scholarly journals Client Satisfaction With English Stop Smoking Services

2011 ◽  
Vol 6 (1) ◽  
pp. 51-57 ◽  
Author(s):  
Sylvia May ◽  
Andy McEwen
Keyword(s):  
Client Satisfaction ◽  
Medication Use ◽  
Outcome Data ◽  
Stop Smoking ◽  
End Of Treatment ◽  
Quitting Smoking ◽  
Stop Smoking Services ◽  
Uk National Health Service ◽  
Survey Responses ◽  
The Impact

AbstractThis study reports client satisfaction in five UK National Health Service (NHS) Stop Smoking Services (SSS) and examines the impact of satisfaction on outcome four weeks postquit. Six services were selected on the basis of perceived ability to run the study from a pool of 11 who responded to a mailshot to volunteer. Advisors made one of two satisfaction surveys available to their clients two weeks after quitting smoking. The two surveys were a ‘brief’ three-item survey and a ‘full’ survey containing those items plus 19 others about specific aspects of the service. There were two key items: how satisfied respondents were with the support they received to stop smoking and would they recommend the service to another smoker. Surveys were completed anonymously but had unique identification numbers so they could be linked to individual demographic and outcome data. Overall 10% (554/5520) of treated smokers in the services completed a survey, 7% (390/5520) completed the ‘full’ survey. Responses were a strong endorsement of the participating services, with 93% (505/542) satisfied or very satisfied with the service and 99% (548/552) prepared to recommend the service. The sample was unrepresentative of the population of treated smokers in terms of eligibility for free prescriptions, ethnicity, age, type of treatment experienced, the type of advisor seen, medication use and end of treatment outcome. Satisfaction at week two was not related to abstinence at four weeks postquit. Limitations of the study and suggestions for service delivery are discussed.

How to Measure Client Satisfaction With Stop Smoking Services: A Pilot Project in the UK National Health Service

2009 ◽  
Vol 4 (1) ◽  
pp. 52-58 ◽  
Author(s):  
Sylvia May ◽  
Andy McEwen ◽  
Helen Arnoldi ◽  
Linda Bauld ◽  
Janet Ferguson ◽  
...  
Keyword(s):  
National Health ◽  
Client Satisfaction ◽  
Survey Methodology ◽  
Smoking Status ◽  
Intraclass Correlation ◽  
Face Validity ◽  
Future Research ◽  
Stop Smoking ◽  
Stop Smoking Services ◽  
Service To Others

AbstractThis pilot study aimed to develop a tool and methodology for measuring client satisfaction in UK National Health (NHS) Stop Smoking Services (SSS). A brief postcard questionnaire (measuring overall satisfaction with the service, willingness to recommend the service to others and smoking status) and a complete questionnaire (with 20 additional items measuring satisfaction with specific elements of the service) were developed. An NHS SSS mailed the postcard to 298 clients who had set a quit date in the previous quarter, they mailed the complete questionnaire to a subsample of 99 clients. Overall 34% (100/298) of those surveyed responded: 30% (90/298) for the card and 25% (25/99) for the questionnaire (15 people responded to both). Intraclass correlation coefficients (ICC) were found to be acceptable for both the overall service satisfaction item (ICC value = .43, p = .05) and the item regarding recommending the service to others (ICC-value = .83, p < .001). Hence the tool had reliability and at least face validity and the survey methodology proved practicable. The small modifications made to service delivery and the need for future research are discussed.

scholarly journals Impact of the NHS Stop Smoking Services on smoking prevalence in England: a simulation modelling evaluation

2019 ◽  
pp. tobaccocontrol-2018-054879 ◽  
Author(s):  
Fujian Song ◽  
Tim Elwell-Sutton ◽  
Felix Naughton
Keyword(s):  
Smoking Prevalence ◽  
Smoking Status ◽  
Adult Population ◽  
Simulation Modelling ◽  
Point Reduction ◽  
Stop Smoking ◽  
Quit Attempts ◽  
Stop Smoking Services ◽  
State Transition Model ◽  
The Impact

BackgroundThe English National Health Service NHS Stop Smoking Services (SSS), established in 2001, were the first such services in the world. An appropriate evaluation of the SSS has national and international significance. This modelling study sought to evaluate the impact of the SSS on changes in smoking prevalence in England.MethodsA discrete time state-transition model was developed to simulate changes in smoking status among the adult population in England during 2001–2016. Input parameters were based on data from national statistics, population representative surveys and published literature. The main outcome was the percentage point reduction in smoking prevalence attributable to the SSS.ResultsSmoking prevalence was reduced by 10.8 % in absolute terms during 2001–2016 in England, and 15.3 % of the reduction could be attributable to the SSS. The percentage point reduction in smoking prevalence each year was on average 0.72%, and 0.11 % could be attributable to the SSS. The proportion of SSS supported quit attempts increased from 5.5 % in 2001, to as high as 18.9 % in 2011, and then reduced to 8.2 % in 2016. Quit attempts with SSS support had a higher success rate than those without SSS support (15.1% vs 11.3%). Smoking prevalence in England continued to decline after the SSS was much reduced from 2013 onwards.ConclusionsApproximately 15% of the percentage point reduction in smoking prevalence during 2001–2016 in England may be attributable to the NHS SSS, although uncertainty remains regarding the actual impact of the formal smoking cessation services.

Empowered to stop smoking: The impact of a SDT smoking cessation intervention on economically disadvantaged whites and blacks

2006 ◽  
Vol 24 (18_suppl) ◽  
pp. 1012-1012
Author(s):  
C. D. Figueroa-Moseley ◽  
G. C. Williams ◽  
G. R. Morrow ◽  
P. Jean-Pierre ◽  
J. Carroll ◽  
...  
Keyword(s):  
Smoking Cessation ◽  
Usual Care ◽  
Self Regulation ◽  
Health Behavior Change ◽  
Quit Smoking ◽  
Stop Smoking ◽  
Treatment Conditions ◽  
Quitting Smoking ◽  
Smoking Behaviors ◽  
The Impact

1012 Background: Few studies have examined the potential influence of an empowering Self Determination Theory (SDT) intervention on reducing smoking behaviors and outcomes for Whites and Blacks. Objectives: To determine if empowerment to stop smoking is associated with smoking outcomes in Whites and Blacks, and to examine if empowerment to stop smoking improved under the SDT Intervention vs. Usual Care conditions. Methods: A longitudinal randomized trial study was conducted to examine the effect of a SDT and health behavior change intervention for tobacco cessation among adult smokers. Participants were randomized into the SDT Intervention or the Usual Care condition. The present study includes data from a sample of 821 Whites and 177 Blacks who completed anonymous surveys at 1, 6, and 18-months intervals on empowerment to stop smoking (Perceived Competence Scale, Treatment Self-Regulation Questionnaire), demographics, and smoking behaviors. Results: Stepwise logistic regressions showed that empowerment to stop smoking was associated with quitting smoking at 1, 6, and 18 month follow-up for both treatment conditions. At one month, participants in the SDT Intervention with the highest levels of empowerment were 6.3 times more likely to quit smoking as compared with those in the usual care condition who were only 3.15 times as likely to quit smoking. Similar findings were found at 6 months and at 18 months (6- month SDT Intervention Empowerment High: (OR = 8.66, 95% C.I. 4.6, 16.3); 6 month Usual Care Empowerment High: (OR = 3.10, 95% C.I. 1.4, 7.0); 18- month SDT Intervention Empowerment High: (OR = 4.10, 95% C.I. 2.2, 7.5); 18 month Usual Care Empowerment High: (OR = 3.11, 95% C.I. 1.3, 7.7). In the SDT Intervention at 6 months being Black increased successful quitting by 2.4 times. Conclusions: Findings indicate that at each time-point the SDT Intervention empowered more participants to stop smoking than usual care alone. Findings also suggest that Blacks may increase their ability to stop smoking in the SDT Intervention condition. These preliminary findings highlight the need to further investigate the possible roles of empowerment interventions in smoking cessation among Whites and Blacks, especially cancer patients. No significant financial relationships to disclose.

scholarly journals Impact of the NHS stop smoking services on smoking prevalence in England: a simulation modelling evaluation

2018 ◽  
pp. tobaccocontrol-2018-054586 ◽  
Author(s):  
Fujian Song ◽  
Tim Elwell-Sutton ◽  
Felix Naughton
Keyword(s):  
Smoking Prevalence ◽  
Smoking Status ◽  
Adult Population ◽  
Simulation Modelling ◽  
Point Reduction ◽  
Stop Smoking ◽  
Quit Attempts ◽  
Stop Smoking Services ◽  
State Transition Model ◽  
The Impact

BackgroundThe English National Health Service (NHS) Stop Smoking Services (SSS), established in 2001, were the first such services in the world. An appropriate evaluation of the SSS has national and international significance. This modelling study sought to evaluate the impact of the SSS on changes in smoking prevalence in England.MethodsA discrete time state-transition model was developed to simulate changes in smoking status among the adult population in England during 2001–2016. Input parameters were based on data from national statistics, population representative surveys and published literature. The main outcome was the percentage point reduction in smoking prevalence attributable to the SSS.ResultsSmoking prevalence was reduced by 10.8% in absolute terms during 2001–2016 in England, and 15.1% of the reduction could be attributable to the SSS. The percentage point reduction in smoking prevalence each year was on average 0.72%, and 0.11% could be attributable to the SSS. The proportion of SSS supported quit attempts increased from 5.6% in 2001, to as high as 19.3% in 2011, and then reduced to 8.4% in 2016. Quit attempts with SSS support had a higher success rate than those without SSS support (15.1%vs11.7%). Smoking prevalence in England continued to decline after the SSS was much reduced from 2013 onwards.ConclusionsApproximately 15% of the percentage point reduction in smoking prevalence during 2001–2016 in England may be attributable to the NHS SSS, although uncertainty remains regarding the actual impact of the formal smoking cessation services.

scholarly journals What The Research Says . . . In One Line

2013 ◽  
Vol 8 (1) ◽  
pp. 60-61
Author(s):  
Mohamad Haniki Nik Mohamed
Keyword(s):  
Carbon Monoxide ◽  
National Health Service ◽  
Odds Ratio ◽  
Smoking Abstinence ◽  
Clinical Services ◽  
Predictors Of Outcome ◽  
Medication Effect ◽  
Stop Smoking ◽  
Stop Smoking Services ◽  
Uk National Health Service

Carbon monoxide-validated four-week smoking abstinence from 167,487 treatment episodes among patients from 42 UK National Health Service Stop Smoking Services (1 April 2009, to 30 June 2011) showed smoking abstinence rates were higher with varenicline than combination nicotine replacement therapy (43.5% vs. 36.9%) but systematic variation in medication effect across clinical services and differences in predictors of outcome between medications resulted in a small mean advantage for varenicline (odds ratio, 1.080; 95% CI, 1.003–1.163; difference, 1.86%; 95% CI, 0.07%–3.67%; P = .04).

scholarly journals Attitudes to E-Cigarettes and Cessation Support for Pregnant Women from English Stop Smoking Services: A Mixed Methods Study

2019 ◽  
Vol 16 (1) ◽  
pp. 110 ◽  
Author(s):  
Sue Cooper ◽  
Sophie Orton ◽  
Katarzyna A. Campbell ◽  
Michael Ussher ◽  
Naomi Coleman-Haynes ◽  
...  
Keyword(s):  
Pregnant Women ◽  
Public Health Problem ◽  
Mixed Methods Study ◽  
Cigarette Use ◽  
Smoking In Pregnancy ◽  
Stop Smoking ◽  
Quitting Smoking ◽  
Stop Smoking Services ◽  
The Uk ◽  
In Pregnancy

Smoking in pregnancy remains a public health problem. In the UK e-cigarettes are the most popular aid to quitting smoking outside of pregnancy, but we don’t know the extent of e-cigarette use in pregnancy or how English Stop Smoking Services (SSS) respond to pregnant women who vape. In 2015 we surveyed SSS managers about cessation support for pregnant women and responses to clients who vaped. Subsequently we interviewed a sub-sample of managers to seek explanations for the SSS’ position on e-cigarettes; interviews were thematically analysed. Survey response rate was 67.8% (72/106); overall managers reported 2.2% (range 1.4–4.3%) of pregnant clients were using e-cigarettes. Most SSS reported supporting pregnant women who already vaped, but would not recommend e-cigarette use; for women that were still smoking and not using e-cigarettes, 8.3% of SSS were likely/very likely to advise using e-cigarettes, with 56.9% of SSS unlikely/very unlikely to advise using them. Fifteen respondents were interviewed; interviewees were generally positive about the potential of e-cigarettes for cessation in pregnancy although concerns about perceived lack of evidence for safety were expressed and most wanted research on this. Clear guidance on e-cigarette use informed by pregnancy specific research will assist SSS to provide consistent evidence-based support.

scholarly journals A Simple Prophylaxis Regimen for MRSA: Its Impact on the Incidence of Infection in Patients Undergoing Liver Resection

2009 ◽  
Vol 91 (1) ◽  
pp. 35-38 ◽  
Author(s):  
Ahmed Al-Mukhtar ◽  
Vincent KH Wong ◽  
Hassan Z Malik ◽  
Mohammed Abu-Hilal ◽  
Miles Denton ◽  
...  
Keyword(s):  
Liver Resection ◽  
Cost Savings ◽  
Outcome Data ◽  
Tertiary Referral Centre ◽  
Nasal Mupirocin ◽  
Mrsa Infection ◽  
Uk National Health Service ◽  
The Uk ◽  
Cost Implications ◽  
The Impact

INTRODUCTION Methicillin-resistant Staphylococcus aureus (MRSA) infection has increased at an alarming rate in the recent past and has major cost implications. The aim of this study is to assess the impact of a policy of pre-operative MRSA prophylaxis on the incidence of MRSA infection in patients undergoing liver resection. PATIENTS AND METHODS A total of 585 patients underwent hepatectomy in a tertiary referral centre between January 2000 and September 2005. In September 2003, a policy of MRSA prophylaxis (nasal mupirocin and triclosan wash for 5 days) was introduced within this unit. Demographic, pathological and outcome data were compared between the pre- and post-MRSA prophylaxis cohorts. RESULTS The prevalence of MRSA infection prior to initiating the prophylaxis protocol was 29 patients (8.3%) and this fell to 9 patients (3.8%; P= 0.029). Furthermore, patients who had MRSA-related infection had a higher incidence of additional complications compared to the rest of the cohort (P= 0.001). Total cost savings incurred as a result of this protocol over the past 2 years has been approximated at £28,893. CONCLUSIONS Introduction of a simple MRSA prophylaxis policy has had a significant reduction on the incidence MRSA-related infection within our patient population, leading to reduced morbidity and cost saving to the UK National Health Service.

scholarly journals Outcomes of a National, Cross-Sector Antimicrobial Stewardship Training Initiative for Pharmacists in England

Pharmacy ◽  
2021 ◽  
Vol 9 (4) ◽  
pp. 165
Author(s):  
Vincent Ng ◽  
Diane Ashiru-Oredope ◽  
Helena Rosado ◽  
Beth Ward
Keyword(s):  
Quality Improvement ◽  
Workforce Development ◽  
Behaviour Change ◽  
Antimicrobial Stewardship ◽  
Outcome Data ◽  
Improvement Project ◽  
Training Initiative ◽  
Survey Responses ◽  
The Impact

(1) Background: Pharmacists play a pivotal role in tackling Antimicrobial resistance through antimicrobial stewardship (AMS) and are well placed to lead behaviour change interventions across the healthcare system; (2) Methods: A cross-sector AMS training initiative for pharmacists was implemented across England, with three cohorts between 2019–2021. Each cohort took part in an introductory workshop, followed- by a workplace-based quality improvement project supported by peer-assisted learning sessions. Completion of training was determined by an end of training assessment after three to four months. Outcome data and learner survey results were collated, anonymised, and analysed by the training provider. (3) Results: In total, 118 pharmacists participated in the introductory workshop, 70% of these subsequently undertook an improvement project, and 48% engaged workplace stakeholders in the process. Interventions were designed by 57% of learners and 18% completed a at least one Plan-Do-Study-Act cycle. Approximately a quarter of learners met the requirements for a Certificate of Completion. Knowledge quiz scores were obtained from 115 learners pre-training and 28 learners post-training. Paired t-tests conducted for 28 learners showed a statistically significant improvement in mean score from 67.7% to 81.1% (p < 0.0001). Sixty-two learner survey responses were received during the training and 21 follow-up survey responses 6 to 12 months post training. Of the 21 responses to the follow-up survey, ongoing quality improvement work and improvement outcomes were reported by nine and six learners, respectively. (4) Conclusions: The delivery of workplace-based training at scale can be challenging, however this study demonstrates that coupling learning with workplace implementation and peer support can promote behaviour change in learners. Further study into the impact of providing pharmacists across sectors and geographies with access to this type of training will help inform ongoing workforce development interventions.

scholarly journals How a Sample of English Stop Smoking Services and Vape Shops Adapted During the Early Covid-19 Pandemic: a Mixed-methods Cross Sectional Survey

2021 ◽  
Author(s):  
Sharon Cox ◽  
Emma Ward ◽  
Louise Ross ◽  
Caitlin Notley
Keyword(s):  
Lessons Learned ◽  
Public Health Campaign ◽  
Health Campaign ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Stop Smoking ◽  
Stop Smoking Services ◽  
Vape Shops ◽  
Temporary Closure ◽  
The Impact

Abstract Background: The early 2020 Covid-19 outbreak in England led to major changes in delivery of support via stop smoking services (SSS) and to the widespread temporary closure of bricks and mortar e-cigarette retailers, indicating serious disruption to the overall level of support available for smokers trying to quit. At the same time, there was a publicised public health campaign calling for smokers to ‘Quit for Covid’. The impact of disruptions across the smoking cessation support landscape has not been fully documented. The purpose of this study was to capture how SSS and vape shops in England were affected and adapted their ‘business as usual’ during the early months of Covid-19 outbreak.Method: An online cross-sectional survey was conducted between March-July 2020. Surveys were disseminated through online networks, professional forums and contacts. Open-ended qualitative responses were coded using thematic analysis.Results: SSS were able to adapt during this period. A high percentage (74.6%) of vape shops had to close and were unable to make changes; 71.2% report business declining. For both services qualitative data revealed practical challenges to adapting, but also new pathways to support and co-working. Conclusion: The closure of vape shops appears to have most impacted smaller bricks and mortar shops affecting businesses by decline in customers and impacting staff (furlough). For those services that could stay open there may be lessons learned in how to support vulnerable and disadvantaged smokers by considering new pathways to support.

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