Can we involve smokers who are unmotivated to quit in quitting activity?. Hazel Gilbert Research Department of Primary Care and Population Health UCL Medical School. Overview. Principles of tailoring Escape study Baseline characteristics and follow-up assessment. Self-help Materials.
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Can we involve smokers who are unmotivated to quit in quitting activity?
Research Department of Primary Care and Population Health
UCL Medical School
Overview quitting activity?
Self-help Materials quitting activity?
Individually Tailored Feedback quitting activity?
Personally relevant information:
Evidence of effectiveness
‘evidence of the effectiveness of tailoring health behaviour change messages’ (Noar, Benac and Harris 2007) (meta-analysis of 57 studies)
‘material tailored for the individualincreases quit rates over and above standard materials and untailored materials’(Lancaster and Stead 2005) 17 trials (OR 1.42)
Phases of development quitting activity?
1) Understand determinants of the behaviour
Tailoring process ideally informed by established models of behaviour change
Process quitting activity?
Message library of persuasive texts
General quitting activity?
Applications of Tailored Feedback in Primary Care
A Randomised Controlled Trial
To examine the effect of computer generated individually tailored feedback reports designed to help and encourage smokers to quit, on quit rates and quitting activity, when sent to smokers with varying levels of motivation and reading ability, identified from GP lists
NHS Smoking Cessation Service quitting activity?
Proactive recruitment quitting activity?
123 general practices recruited from the MRC GPRF quitting activity?
Standard NHS booklet
6-month follow-up: postal questionnaire to assess smoking status, cognitive change, perception of the feedback, economic issues
Baseline characteristics quitting activity?
**p=.006 * p=.016 quitting activity?
Respondents by readiness to quit quitting activity?
Of those planning to quit within the next 30 days (n=890): 339 (38.1%) set a quit date
Of those not planning to quit within the next 6 months (n=3203):
too difficult - 45.3% / want to smoke - 44.8% / both - 4.3%
Readiness to quit by motivation quitting activity?
Follow-up Assessment Response quitting activity?
Intervention Group only (N=3404)
4 weeks post baseline
Sent follow-up assessment + reminder=3350(98.4%)
Returns: Before reminder 968 (28.9%)
After reminder 817 (24.4%)
Total 1785 (53.3%)
Participants planning quit in 30 days less likely to return the follow-up assessment (p=0.012)
Follow-up Assessment Outcome quitting activity?
2= 197.48, p<.0001
Length of abstinence by readiness quitting activity?
Respondents not smoking 4 weeks post baseline (n=180)
Quit attempts by readiness quitting activity?
Respondents still smoking 4 weeks post baseline (n=1601)
Conclusions quitting activity?
Tailored feedback + Proactive Recruitment quitting activity?
behavioural intervention principles of the clinical approach
participation rates of public health campaigns
provide personal, individually tailored self-help reports for a large population of smokers
General quitting activity?
Irwin Nazareth, Richard Morris
Department of Primary Care and Population Sciences, UCL
Institute of Public Health, University of Cambridge
Department of Health Sciences, University of York