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Proportion of Time Spent Delivering Support Predicts Stop Smoking Advisor Quit Rate Independently of Training, Experience, and Education

Published online by Cambridge University Press:  18 January 2017

Natasha Anastasi ,
Joanne Lusher  and
Chris Chandler
Natasha Anastasi
Affiliation:
Department of Psychology, London Metropolitan University, London, London, UK
Joanne Lusher*
Affiliation:
Department of Psychology, London Metropolitan University, London, London, UK
Chris Chandler
Affiliation:
Department of Psychology, London Metropolitan University, London, London, UK
*
Address for correspondence: Dr Joanne Lusher, School of Psychology, 166-220 Holloway Road, London N78DB. Email: j.lusher@londonmet.ac.uk
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Abstract

Despite a downwards trend in smoking prevalence, smoking remains the UK's biggest preventable cause of premature mortality. Specialist stop smoking support programmes provided by the NHS have helped to reduce smoking prevalence and whilst there has been a vast amount of research investigating the most effective behavioural and pharmacological support models, little is known about the impact of smoking cessation advisor's smoking status and clinical effectiveness on quit rates. This study aimed to identify factors that contribute to NHS stop smoking advisor performance using a quantitative cross-sectional design via an online survey that was completed by 159 participants in 24 London boroughs. Multiple regression analyses revealed that level of training, years practiced, level of advisor education, number of patients supported in a given year, and smoking status had no significant impact on NHS stop smoking advisor quit rate in this sample. However, the model revealed that proportion of time spent delivering smoking cessation support was significantly associated with quit rate. It is imperative that this finding is considered when recruiting, commissioning, and training new smoking cessation advisors or provider organisations.

Type
Original Articles
Information
Journal of Smoking Cessation , Volume 13 , Issue 1 , March 2018 , pp. 18 - 25
Copyright
Copyright © The Author(s) 2017 

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References

Anczak, J. D., & Nogler, R. A. (2003). Tobacco cessation in primary care: Maximizing Intervention Strategies. Clinical Medicine and Research, 1 (3), 201–216.Google Scholar
Bell, K., McCullough, L., Greaves, L., Mulryne, R., Jategaonkar, N., & DeVries, K. (2006). The effectiveness of national health service intensive treatments for smoking cessation in England: NICE rapid review. Retrieved 1st June 2014, from: http://www.nice.org.uk/guidance/ph10/resources/evidence-review-nhs-treatments2.Google Scholar
Bradford, W., Sheffer, C. E., Crews, K. M., Payne, T. J., & Smith, P. O. (2008). A survey of tobacco-related knowledge, attitudes and behaviours of primary care providers in Mississippi. Journal of Evaluation in Clinical Practice, 14 (4), 537–544. doi: 10.1111/j.1365-2753.2007.00910.x.Google Scholar
Brose, L. S., McEwen, A., & West, R. (2012). Does it matter who you see to help you stop smoking? Short-term quit rates across specialist stop smoking practitioners in England. Addiction, 107 (11), 2029–2036. doi: 10.1111/j.1360-0443.2012.03935.x.Google Scholar
Brose, L. S., West, R., McDermott, M., Fidler, J., Croghan, E., & McEwen, A. (2011). What makes for an effective stop-smoking service? Thorax, 66 (10), 924–926. doi: 10.1136/thoraxjnl-2011-200251.CrossRefGoogle ScholarPubMed
Brose, L. S., West, R., Michie, S., Kenyon, J. A. M., & McEwen, A. (2012). Effectiveness of an online knowledge training and assessment program for stop smoking practitioners. Nicotine Tobacco Research, 14 (7), 794–800. doi: 10.1093/ntr/ntr286.Google Scholar
Brose, L. S., West, R., Michie, S., & McEwen, A. (2013). Research report: Stop smoking practitioners’ reports on the success of quit attempts they support. Smoking in Britain, 1, 1–6.Google Scholar
Chiesa, D., Knorst, M. M., Franciscatto, A., Krumel, C., & Mezzomo, K. M. (2004). Smoking prevalence among health professionals. Chest Journal, 126 (4), 867S-a-867S.Google Scholar
Department of Health (DoH; 2010). The white paper: Equity and excellence: Liberating the NHS. Accessed 1st June 2014, from: https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/213823/dh_117794.pdf.Google Scholar
Department of Health (DoH; 2012). Local stop smoking services: Key updates to the 2011/12 service delivery and monitoring guidance for 2012/13. Accessed on the 5th May 2014, from: https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/216927/9193-TSO-2900254-NHS-Stop-Smoking_Accessible.pdf.Google Scholar
Department of Health (DoH; 2013). Improving outcomes and supporting transparency. Part 1A: A public health outcomes framework for England, 2013-2016. Accsessd 1st June 2014 from: https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/263658/2901502_PHOF_Improving_Outcomes_PT1A_v1_1.pdf.Google Scholar
Dogar, O. F., & Siddiqi, K. (2013). An evidence-based guide to smoking cessation therapies. Nurse Prescribing, 11 (11), 543–548.Google Scholar
Ebbert, J. O., Patten, C. A., & Schroeder, D. R. (2006). The fagerström test for nicotine dependence-smokeless tobacco (FTND-ST). Addictive Behaviours, 31 (9), 1716–1721. doi: 10.1016/j.addbeh.2005.12.015.CrossRefGoogle ScholarPubMed
Etter, J. F., Humair, J. P., Bergman, M. M., & Perneger, T. V. (2000). Development and validation of the attitudes towards smoking scale (ATS-18). Addiction, 95 (4), 613–625.CrossRefGoogle ScholarPubMed
Fagerström, K. O., & Schneider, N. G. (1989). Measuring nicotine dependence: A review of the Fagerström Tolerance Questionnaire. Journal of Behavioural Medicine, 12 (2), 159–182.CrossRefGoogle ScholarPubMed
Ferguson, J., Patten, C., Schroeder, D., Offord, K., Eberman, K., & Hurt, R. (2003). Predictors of 6-month tobacco abstinence among 1224 cigarette smokers treated for nicotine dependence, Addictive Behaviors, 28, 1203–1218.Google Scholar
Glanz, K., Lewis, F., and Rimer, B. K., (1990). Health behaviour and health education. Theory Research and Practice. San Francisco: Jossey-Bass.Google Scholar
Harvey, E. L., Summerbell, C. D., Kirk, S. F. L., & Hills, A. J. (2002). Dieticians’ views of overweight and obese people and reported management practices. The British Dietetic Association: Journal of Human Nutrition Dietetics, 15, 331–347.Google Scholar
Information Centre for Health and Social Care, The (ICHSC; 2011). Statistics on NHS stop smoking services: England, April 2010–March 2011. Accessed on the 1st June 2014 from: http://www.hscic.gov.uk/catalogue/PUB00417/nhs-stop-smok-serv-eng-2010-2011-rep.pdf.Google Scholar
Jagosh, J., Boudreau, J.D., Steinert, Y., MacDonald, M.E., & Ingram, L. (2011). The importance of physician listening from the patients’ perspective: Enhancing diagnosis, healing, and the doctor–patient relationship. Patient Education and Counselling, 85 (3), 369–374. doi:10.1016/j.pec.2011.01.028 Google Scholar
Lancaster, T., & Fowler, G. (2000). Training health professionals in smoking cessation. The Cochrane Database of Systematic Reviews, (3). Art. No.CD000214. doi: 10.1002/14651858.CD000214.Google Scholar
Lindson-Hawley, N., Begh, R., McDermott, M. S., McEwen, A., & Lycett, D. (2013). The importance of practitioner smoking status: A survey of NHS Stop Smoking Service practitioners. Patient Education and Counselling, 93 (1), 139–145. doi: 10.1016/j.pec.2013.04.021.Google Scholar
McCullagh, P. (1980). Regression model for ordinal data. Journal of Royal Statistical Society Series B, 42 (2), 109–142.Google Scholar
McDermott, M. S., Beard, E., Brose, L. S., West, R., & McEwen, A. (2013). Factors associated with differences in quit rates between "specialist" and "community" stop-smoking practitioners in the english stop-smoking services. Nicotine Tob Res, 15 (7), 1239–1247. doi: 10.1093/ntr/nts262.Google Scholar
McDermott, M. S., West, R., Brose, L. S., & McEwen, A. (2012). Self-reported practices, attitudes and levels of training of practitioners in the English NHS Stop Smoking Services. Addictive Behaviours, 37 (4), 498–506. doi: 10.1016/j.addbeh.2012.01.003.Google Scholar
Moxham, L., Dwyer, T., & Reid-Searl, K. (2013). Graduate nurses and nursing student's behaviour: Knowledge and attitudes toward smoking cessation. Nurse Education Today, 33 (10), 1143–1147. doi: 10.1016/j.nedt.2012.11.024.Google Scholar
Nagle, A., Schofield, M., & Redman, S. (1999). Australian nurses' smoking behaviour, knowledge and attitude towards providing smoking cessation care to their patients. Health Promotion International, 14 (2), 133–144. doi: 10.1093/heapro/14.2.133 Google Scholar
National Centre for Smoking Cessation Training: NCSCT. Website: NCSCT site http://www.ncsct.co.uk/. Accessed 14th June 2014.Google Scholar
ONS (2013). Adult smoking habits in Great Britain (2013). https://www.ons.gov.uk/peoplepopulationandcommunity/healthandsocialcare/healthandlifeexpectancies/compendium/opinionsandlifestylesurvey/2015-03-19/adultsmokinghabitsingreatbritain2013 Last accessed 05/01/2017Google Scholar
Parna, K., Rahub, K., & Rahu, M. (2005). Smoking habits and attitudes towards smoking among Estonian physicians. Public Health, 119, 390–399.Google Scholar
Pipe, A., Sorensen, M., & Reid, R. (2009). Physician smoking status, attitudes toward smoking, and cessation advice to patients: An international survey. Patient Education and Counselling, 74 (1), 118–123.Google Scholar
Polivy, J., & Herman, C. P. (2002). If at first you don't succeed: False hopes of self-change. American Psychologist, 57 (9), 677–689. doi: 10.1037/0003-066X.57.9.677.CrossRefGoogle ScholarPubMed
Raw, M., McNeill, A., & West, R. (1998). Smoking cessation guidelines for health professionals: A guide to effective smoking cessation interventions for the health care system. Thorax, 53, 1–18. doi: 10.1136/thx.53.2008.S1.Google Scholar
Raw, M., McNeill, A., & West, R. (2000). Smoking cessation guidelines for health professionals: An update. Thorax, 55, 987–999. doi: 10.1136/thorax.55.12.987.Google Scholar
Sheffer, C. E., Barone, C., & Anders, M. E. (2009). Training health care providers in the treatment of tobacco use and dependence: Pre- and post-training results. Journal of Evaluation in Clinical Practice, 15 (4), 607–613.Google Scholar
Shishani, K., Stevens, K., Dotson, J., & Riebe, C. (2013). Improving nursing students' knowledge using online education and simulation to help smokers quit. Nurse Education, 33 (3), 210–213.Google Scholar
Trafimow, D., & Sheeran, P. (1998). Global Attitudes Toward Smoking Measure Retrieved from PsycTESTS. doi: 10.1037/t17879-000.CrossRefGoogle Scholar
Ulbricht, S., Meyer, C., Schumann, A., Rumpf, H. J., Ulfert, H., Hapkea, U. et al. (2006). Provision of smoking cessation counselling by general practitioners assisted by training and screening procedure. Patient Education and Counselling, 63 (1–2), 232–238. doi: 10.1016/j.pec.2005.11.005.Google Scholar
Vogt, F., Hall, S., & Marteau, T. M. (2010). Examining why smokers do not want behavioural support with stopping smoking. Patient Education Counselling, 79, 160–166.Google Scholar
West, R. (2005). Assessing smoking cessation performance in NHS stop smoking services: The Russell standard (clinical). Retrieved from: http://www.ncsct.co.uk/usr/pub/assessing-smoking-cessation-performance-in-nhs-stop-smoking-services-the-russell-standard-clinical.pdf.Google Scholar
West, R., May, S., West, M., Croghan, E., & McEwen, A. (2013). Performance of English stop smoking services in first 10 years: Analysis of service monitoring data. British Medical Journal, 347, 4921. doi: http://dx.doi.org/10.1136/bmj.f492110.1080/1462220021000060428.Google Scholar