The nurse’s role in promoting smoking cessation

Wilkinson, Sandra; Locker, Joanne; Whybrow, Janet; Percival, Jennifer; Owen, Lesley

doi:10.7748/ns2004.12.19.14.45.c3778

Cited by 3 publications

(1 citation statement)

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“… 22 Kirchner et al 23 also found that those who relapsed from smoking abstinence within the initial days of smoking cessation were more likely to resume daily smoking faster compared to those who refrained from smoking during the initial days, who were more likely to maintain abstinence from daily smoking for longer. This highlights the importance of abstinence and support in the early stages of quit attempts, with Wilkinson et al 25 highlighting that follow-up appointments should be within 1 or 2 weeks after the quit date. Commissioners of similar schemes may wish to consider having the first follow-up consultation earlier than 2 weeks to try to increase the number of people who keep engaged with the programme.…”

Section: Discussionmentioning

confidence: 99%

Using e-cigarettes for smoking cessation: evaluation of a pilot project in the North West of England

Coffey

Cooper-Ryan

Houston

et al. 2020

Perspect Public Health

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Aims: E-cigarettes have been advocated as an effective smoking cessation intervention, with evidence indicating that they are substantially less harmful than conventional cigarettes. As a result, a pilot to encourage people to swap from conventional cigarettes to e-cigarettes was conducted in 2018 in a socially deprived area in the North West of England. This evaluation highlights the key findings from the pilot. Methods: An analysis of secondary data at 4 weeks ( n = 1022) was undertaken to predict those who used solely used e-cigarettes (i.e. had quit tobacco, as confirmed by a carbon monoxide test, CO < 10 ppm) from baseline characteristics, using chi-square tests and logistic regression. Baseline data were demographics, smoking levels and service provider type. Results: Of the 1022 participants who engaged with the pilot 614 were still engaged at 4 weeks, of whom 62% had quit; quitting was more likely in younger participants (aged 18–24) and less likely in those who were sick and disabled. Of those who still smoked tobacco at week 4 ( n = 226), smoking had reduced from a baseline of 19.1 cigarettes/day to 8.7. Overall, 37% (381) of those initially enrolled were confirmed to be using an e-cigarette on its own at follow-up. Successful quit was associated with occupation (unemployed, 33% vs intermediate, 47%, p = .023) and residing in the less deprived quintiles of deprivation (50% vs 34% in the most deprived quintile, p = .016). Conclusions: Making the conservative assumption that all those not in contact at 4 weeks were still smoking tobacco, for every five people entering the scheme, three people stayed on the programme and reduced their cigarette smoking and one person cut out tobacco altogether. E-cigarettes appear to be an effective nicotine replacement therapy; however, further research is required to determine whether e-cigarette users are more likely to reduce their overall nicotine consumption in the longer term.

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Section: Discussionmentioning

confidence: 99%