ◽  
Problem Solving ◽  
Intervention Group ◽  
Telephone Counseling ◽  
Smoking Cessation Intervention ◽  
Control Group ◽  
Prenatal Smoking ◽  
Eligibility Criteria ◽  
Cessation Intervention ◽  
Pregnant Smokers

Abstract Significance Smoking rates before and during pregnancy are high in Romania and other low- and middle-income countries. We report on the efficacy of a smoking cessation intervention for couples during and after pregnancy in Romania. Methods The Quit Together trial enrolled participants between 2017-2019. The target population was comprised of pregnant smokers and their life partners in Romania. Eligibility criteria included age &gt; =18; pregnant; smoker; married or with a stable partner; willing to share partner contact info to be invited as participants as well. Participants self-enrolled through the Quit Together project webpage responding to Facebook ads and Google AdWords ad campaigns, and promotion through emails, online discussion groups, and printed materials distributed nationally by perinatal educators in ObGyn clinics and other relevant locations. Quit Together is a telephone counselling program building on the Motivation and Problem Solving (MAPS) approach enhanced by targeting the couples' smoking behavior and focusing on dyadic efficacy for smoking cessation. We report preliminary efficacy results of Quit Together. Preliminary Results There were 130 pregnant smokers with confirmed enrollment in the Quit Together trial. Among those who completed the intervention, the postpartum follow-up rate was close to 87% (N = 47/52). The mean age was 28, ranging from 18 to 42. Over 42% graduated college. Over 62% of the pregnant smokers had moderate-high nicotine dependence. Interim smoking cessation efficacy analyses on the first 52 participants indicate that the self-reported quit rate was 29.6% in the intervention group (8/27) vs 20% in the control group (5/25). Biochemically confirmed quit rates were 11.1% (3/27) vs 8% (2/25). Conclusions Motivation and problem-solving telephone counseling with couples can increase smoking cessation during pregnancy. These interim findings suggest that Quit Together may be an efficacious program for prenatal smoking cessation.

scholarly journals Maintenance of Smoking Cessation in Korean Single Mothers

2020 ◽  
Author(s):  
Mi-Ji Lee ◽  
Kang-Sook Lee
Keyword(s):  
Smoking Cessation ◽  
South Korea ◽  
Single Mothers ◽  
Smoking Cessation Counseling ◽  
Quit Smoking ◽  
Smoking Cessation Services ◽  
Promote Smoking Cessation ◽  
Pregnancy Status ◽  
Exhaled Carbon Monoxide ◽  
Sources Of Support

Abstract Background: Single mothers in South Korea are vulnerable to developing smoking habits, due to many difficulties and limitations; however, they have often been overlooked by smoking cessation support services. Therefore, this study aimed to investigate the demographic and smoking-related characteristics of single mothers registered with the Seeking Smoking Cessation Services Program in Seoul, South Korea, to identify factors associated with smoking cessation maintenance at 4, 6, 12, and 24 weeks after the they initially quit smoking.Methods: The participants were 77 single mothers registered at the Seeking Smoking Cessation Services Program. Data were included from a three-year span (January 2017 to December 2019). Smoking cessation counseling, motivational enhancement, and self-exploration counseling were provided for six months. The participants were evaluated on their smoking cessation status at 4, 6, 12, and 24 weeks.Results: Most participants were aged 22 years or younger. The rates of smoking cessation maintenance were 58.4%, 39%, 28%, and 18% at 4, 6, 12, and 24 weeks, respectively. The rate of smoking cessation maintenance increased as the number of counseling sessions attended increased. Smoking cessation maintenance was also significantly associated with pregnancy status, exhaled carbon monoxide level, and drinking. Conclusion: A counseling program to effectively promote smoking cessation and enhance motivation to maintain smoking cessation should be developed and provided to single mothers. Smoking cessation counselors have an important role as sources of support for those who want to quit smoking, and should aim to reduce the rate of smoking among single mothers by providing them with consistent counseling.

Integrating Worksite Smoking Cessation Services Into the Construction Sector: Opportunities and Challenges

2019 ◽  
Vol 46 (6) ◽  
pp. 1024-1034
Author(s):  
Taghrid Asfar ◽  
Laura A. McClure ◽  
Kristopher L. Arheart ◽  
Estefania C. Ruano-Herreria ◽  
Clark G. Gilford ◽  
...  
Keyword(s):  
Smoking Cessation ◽  
State Government ◽  
The United States ◽  
South Florida ◽  
Construction Workers ◽  
Construction Sector ◽  
Quit Smoking ◽  
Tobacco Treatment ◽  
Smoking Cessation Services ◽  
State And Local

Background. Smoking prevalence among Hispanic/Latino construction workers in the United States is very high (31%). Aims. To investigate tobacco use profiles in these minority workers and explore their management’s views about implementing sustainable worksite smoking cessation services. Methods. Analysis of baseline data from a smoking cessation trial among Hispanic/Latino construction workers ( n = 134; adult men ≥18 years), and semistructured, 45-minute interviews with 24 key personnel at six construction companies in south Florida were conducted. Interviews were recorded, transcribed, and analyzed thematically. Results. Overall, 43.3% of workers were Cuban, and 81.3% had low acculturation level. Nicotine dependence levels were “high” in 61.8% of workers. Half of the workers had a successful quit attempt but only 9.9% received advice from a physician to quit smoking, 16.7% used medication to quit, and 79.2% did not receive assistance. Participants in the interviews stated that nothing was provided to help smokers quit smoking and considered distributing self-help materials with free medications as the most appropriate service. Challenges to integrating the service were time restriction and cost. Recommendations for implementing the service were local/state government mandate. Discussion. Tailoring tobacco treatment to Hispanic/Latino construction workers’ job circumstances and culture is essential to support their cessation efforts. Integrating worksite tobacco treatment services into other available health promotion programs (e.g., safety) and enforcing smoke-free legislation in the construction sector can facilitate its adoption. Conclusion. Involving key stakeholders and mandating the service by the State and local government are necessary to integrate sustainable worksite smoking cessation services in the construction sector.

scholarly journals SHadow Under the Lamp (SHUL): Smoking behavior of the health professionals

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
M A Rahman ◽  
A W Susanto ◽  
A A Quarashi ◽  
A Raymond ◽  
F F Taufik ◽  
...  
Keyword(s):  
Smoking Cessation ◽  
Health Professionals ◽  
Smoking Behavior ◽  
Cross Sectional Study ◽  
Online Questionnaire ◽  
Cross Sectional ◽  
Mortality And Morbidity ◽  
Quit Smoking ◽  
Waking Up

Abstract Background Smoking cessation is the best option a health professional can offer to the patients for averting the preventable causes of mortality and morbidity. Purpose To determine smoking behavior, preferred cessation methods, and attitudes towards smoking cessation amongst health professionals. Methods The cross-sectional study, conducted in six countries, included doctors and nurses working at different hospital settings. Participants responded anonymously to an online questionnaire. Results Among 1109 participants, 36% were from Saudi Arabia, 14% from Nepal, 14% from Indonesia, 12% from Australia, 12% from Jordan, and 12% from Pakistan. Mean age was 33 years, 61% were females and 58% were nurses. One in eight (12%) was daily smoker. Among current smokers, 42% smoked 2-9 cigarettes/day, and 26% had their first cigarette within 5-30 minutes after waking up. Half of the smokers perceived it as 'very important' to quit smoking, 30% had tried to quit in the last six months, and 31% preferred to have a group quit program with the same health professionals. Only 17% had formal training on smoking cessation, but 57% were interested to receive one. Half of the participants said they (53%) 'always' asked patients if they smoked, but 89% said they advised to quit, 76% said they assessed intention to quit, 28% said they assisted by providing materials on cessation, and 33% said they arranged follow up for cessation. Compared to current smokers, never smokers were more likely to 'always' ask patients if they smoked (78% vs. 22%, p = 0.044, ORs 1.39, 95%CIs 1.01-1.91), assist smokers by setting quit dates (74% vs. 26%, p = 0.039, ORs 1.54, 95%CIs 1.03-2.29), arrange follow up (77% vs. 23%, p = 0.044, ORs 1.40, 95%CIs 1.01-1.94). Conclusions Health professionals reported moderately good behavior around advice to smokers, but it is much worse among current smokers. Health professionals who smoke should be both encouraged to quit and to better support their patients to do so. Key messages Smoking cessation support for patients was not good among health professionals, who were smokers. Health professionals need to quit smoking in order to provide better cessation support for patients.

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