Experiences of outreach workers in promoting smoking cessation to Bangladeshi and Pakistani men: longitudinal qualitative evaluation

BMC Public Health

Research Article

Aziz Sheikh¹  Qaim Zaidi²  Robin J Prescott³  Raj S Bhopal³  Monica Fletcher⁴  Martin White⁵  Pelham M Barton⁶  Raman Bedi⁷  Penney Upton⁸  Amanda Amos⁹  Rachna A Begh^1,10  Paul Aveyard^1,10  Paramjit Gill^1,10 

[1] Allergy & Respiratory Research Group, Centre for Population Health Sciences, University of Edinburgh, EH8 9AG, Edinburgh, UK;CAPHRI, University of Maastricht, The Netherlands;British Heart Foundation, W1H 6DH, London, UK;Centre for Population Health Sciences, University of Edinburgh, EH8 9AG, Edinburgh, UK;Education for Health, CV34 4AB, Warwick, UK;Fuse, UKCRC, Centre for Translational Research in Public Health, Institute of Health & Society, Newcastle University, NE2 4HH, UK;Health Economics, University of Birmingham, B15 2TT, Birmingham, UK;International Centre for Child Oral Health, King's College London, WC2B 5RL, London, UK;Psychological Sciences, Institute of Health and Society, University of Worcester, WR2 6AJ, Worcester, UK;UK Centre for Tobacco Control Studies, Centre for Population Health Sciences, University of Edinburgh, EH8 9AG, Edinburgh, UK;UK Centre for Tobacco Control Studies, Primary Care Clinical Sciences, University of Birmingham, B15 2TT, Birmingham, UK;

关键词: Smoking Cessation;    Nicotine Replacement Therapy;    Outreach Worker;    Exit Interview;    Behavioural Support;   

DOI  :  10.1186/1471-2458-11-452

 received in 2011-02-24, accepted in 2011-06-09,  发布年份 2011

来源: Springer

【 摘 要 】

BackgroundDespite having high smoking rates, there have been few tailored cessation programmes for male Bangladeshi and Pakistani smokers in the UK. We report on a qualitative evaluation of a community-based, outreach worker delivered, intervention that aimed to increase uptake of NHS smoking cessation services and tailor services to meet the needs of Bangladeshi and Pakistani men.MethodsThis was a longitudinal, qualitative study, nested within a phase II cluster randomised controlled trial of a complex intervention. We explored the perspectives and experiences of five outreach workers, two stop smoking service managers and a specialist stop smoking advisor. Data were collected through focus group discussions, weekly diaries, observations of management meetings, shadowing of outreach workers, and one-to-one interviews with outreach workers and their managers. Analysis was undertaken using a modified Framework approach.ResultsOutreach workers promoted cessation services by word of mouth on the streets, in health service premises, in local businesses and at a wide range of community events. They emphasised the reasons for cessation, especially health effects, financial implications, and the impact of smoking on the family. Many smokers agreed to be referred to cessation services, but few attended, this in part being explained by concerns about the relative inflexibility of existing service provision. Although outreach workers successfully expanded service reach, they faced the challenges of perceived lack of awareness of the health risks associated with smoking in older smokers and apathy in younger smokers. These were compounded by perceptions of "lip service" being given to their role by community organisations and tensions both amongst the outreach workers and with the wider management team.ConclusionsOutreach workers expanded reach of the service through taking it to diverse locations of relevance to Pakistani and Bangladeshi communities. The optimum method of outreach to retain and treat Bangladeshi and Pakistani smokers effectively in cessation programmes needs further development.

【 授权许可】

Unknown   
© Begh et al; licensee BioMed Central Ltd. 2011. This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.