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Study Aims. Collation and dissemination of existing evidence Extend the knowledge base Identify opportunities for intervention. Phase 1 Phase 2 Phase 3. desk research, interviews with experts. Methods. Phase 1 Phase 2 Phase 3. postal and telephone Survey of 30 national

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Study aims
Study Aims

  • Collation and dissemination of existing evidence

  • Extend the knowledge base

  • Identify opportunities for intervention


Phase 1

Phase 2

Phase 3

desk research, interviews

with experts



Phase 1

Phase 2

Phase 3

postal and telephone

Survey of 30 national

agencies that work with

low income groups



Phase 1

Phase 2

Phase 3

In depth interviews with

policy makers and service

providers of key agencies


Phase 3


Build trust and confidence

Identify factors that encourage change

Identify opportunities for collaboration

Agencies Interviewed

Government departments and agencies

Social services and welfare organisations

‘Total institutions’

Phase 3

Government led approaches
Government led approaches

  • 4 models of tackling smoking among low income groups

  • Pilot projects in key settings

  • Smoking targets in broader programmes

  • Guidance to alliances

  • Approved Code of Practice on smoking (ACoP)

Government led approaches contd
Government led approaches (contd.)

  • Unrealistic, under-resourced, unsustainable and un-implemented

  • Question marks over:

  • mechanisms for identifying and sharing good practice

  • Innovation and experimentation vs. evidence based practice

Ngos and social services


Smoking – not a primary priority

Other more urgent priorities

Fear of alienating client group

Conflicting loyalties about the rights of poor people to smoke


Framing the issue in their terms

Focusing on consumers demands

Offering a helping hand

Offering options

Information provision

Standards of professional development

Policy changes

NGOs and social services

Total institutions


Long standing smoking culture

Lack of information

Confusion over funding

Lack of leadership


Identifying relevant evidence

Recognising the importance of organisational structures

Building support – partnerships with key agencies

‘Total Institutions’


  • Improved provision of basic information

  • Tailored information to specific audiences – staff working with low income groups

  • Standard settings – improved professional development

  • Brief interventions in non health care settings

  • Partnerships with national charities working with low income groups

  • Task force on smoking and health inequalities