Substance Abuse Treatment, Prevention, and Policy | |
Smoking cessation behavioural therapy in disadvantaged neighbourhoods: an explorative analysis of recruitment channels | |
Karien Stronks2  Marc C. Willemsen3  Vera Nierkens1  Fiona E. Benson2  | |
[1] Department of Public Health and Primary Care, LUMC, Hippocratespad 21, Leiden, The Netherlands;Department of Public Health, Academic Medical Centre, University of Amsterdam, Meibergdreef 9, Amsterdam, The Netherlands;Department of Health Promotion, CAPHRI School for Public Health and Primary Care, Maastricht University, Minderbroedersberg 4-6, Maastricht, The Netherlands | |
关键词: Attendance; Smoking cessation; Referral; Reach; Neighbourhood; Socioeconomic factors; | |
Others : 1223361 DOI : 10.1186/s13011-015-0024-3 |
|
received in 2015-02-03, accepted in 2015-07-15, 发布年份 2015 | |
【 摘 要 】
Background
The optimum channel(s) used to recruit smokers living in disadvantaged neighbourhoods for smoking cessation behavioural therapy (SCBT) is unknown. This paper examines the channels through which smokers participating in a free, multi-session SCBT programme heard about and were referred to this service in a disadvantaged neighbourhood, and compares participants’ characteristics and attendance between channels.
Methods
109 participants, recruited from free SCBT courses in disadvantaged areas of two cities in the Netherlands, underwent repeated surveys. Participants were asked how they heard about the SCBT and who referred them. Participant characteristics were compared between five channels, including the General Practitioner (GP), a community organisation, word of mouth, another health professional, and media or self-referred. Whether the channels through which people heard about or were referred to the service predicted attendance of ≥4 sessions was investigated with logistic regression analysis.
Results
Over a quarter of the participants had no or primary education only, and more than half belonged to ethnic minority populations. Most participants heard through a single channel. More participants heard about (49 %) and were referred to (60 %) the SCBT by the (GP) than by any other channel. Factors influencing quit success, including psychosocial factors and nicotine dependence, did not differ significantly between channel through which participants heard about the SCBT. No channel significantly predicted attendance.
Conclusion
The GP was the single most important source to both hear about and be referred to smoking cessation behavioural therapy in a disadvantaged neighbourhood. A majority of participants of low socioeconomic or ethnic minority status heard about the programme through this channel. Neither the channel through which participants heard about or were referred to the therapy influenced attendance. As such, concentrating on the channel which makes use of the existing infrastructure and which is highest yielding, the GP, would be an appropriate strategy if recruitment resources were scarce.
【 授权许可】
2015 Benson et al.
【 预 览 】
Files | Size | Format | View |
---|---|---|---|
20150902083945662.pdf | 1132KB | download | |
Fig. 4. | 29KB | Image | download |
Fig. 3. | 29KB | Image | download |
Fig. 2. | 33KB | Image | download |
Fig. 1. | 49KB | Image | download |
【 图 表 】
Fig. 1.
Fig. 2.
Fig. 3.
Fig. 4.
【 参考文献 】
- [1]Global status report on noncommunicable diseases 2010. Description of the global burden of NCDs, their risk factors and determinants, Italy; 2011.
- [2]Shohaimi S, Luben R, Wareham N, Day N, Bingham S, Welch A et al.. Residential area deprivation predicts smoking habit independently of individual educational level and occupational social class. A cross sectional study in the Norfolk cohort of the European investigation into Cancer (EPIC-Norfolk). J Epidemiol Community Health. 2003; 57(4):270-6.
- [3]Pearce J, Barnett R, Moon G. Sociospatial inequalities in health-related behaviours: pathways linking place and smoking. Prog Hum Geog. 2012; 36(1):3-24.
- [4]Pickett KE, Pearl M. Multilevel analyses of neighbourhood socioeconomic context and health outcomes: a critical review. J Epidemiol Community Health. 2001; 55(2):111-22.
- [5]Giskes K, van Lenthe FJ, Turrell G, Brug J, Mackenbach JP. Smokers living in deprived areas are less likely to quit: a longitudinal follow-up. Tob Control. 2006; 15(6):485-8.
- [6]Stead LF, Lancaster T. Combined pharmacotherapy and behavioural interventions for smoking cessation. Cochrane Database Syst Rev. 2012; 10:CD008286.
- [7]Tariq L, van Gelder BM, van Zutphen M, Feenstra TL. Smoking cessation strategies targeting people with low socio-economic status. A first exploration of the effectiveness of available interventions. National Institute for Public Health and the Environment (RIVM), Bilthoven; 2009.
- [8]West R, May S, West M, Croghan E, McEwen A. Performance of English stop smoking services in first 10 years: analysis of service monitoring data. BMJ. 2013; 347:f4921.
- [9]Murray RL, Bauld L, Hackshaw LE, McNeill A. Improving access to smoking cessation services for disadvantaged groups: a systematic review. J Public Health (Oxf). 2009; 31(2):258-77.
- [10]Belisario JSM, Bruggeling MN, Gunn LH, Brusamento S, Car J. Interventins for recruiting smokers into cessation programmes. Cochrane Database Syst Rev. 2012;12.
- [11]Szklo AS. Review of strategies to recruit smokers for smoking cessation: a population impact perspective. Cad Saude Publica. 2008; 24(4):S621-38.
- [12]Hiscock R, Pearce J, Barnett R, Moon G, Daley V. Do smoking cessation programmes influence geographical inequalities in health? An evaluation of the impact of the PEGS programme in Christchurch, New Zealand. Tob Control. 2009; 18(5):371-6.
- [13]Bauld L, Judge K, Platt S. Assessing the impact of smoking cessation services on reducing health inequalities in England: observational study. Tob Control. 2007; 16(6):400-4.
- [14]Bauld L, Chesterman J, Ferguson J, Judge K. A comparison of the effectiveness of group-based and pharmacy-led smoking cessation treatment in Glasgow. Addiction. 2009; 104(2):308-16.
- [15]Shea S, Basch CE, Wechsler H, Lantigua R. The Washington heights-inwood healthy heart program: a 6-year report from a disadvantaged urban setting. Am J Public Health. 1996; 86(2):166-71.
- [16]Judge K, Bauld L, Chesterman J, Ferguson J. The English smoking treatment services: short-term outcomes. Addiction. 2005; 100 Suppl 2:46-58.
- [17]Hiscock R, Bauld L, Amos A, Fidler JA, Munafo M. Socioeconomic status and smoking: a review. Ann N Y Acad Sci. 2012; 1248:107-23.
- [18]Westmaas JL, Wild TC, Ferrence R. Effects of gender in social control of smoking cessation. Health Psychol. 2002; 21(4):368-76.
- [19]Ochsner S, Knoll N, Stadler G, Luszczynska A, Hornung R, Scholz U. Interacting effects of receiving social control and social support during smoking cessation. Ann Behav Med. 2014.
- [20]Echer IC, Barreto SS. Determination and support as successful factors for smoking cessation. Rev Lat Am Enfermagem. 2008; 16(3):445-51.
- [21]Baldwin AS, Rothman AJ, Hertel AW, Linde JA, Jeffery RW, Finch EA et al.. Specifying the determinants of the initiation and maintenance of behavior change: an examination of self-efficacy, satisfaction, and smoking cessation. Health Psychol. 2006; 25(5):626-34.
- [22]Hendricks PS, Delucchi KL, Hall SM. Mechanisms of change in extended cognitive behavioral treatment for tobacco dependence. Drug Alcohol Depend. 2010; 109(1–3):114-9.
- [23]Osler M, Prescott E. Psychosocial, behavioural, and health determinants of successful smoking cessation: a longitudinal study of Danish adults. Tob Control. 1998; 7(3):262-7.
- [24]Ferguson JA, Patten CA, Schroeder DR, Offord KP, Eberman KM, Hurt RD. Predictors of 6-month tobacco abstinence among 1224 cigarette smokers treated for nicotine dependence. Addict Behav. 2003; 28(7):1203-18.
- [25]Siahpush M, McNeill A, Borland R, Fong GT. Socioeconomic variations in nicotine dependence, self-efficacy, and intention to quit across four countries: findings from the International Tobacco Control (ITC) Four Country Survey. Tob Control. 2006; 15 Suppl 3:iii71-5.
- [26]Prochaska JO, Velicer WF, Fava JL, Rossi JS, Tsoh JY. Evaluating a population-based recruitment approach and a stage-based expert system intervention for smoking cessation. Addict Behav. 2001; 26(4):583-602.
- [27]Deci EL, Ryan RM. The “what” and “why” of goal pursuits: Human needs and the self-determination of behavior. Psychol Inq. 2000; 11(4):227-68.
- [28]Partnership Stop met Roken. Richtlijn Behandling van Tabaksverslaving herziening 2009. Den Haag2014 2014
- [29]Hiscock R, Judge K, Bauld L. Social inequalities in quitting smoking: what factors mediate the relationship between socioeconomic position and smoking cessation? J Public Health (Oxf). 2011; 33(1):39-47.
- [30]Patterson F, Jepson C, Kaufmann V, Rukstalis M, Audrain-McGovern J, Kucharski S et al.. Predictors of attendance in a randomized clinical trial of nicotine replacement therapy with behavioral counseling. Drug Alcohol Depend. 2003; 72(2):123-31.
- [31]Wittebrood K, Permentier M. Wonen, Wijken en Interventies. Krachtwijken beleid in perspectief, Den Haag; 2011.
- [32]Sociaal en Cultureel Planbureau. Statusscores. 2014. http://www.scp.nl/Onderzoek/Lopend_onderzoek/A_Z_alle_lopende_onderzoeken/Statusscores. Accessed 29/03/2015.
- [33]Klei I. Standaarddefinitie allochtonen. Den Haag/Heerlen: Statistics Netherlands2000 2000. Report No.: 10.
- [34]Nierkens V, Stronks K, van Oel CJ, de Vries H. Beliefs of Turkish and Moroccan immigrants in The Netherlands about smoking cessation: implications for prevention. Health Educ Res. 2005; 20(6):622-34.
- [35]Nierkens V, Stronks K, de Vries H. Attitudes, social influences and self-efficacy expectations across different motivational stages among immigrant smokers: replication of the O pattern. Prev Med. 2006; 43(4):306-11.
- [36]Benson FE, Stronks K, Willemsen MC, Bogaerts NM, Nierkens V. Wanting to attend isn’t just wanting to quit: why some disadvantaged smokers regularly attend smoking cessation behavioural therapy while others do not: a qualitative study. BMC Public Health. 2014; 14(1):695.
- [37]Heatherton TF, Kozlowski LT, Frecker RC, Fagerstrom KO. The fagerstrom test for nicotine dependence: a revision of the fagerstrom tolerance questionnaire. Br J Addict. 1991; 86(9):1119-27.
- [38]Rothwell PM. External validity of randomised controlled trials: “to whom do the results of this trial apply?”. Lancet. 2005; 365(9453):82-93.
- [39]Gilbert H, Leurent B, Sutton S, Morris R, Alexis-Garsee C, Nazareth I. Factors predicting recruitment to a UK wide primary care smoking cessation study (the ESCAPE trial). Fam Pract. 2012; 29(1):110-7.
- [40]Chavannes NHKJV BD, van der Laan JR, Jansen PWM, Guerrouj S, Drenthen AJM, Bax W, Wind LA et al.. NHG-Standaard Stoppen met Roken. Huisarts Wet. 2007; 20(7):306-14.
- [41]De Korte D, van Schayck OCP, van Spiegel P, Kaptein AA, Sachs A, Rutten-van Mölken M, Chavannes N, Tromp-Beelen T, Bes R, Allard R, Peeters G, Kliphuis L, Schouten JW, van Gennip L, van Ommen R, Asin J et al.. Supporting smoking cessation in healthcare: obstacles in scientific understanding and tobacco addiction management. Health. 2010; 2(11):1272-9.
- [42]Verbiest ME, Crone MR, Scharloo M, Chavannes NH, van der Meer V, Kaptein AA et al.. One-hour training for general practitioners in reducing the implementation gap of smoking cessation care: a cluster-randomized controlled trial. Nicotine Tob Res. 2014; 16(1):1-10.
- [43]Liao Y, Tsoh JY, Chen R, Foo MA, Garvin CC, Grigg-Saito D et al.. Decreases in smoking prevalence in Asian communities served by the Racial and Ethnic Approaches to Community Health (REACH) project. Am J Public Health. 2010; 100(5):853-60.
- [44]Cattell V. Poor people, poor places, and poor health: the mediating role of social networks and social capital. Soc Sci Med. 2001; 52(10):1501-16.
- [45]Rodriguez MD, Rodriguez J, Davis M. Recruitment of first-generation Latinos in a rural community: the essential nature of personal contact. Fam Process. 2006; 45(1):87-100.
- [46]Begh RA, Aveyard P, Upton P, Bhopal RS, White M, Amos A et al.. Experiences of outreach workers in promoting smoking cessation to Bangladeshi and Pakistani men: longitudinal qualitative evaluation. BMC Public Health. 2011; 11:452.
- [47]Schnoz D, Schaub M, Schwappach DL, Salis GC. Developing a smoking cessation program for Turkish-speaking migrants in Switzerland: novel findings and promising effects. Nicotine Tob Res. 2011; 13(2):127-34.
- [48]McDonald PW. Population-based recruitment for quit-smoking programs: an analytic review of communication variables. Prev Med. 1999; 28(6):545-57.