Please use this identifier to cite or link to this item: http://hdl.handle.net/1893/18719
Appears in Collections:Faculty of Health Sciences and Sport Journal Articles
Peer Review Status: Refereed
Title: Evaluation of a drop-in rolling-group model of support to stop smoking
Authors: Bauld, Linda
Ferguson, Janet
McEwen, Andy
Hiscock, Rosemary
Contact Email: linda.bauld@stir.ac.uk
Keywords: Disadvantage
drop-in rolling groups
Liverpool
smoking cessation
smoking cessation services
socio-economic status
Issue Date: Sep-2012
Publisher: Wiley-Blackwell
Citation: Bauld L, Ferguson J, McEwen A & Hiscock R (2012) Evaluation of a drop-in rolling-group model of support to stop smoking, Addiction, 107 (9), pp. 1687-1695.
Abstract: Aims: To assess longer-term outcomes of a drop-in rolling-group model of behavioural support for smoking cessation and the factors that influence cessation outcomes. Design: Prospective observational cohort study. Setting: Fag Ends NHS Stop Smoking Service in Liverpool and Knowsley, UK. Participants: A total of 2585 clients, aged 16 or over, setting a quit date. Measurements: Routine monitoring data were collected from Fag Ends service users and were supplemented by survey data on socio-economic circumstances, smoking-related behaviour and self-report and carbon monoxide (CO)-validated smoking status at 52-week follow-up. Findings: The CO-validated prolonged abstinence rate at 52 weeks for smokers attending the groups was 5.6%, compared with 30.7% at 4 weeks (a relapse rate of 78.2%). The sample was particularly disadvantaged: 68% resided in the most deprived decile of the English Index of Multiple Deprivation. Higher socio-economic status within the sample was a predictor of quitting. Other predictors of long-term cessation in multivariate analysis included older age, being female, lower levels of nicotine dependence, having a live-in partner, stronger determination to quit and use of varenicline versus other medication. Conclusions: A wholly state-reimbursed clinical stop-smoking service providing behavioural support and medication in a region of high economic and social disadvantage has reached a significant proportion of the smoking population. Long-term success rates are lower than are found typically in clinical trials, but higher than would be expected if the smokers were to try and quit unaided. Research is needed into how to improve on the success rates achieved.
Type: Journal Article
URI: http://hdl.handle.net/1893/18719
DOI Link: http://dx.doi.org/10.1111/j.1360-0443.2012.03861.x
Rights: The publisher does not allow this work to be made publicly available in this Repository. Please use the Request a Copy feature at the foot of the Repository record to request a copy directly from the author. You can only request a copy if you wish to use this work for your own research or private study.
Affiliation: Institute for Social Marketing
Socio-Management
University College London
University of Bath

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