Quit4U

the Effectiveness of Combining Behavioural Support, Pharmacotherapy and Financial Incentives To Support Smoking Cessation

R Ormston, M van der Pol, A Ludbrook, S McConville, A Amos

Research output: Contribution to journalArticle

8 Citations (Scopus)

Abstract

The 'quit4u' stop smoking service (SSS) was developed by National Health Service (NHS) Tayside for smokers in deprived areas of Dundee (UK). quit4u combined behavioural support and pharmacotherapy with financial incentives for each week that participants remained quit. A quasi-experimental study was undertaken with smokers using quit4u between 2009 and 2011 compared with smokers using SSSs in the rest of Scotland. The outcome measures were: number of quit attempts; quit rates at 1, 3 and 12 months; cost-effectiveness. Mechanisms of change were explored through quantitative and qualitative research that explored the views and experiences of service users and professionals involved in quit4u. The number of quit attempts made using SSSs in deprived areas of NHS Tayside increased by 44% between 2007 and 2010. quit4u had significantly higher quit rates at 1 month (49.9% versus 33.7%), 3 months (30.7% versus 14.2%) and 12 months (9.3% versus 6.5%) compared with similar smokers using other SSSs. The incremental cost per quitter was £2296. A combination of elements kept clients engaged and supported quit attempts: carbon monoxide (CO) tests, financial incentives, high-quality pharmacy support, rolling groups and greater varenicline use. quit4u may provide an effective and cost-effective model for engaging and supporting smokers in deprived areas to quit.
Original languageEnglish
Pages (from-to)121-133
Number of pages13
JournalHealth Education Research
Volume30
Issue number1
Early online date21 May 2014
DOIs
Publication statusPublished - Feb 2015

Fingerprint

Financial Support
National Health Programs
Smoking Cessation
Motivation
smoking
incentive
Costs and Cost Analysis
Drug Therapy
Qualitative Research
health service
Scotland
Carbon Monoxide
costs
Cost-Benefit Analysis
Smoking
Outcome Assessment (Health Care)
quantitative research
qualitative research
experience
Group

Keywords

  • Smoking
  • Pharmacotherapy
  • Smoking Cessation
  • Cost effectiveness
  • Pharmacies
  • Scotland
  • Staphylococcal scalded skin syndrome
  • Behavior
  • Incentives
  • Varenicline
  • Financial Incentives
  • Clients
  • National Health Service (UK)

Cite this

Quit4U : the Effectiveness of Combining Behavioural Support, Pharmacotherapy and Financial Incentives To Support Smoking Cessation. / Ormston, R; van der Pol, M; Ludbrook, A; McConville, S; Amos, A.

In: Health Education Research, Vol. 30, No. 1, 02.2015, p. 121-133.

Research output: Contribution to journalArticle

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abstract = "The 'quit4u' stop smoking service (SSS) was developed by National Health Service (NHS) Tayside for smokers in deprived areas of Dundee (UK). quit4u combined behavioural support and pharmacotherapy with financial incentives for each week that participants remained quit. A quasi-experimental study was undertaken with smokers using quit4u between 2009 and 2011 compared with smokers using SSSs in the rest of Scotland. The outcome measures were: number of quit attempts; quit rates at 1, 3 and 12 months; cost-effectiveness. Mechanisms of change were explored through quantitative and qualitative research that explored the views and experiences of service users and professionals involved in quit4u. The number of quit attempts made using SSSs in deprived areas of NHS Tayside increased by 44{\%} between 2007 and 2010. quit4u had significantly higher quit rates at 1 month (49.9{\%} versus 33.7{\%}), 3 months (30.7{\%} versus 14.2{\%}) and 12 months (9.3{\%} versus 6.5{\%}) compared with similar smokers using other SSSs. The incremental cost per quitter was £2296. A combination of elements kept clients engaged and supported quit attempts: carbon monoxide (CO) tests, financial incentives, high-quality pharmacy support, rolling groups and greater varenicline use. quit4u may provide an effective and cost-effective model for engaging and supporting smokers in deprived areas to quit.",
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note = "Acknowledgements The authors thank all those involved in quit4u-NHS Tayside, partners and participants. The authors particularly like to thank Fiona Myers (NHS Health Scotland), Andrew Radley (NHS Tayside), Paul Ballard (NHS Tayside) and Linsey Galbraith (ISD). Funding This work was supported by NHS Health Scotland. The Chief Scientist Office of the Scottish Government Health Directorates funds HERU. The opinions expressed in this paper are those of the authors and are not necessarily those of the NHS Health Scotland.",
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N1 - Acknowledgements The authors thank all those involved in quit4u-NHS Tayside, partners and participants. The authors particularly like to thank Fiona Myers (NHS Health Scotland), Andrew Radley (NHS Tayside), Paul Ballard (NHS Tayside) and Linsey Galbraith (ISD). Funding This work was supported by NHS Health Scotland. The Chief Scientist Office of the Scottish Government Health Directorates funds HERU. The opinions expressed in this paper are those of the authors and are not necessarily those of the NHS Health Scotland.

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AB - The 'quit4u' stop smoking service (SSS) was developed by National Health Service (NHS) Tayside for smokers in deprived areas of Dundee (UK). quit4u combined behavioural support and pharmacotherapy with financial incentives for each week that participants remained quit. A quasi-experimental study was undertaken with smokers using quit4u between 2009 and 2011 compared with smokers using SSSs in the rest of Scotland. The outcome measures were: number of quit attempts; quit rates at 1, 3 and 12 months; cost-effectiveness. Mechanisms of change were explored through quantitative and qualitative research that explored the views and experiences of service users and professionals involved in quit4u. The number of quit attempts made using SSSs in deprived areas of NHS Tayside increased by 44% between 2007 and 2010. quit4u had significantly higher quit rates at 1 month (49.9% versus 33.7%), 3 months (30.7% versus 14.2%) and 12 months (9.3% versus 6.5%) compared with similar smokers using other SSSs. The incremental cost per quitter was £2296. A combination of elements kept clients engaged and supported quit attempts: carbon monoxide (CO) tests, financial incentives, high-quality pharmacy support, rolling groups and greater varenicline use. quit4u may provide an effective and cost-effective model for engaging and supporting smokers in deprived areas to quit.

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