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An exploration of the barriers to attendance at the English Stop Smoking Services

Kale, D; Gilbert, H; Sutton, S; (2019) An exploration of the barriers to attendance at the English Stop Smoking Services. Addictive Behaviors Reports , 9 , Article 100141. 10.1016/j.abrep.2018.10.005. Green open access

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Abstract

INTRODUCTION: Despite the availability of effective stop smoking assistance, most smokers do not utilise formal cessation programmes such as the English Stop Smoking Services (SSS). We modified the Treatment Barriers Questionnaire (TBQ), developed in the USA, and distributed it to a sample of English smokers to explore the most important barriers to the use of the SSS. METHODS: Participants of Start2quit, a randomised controlled trial aiming to increase attendance at the SSS using tailored risk information and ‘taster’ sessions, who reported at follow-up that they had not attended the SSS, were asked to complete the TBQ; 672 (76.9% response rate) were retained for analysis. Principal Component Analysis (PCA) was conducted to examine the structure of the data. Multiple linear regressions were used to determine whether any participant characteristics were associated with particular barriers. RESULTS: The most commonly endorsed items related to a lack of information on and a lack of confidence in the efficacy of the SSS. PCA yielded seven factors: Work and time constraints (Factor1); Smokers should quit on their own (Factor2); Nothing can help in quitting smoking(Factor3); Disinterest in quitting (Factor4); Lack of social support to attend (Factor5); Lack of privacy at programmes (Factor6); Lack of information and perceived availability (Factor7). Age was associated with Factors 1, 3 and 4, motivation to quit with Factors 2 and 4, and confidence in quitting with Factors 1, 2, and 3. CONCLUSIONS: The findings suggest that many barriers exist, and they vary according to smoker demographics and characteristics, pointing to the need for tailored recruitment strategies. TRIAL REGISTRATION: ISRCTN76561916.

Type: Article
Title: An exploration of the barriers to attendance at the English Stop Smoking Services
Open access status: An open access version is available from UCL Discovery
DOI: 10.1016/j.abrep.2018.10.005
Publisher version: https://doi.org/10.1016/j.abrep.2018.10.005
Language: English
Additional information: © 2018 The Authors. Published by Elsevier Ltd. This is an open access article under the CC BY license (https://creativecommons.org/licenses/by/4.0/).
Keywords: Smoking cessation, Stop smoking service, Treatment access
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Epidemiology and Health
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Epidemiology and Health > Behavioural Science and Health
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Epidemiology and Health > Primary Care and Population Health
URI: https://discovery.ucl.ac.uk/id/eprint/10063389
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