Understanding willingness to access and experiences of NHS Stop Smoking Services: a qualitative systematic review with meta-aggregation synthesis

Latif, Asam; Murray, R. Scott; Waters, Claire; Leonardi‐Bee, Jo

doi:10.1016/j.puhe.2021.03.003

Cited by 3 publications

(6 citation statements)

References 54 publications

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“…Willingness (and hesitancy) to use health care services have been used to estimate future health‐related behaviors, most recently with COVID‐19 vaccinations 29,44,45 . However, studies on a variety of health‐seeking behaviors have shown limited access to services, lack of awareness of the availability of services, and barriers to care impede or inhibit utilization, even in the face of high willingness 46–48 . Given that willingness was high and perceived barriers were rare among rural adults in our study, this suggests that access (and awareness of access) of telehealth services is a primary driver of rural telehealth disparities.…”

Section: Discussionmentioning

confidence: 71%

Disparities in telehealth access, not willingness to use services, likely explain rural telehealth disparities

El‐Toukhy

Quintero

et al. 2023

The Journal of Rural Health

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Purpose Although telehealth access and utilization have increased during the pandemic, rural and low‐income disparities persist. We sought to assess whether access or willingness to use telehealth differed between rural and non‐rural and low‐income and non‐low‐income adults and measure the prevalence of perceived barriers. Methods We conducted a cross‐sectional study using COVID‐19's Unequal Racial Burden (CURB) online survey (December 17, 2020‐February 17, 2021), which included 2 nationally representative cohorts of rural and low‐income Black/African American, Latino, and White adults. Non‐rural and non‐low‐income participants from the main, nationally representative sample were matched for rural versus non‐rural and low‐income versus non‐low‐income comparisons. We measured perceived telehealth access, willingness to use telehealth, and perceived telehealth barriers. Findings Rural (38.6% vs 44.9%) and low‐income adults (42.0% vs 47.4%) were less likely to report telehealth access, compared to non‐rural and non‐low‐income counterparts. After adjustment, rural adults were still less likely to report telehealth access (adjusted prevalence ratio [aPR] = 0.89, 95% CI = 0.79‐0.99); no differences were seen between low‐income and non‐low‐income adults (aPR = 1.02, 95% CI = 0.88‐1.17). The majority of adults reported willingness to use telehealth (rural = 78.4%; low‐income = 79.0%), with no differences between rural and non‐rural (aPR = 0.99, 95% CI = 0.92‐1.08) or low‐income versus non‐low‐income (aPR = 1.01, 95% CI = 0.91‐1.13). No racial/ethnic differences were observed in willingness to use telehealth. The prevalence of perceived telehealth barriers was low, with the majority reporting no barriers (rural = 57.4%; low‐income = 56.9%). Conclusions Lack of access (and awareness of access) is likely a primary driver of disparities in rural telehealth use. Race/ethnicity was not associated with telehealth willingness, suggesting that equal utilization is possible once granted access.

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Section: Discussionmentioning

confidence: 71%

Disparities in telehealth access, not willingness to use services, likely explain rural telehealth disparities

El‐Toukhy

Quintero

et al. 2023

The Journal of Rural Health

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“… 24 In contrast, receiving person‐centred support from a healthcare professional facilitates autonomy. Consistent with prior work, 57 tailoring communication to the needs of screening attendees was emphasized as vital for smoking cessation uptake. Lung cancer screening invitations should emphasize a nonjudgemental approach to prevent nonattendance due to expected stigmatization.…”

Section: Discussionmentioning

confidence: 83%

“…However, the ability to integrate is largely dependent on the model of lung cancer screening service delivery. Yet, this remains an important consideration as poor referral processes, and appointment delays are significant barriers to cessation service uptake 57 …”

Section: Discussionmentioning

confidence: 99%

“…Yet, this remains an important consideration as poor referral processes, and appointment delays are significant barriers to cessation service uptake. 57 …”

Section: Discussionmentioning

confidence: 99%

“…Yet, this remains an important consideration as poor referral processes, and appointment delays are significant barriers to cessation service uptake. 57 The need for tailoring and flexibility of services regarding ongoing support modality (face-to-face, telephone, online), treatment method (e.g., nicotine replacement products, medications, e-cigarettes and individual or group support) and discussion content (e.g., exploring and debunking any myths regarding cessation that an attendee has concerns about) were emphasized by participants as key to creating acceptable, effective cessation services. Indeed, the ability to provide tailored, multimodal cessation interventions has been shown to potentially support smoking cessation among older individuals who smoke, from deprived backgrounds, many of whom may be eligible for lung cancer screening.…”

Section: Samplementioning

confidence: 99%

See 2 more Smart Citations

Attitudes towards the integration of smoking cessation into lung cancer screening in the United Kingdom: A qualitative study of individuals eligible to attend

Groves

McCutchan

Quaife

et al. 2022

Health Expectations

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Introduction: There is limited research exploring how smoking cessation treatment should be implemented into lung cancer screening in the United Kingdom. This study aimed to understand attitudes and preferences regarding the integration of smoking cessation support within lung cancer screening from the perspective of those eligible.Methods: Thirty-one lung cancer screening eligible individuals aged 55-80 years with current or former smoking histories were recruited using community outreach and social media. Two focus groups (three participants each) and 25 individual

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Commentary on the new English smoking cessation Advanced service: a sustainable gateway to care or will it disappear in a puff of smoke?

Latif

Mandane

Qureshi

2022

International Journal of Pharmacy Practice

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Further to plans to make England ‘smoke-free’ by 2030, a new English community pharmacy smoking cessation service was launched in March 2022. The service includes offering people admitted to hospital an opportunity to enrol on a smoking cessation service that allows care to be maintained through their community pharmacy upon discharge. There is a high expectation for this service, which is expected to increase 1-year quit rates by 11% and in its first year, save the UK NHS £85 million in healthcare resources. The service also offers opportunities for pharmacists to assume a greater role in managing the long-term care of smokers. However, as with any new service, without careful monitoring of the implementation, there may be unforeseen and unintended consequences for what are otherwise well-intentioned actions. For instance, despite existing smoking cessation services being effective, historically there has always been poor smoker uptake, particularly people from less affluent backgrounds and from marginalised groups. Questions also arise about service adoption and implementation and how the risks associated with transitions between care providers will be managed. This timely commentary explores and examines these issues. Specifically, we add to the debate by focusing on the extent to which the new service caters or enables people from disadvantaged groups to participate fully. The challenges of adoption and implementation in pharmacies are discussed as well as the strategies to overcome foreseeable problems that might arise during transitions of care.

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Understanding willingness to access and experiences of NHS Stop Smoking Services: a qualitative systematic review with meta-aggregation synthesis

Cited by 3 publications

References 54 publications

Disparities in telehealth access, not willingness to use services, likely explain rural telehealth disparities

Disparities in telehealth access, not willingness to use services, likely explain rural telehealth disparities

Attitudes towards the integration of smoking cessation into lung cancer screening in the United Kingdom: A qualitative study of individuals eligible to attend

Commentary on the new English smoking cessation Advanced service: a sustainable gateway to care or will it disappear in a puff of smoke?

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