Uptake and 4-week outcomes of an ‘opt-out’ smoking cessation referral strategy in a London-based lung cancer screening setting
Introduction Lung cancer screening (LCS) enables the delivery of smoking cessation interventions to a population experiencing long-term tobacco dependence, but the optimal delivery method remains unclear. Here, we report uptake and short-term outcomes of an ‘opt-out’ smoking cessation referral strat...
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BMJ Publishing Group
2025-02-01
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| Series: | BMJ Open Respiratory Research |
| Online Access: | https://bmjopenrespres.bmj.com/content/12/1/e002337.full |
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| author | Anthony Edey Neal Navani Kitty Chan Graham Robinson Janine Zylstra Paul Robinson Laura Green Anand Devaraj Jane Rowlands Allan Hackshaw Carolyn Horst Arjun Nair Sam M Janes Kate Davies Jeannie Eng Mamta Ruparel Samantha L Quaife Jennifer L Dickson Magali Taylor Angshu Bhowmik Hasti Robbie Joseph Jacob Laura Farrelly Sophie Tisi Tanya Patrick Andrew Creamer Helen Hall Samanjit Hare Jon Teague Samuel M Janes Esther Arthur-Darkwa Thea Buchan Stephen Ellis Thomas Callender Rachael Sarpong John McCabe Zaheer Mangera Ethaar El-Emir Terry O'Shaughnessy Geoff Bellingan Nick Screaton Priyam Verghese William M Ricketts Vicky Bowyer Kylie Gyertson Fanta Bojang Claire Levermore Tania Anastasiadis Ruth Prendecki Amyn Bhamani Malavika Suresh Judy Airebamen Alice Cotton Kaylene Phua Elodie Murali Simranjit Mehta Karen Parry-Billings Columbus Ife April Neville Zahra Hanif Helen Kiconco Ricardo McEwen Dominique Arancon Nicholas Beech Derya Ovayolu Christine Hosein Sylvia Patricia Enes Qin April Neville Aashna Samson Urja Patel Fahmida Hoque Hina Pervez Sofia Nnorom Moksud Miah Julian McKee Mark Clark Anant Patel Sara Lock Rajesh Banka Ugo Ekeowa Charlotte Cash Tunku Aziz Alberto Villanueva Elena Stefan Charlie Sayer Navinah Nundlall Andrew Crossingham Tanita Limani Kate Gowers Andrew Perugia James Rusius Anne-Marie Hacker Monica L Mullin Evangelos Katsampouris Chuen R Khaw Chuen Khaw Sheetal Karavadra Alan Shaw Chris Valerio Ali Mohammed Lynsey Gallagher Mehran Azimbagirad Burcu Ozaltin Maureen Browne Eleanor Hellier Catherine Nestor |
| author_facet | Anthony Edey Neal Navani Kitty Chan Graham Robinson Janine Zylstra Paul Robinson Laura Green Anand Devaraj Jane Rowlands Allan Hackshaw Carolyn Horst Arjun Nair Sam M Janes Kate Davies Jeannie Eng Mamta Ruparel Samantha L Quaife Jennifer L Dickson Magali Taylor Angshu Bhowmik Hasti Robbie Joseph Jacob Laura Farrelly Sophie Tisi Tanya Patrick Andrew Creamer Helen Hall Samanjit Hare Jon Teague Samuel M Janes Esther Arthur-Darkwa Thea Buchan Stephen Ellis Thomas Callender Rachael Sarpong John McCabe Zaheer Mangera Ethaar El-Emir Terry O'Shaughnessy Geoff Bellingan Nick Screaton Priyam Verghese William M Ricketts Vicky Bowyer Kylie Gyertson Fanta Bojang Claire Levermore Tania Anastasiadis Ruth Prendecki Amyn Bhamani Malavika Suresh Judy Airebamen Alice Cotton Kaylene Phua Elodie Murali Simranjit Mehta Karen Parry-Billings Columbus Ife April Neville Zahra Hanif Helen Kiconco Ricardo McEwen Dominique Arancon Nicholas Beech Derya Ovayolu Christine Hosein Sylvia Patricia Enes Qin April Neville Aashna Samson Urja Patel Fahmida Hoque Hina Pervez Sofia Nnorom Moksud Miah Julian McKee Mark Clark Anant Patel Sara Lock Rajesh Banka Ugo Ekeowa Charlotte Cash Tunku Aziz Alberto Villanueva Elena Stefan Charlie Sayer Navinah Nundlall Andrew Crossingham Tanita Limani Kate Gowers Andrew Perugia James Rusius Anne-Marie Hacker Monica L Mullin Evangelos Katsampouris Chuen R Khaw Chuen Khaw Sheetal Karavadra Alan Shaw Chris Valerio Ali Mohammed Lynsey Gallagher Mehran Azimbagirad Burcu Ozaltin Maureen Browne Eleanor Hellier Catherine Nestor |
| author_sort | Anthony Edey |
| collection | DOAJ |
| description | Introduction Lung cancer screening (LCS) enables the delivery of smoking cessation interventions to a population experiencing long-term tobacco dependence, but the optimal delivery method remains unclear. Here, we report uptake and short-term outcomes of an ‘opt-out’ smoking cessation referral strategy in an LCS cohort.Methods Individuals currently smoking tobacco who attended a face-to-face lung health check in the SUMMIT study (NCT03934866) were offered very brief advice on smoking cessation and where possible, an ‘opt-out’ referral to their local stop smoking service (SSS). Aggregate data on referral outcomes were obtained from each SSS individually.Results 33.7% (n=2090/6203) of individuals currently smoking tobacco consented to a practitioner-made ‘opt-out’ smoking cessation referral. 42.7% (n=893/2090) of these individuals resided in boroughs where SSS were not present or required self-referral. Males (adjusted OR (aOR) 1.16), younger individuals (55–59: aOR 1.70, 60–64: aOR 1.71 and 65–69: aOR 1.78) and those of ethnic minority backgrounds (Asian: aOR 1.31, Black: aOR 1.71 and Mixed: aOR 1.72) were more likely to consent, while individuals from the most deprived socioeconomic quintile were less likely to do so (aOR 0.65).High level of motivation to quit within a defined time frame (aOR 1.92), previous quit attempts in the past 12 months (1–4: aOR 1.65 and ≥5: aOR 1.54) and time to first cigarette of ≤60 min (<5: aOR 2.07, 6–30: aOR 1.55 and 31–60: aOR 1.56) were measures of tobacco dependence associated with a higher likelihood of providing consent.Outcomes were available for 742 referrals. An appointment with the service was accepted by 47.3% (n=351/742) of individuals, following which 65.5% (n=230/351) set a quit date. The 4-week quit rate among those setting a quit date and all individuals referred was 57.4% (n=132/230) and 17.8% (n=132/742), respectively.Conclusion A proactive, ‘opt-out’ smoking cessation referral strategy for individuals currently smoking tobacco who interact with an LCS programme may be beneficial. |
| format | Article |
| id | doaj-art-61116eafa74c4941b9f414ccd6b68afd |
| institution | Kabale University |
| issn | 2052-4439 |
| language | English |
| publishDate | 2025-02-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open Respiratory Research |
| spelling | doaj-art-61116eafa74c4941b9f414ccd6b68afd2025-02-07T05:50:10ZengBMJ Publishing GroupBMJ Open Respiratory Research2052-44392025-02-0112110.1136/bmjresp-2024-002337Uptake and 4-week outcomes of an ‘opt-out’ smoking cessation referral strategy in a London-based lung cancer screening settingAnthony Edey0Neal Navani1Kitty ChanGraham RobinsonJanine ZylstraPaul Robinson2Laura Green3Anand Devaraj4Jane RowlandsAllan Hackshaw5Carolyn Horst6Arjun Nair7Sam M Janes8Kate Davies9Jeannie Eng10Mamta Ruparel11Samantha L Quaife12Jennifer L Dickson13Magali Taylor14Angshu Bhowmik15Hasti Robbie16Joseph Jacob17Laura Farrelly18Sophie Tisi19Tanya Patrick20Andrew Creamer21Helen Hall22Samanjit Hare23Jon TeagueSamuel M Janes24Esther Arthur-Darkwa25Thea BuchanStephen Ellis26Thomas Callender27Rachael Sarpong28John McCabe29Zaheer Mangera30Ethaar El-Emir31Terry O'ShaughnessyGeoff Bellingan32Nick ScreatonPriyam Verghese33William M RickettsVicky Bowyer34Kylie Gyertson35Fanta Bojang36Claire Levermore37Tania Anastasiadis38Ruth Prendecki39Amyn Bhamani40Malavika SureshJudy AirebamenAlice CottonKaylene PhuaElodie MuraliSimranjit MehtaKaren Parry-BillingsColumbus IfeApril NevilleZahra HanifHelen KiconcoRicardo McEwenDominique AranconNicholas BeechDerya OvayoluChristine HoseinSylvia Patricia EnesQin April NevilleAashna SamsonUrja PatelFahmida HoqueHina PervezSofia NnoromMoksud MiahJulian McKeeMark ClarkAnant PatelSara LockRajesh BankaUgo EkeowaCharlotte CashTunku AzizAlberto VillanuevaElena StefanCharlie SayerNavinah NundlallAndrew CrossinghamTanita LimaniKate Gowers41Andrew PerugiaJames RusiusAnne-Marie Hacker42Monica L Mullin43Evangelos Katsampouris44Chuen R Khaw45Chuen KhawSheetal KaravadraAlan ShawChris ValerioAli MohammedLynsey GallagherMehran AzimbagiradBurcu OzaltinMaureen BrowneEleanor HellierCatherine Nestor9 North Bristol NHS Trust, Westbury on Trym, UK2 Respiratory Medicine, University College London, London, UKTrauma and Orthopaedics, Peterborough City Hospital, Peterborough, UKNHS Blood & Transplant and Barts Health NHS Trust, London, UK1 National Heart and Lung Institute, Imperial College, London, UKUCL Cancer Institute, University College London, UKLungs for Living Research Centre, UCL Respiratory, University College London, London, UKUniversity College Hospital, London, UKLungs for Living Research Centre, UCL Respiratory, University College London, London, UK1 Division of Population Medicine, Cardiff University, Cardiff, Cardiff, UKStroke Research Centre, Institute of Neurology, University College London, London, UKRespiratory and Critical Care Medicine, National University Hospital, Singapore1 Queen Mary University of London, London, UKLungs for Living Research Centre, UCL Respiratory, University College London, London, UKDepartment of Radiology, University College London Hospitals NHS Foundation Trust, London, London, UKRespiratory Medicine, Homerton University Hospital NHS Foundation Trust, London, London, UK2 Department of Radiology, Kings College Hospital, London, UK6 Centre for Medical Imaging and Computing, University College London, London, UKCancer Research UK and UCL Cancer Trials Centre, London, UKLungs for Living Research Centre, UCL Respiratory, University College London, London, UK1 Department of Respiratory Medicine, Kings College Hospital, London, UK2 Brown University Library, Providence, Rhode Island, USA2 James Paget University Hospitals NHS Foundation Trust, Great Yarmouth, UKRoyal Free London NHS Foundation Trust, London, UK3 Lungs for Living Research Centre, UCL Respiratory, Division of Medicine, University College London, London, UKUniversity College CRUK and UCL Cancer Trials Centre, UCL Cancer Institute, London, UKHeart and Vascular Institute, Cleveland Clinic, Cleveland, Ohio, USADivision of Medicine, University College London, London, UK4 Surgical and Interventional Trials Unit (SITU), Division of Surgery and Interventional Science, University College London, London, UKLungs for Living Research Centre, UCL Respiratory, University College London, London, UKDepartment of Respiratory Medicine, North Middlesex University Hospital NHS Trust, London, UK2 Harefield Respiratory Research Group, Royal Brompton & Harefield Hospitals, Guy’s and St Thomas’ NHS Foundation Trust, UK, London, UKUniversity College London, London, UKLungs for Living Research Centre, UCL Respiratory, University College London, London, UKDepartment of Twin Research and Genetic Epidemiology, King`s College London, London, UKUniversity College London Hospitals NHS Foundation Trust, London, UKUniversity College London Hospitals NHS Foundation Trust, London, UKUniversity College London Hospitals NHS Foundation Trust, London, UKTower Hamlets Clinical Commissioning Group, London, UKLungs for Living Research Centre, UCL Respiratory, University College London, London, UKLungs for Living Research Centre, UCL Respiratory, University College London, London, UK1UCL Cancer Institute, Pre-Cancer Immunology Laboratory, London, UKCancer Research UK and UCL Cancer Trials Centre, University College London, London, UK1 Respiratory, University College London, London, UKWolfson Institute of Population Health, Queen Mary University of London, London, UKLungs for Living Research Centre, UCL Respiratory, University College London, London, UKIntroduction Lung cancer screening (LCS) enables the delivery of smoking cessation interventions to a population experiencing long-term tobacco dependence, but the optimal delivery method remains unclear. Here, we report uptake and short-term outcomes of an ‘opt-out’ smoking cessation referral strategy in an LCS cohort.Methods Individuals currently smoking tobacco who attended a face-to-face lung health check in the SUMMIT study (NCT03934866) were offered very brief advice on smoking cessation and where possible, an ‘opt-out’ referral to their local stop smoking service (SSS). Aggregate data on referral outcomes were obtained from each SSS individually.Results 33.7% (n=2090/6203) of individuals currently smoking tobacco consented to a practitioner-made ‘opt-out’ smoking cessation referral. 42.7% (n=893/2090) of these individuals resided in boroughs where SSS were not present or required self-referral. Males (adjusted OR (aOR) 1.16), younger individuals (55–59: aOR 1.70, 60–64: aOR 1.71 and 65–69: aOR 1.78) and those of ethnic minority backgrounds (Asian: aOR 1.31, Black: aOR 1.71 and Mixed: aOR 1.72) were more likely to consent, while individuals from the most deprived socioeconomic quintile were less likely to do so (aOR 0.65).High level of motivation to quit within a defined time frame (aOR 1.92), previous quit attempts in the past 12 months (1–4: aOR 1.65 and ≥5: aOR 1.54) and time to first cigarette of ≤60 min (<5: aOR 2.07, 6–30: aOR 1.55 and 31–60: aOR 1.56) were measures of tobacco dependence associated with a higher likelihood of providing consent.Outcomes were available for 742 referrals. An appointment with the service was accepted by 47.3% (n=351/742) of individuals, following which 65.5% (n=230/351) set a quit date. The 4-week quit rate among those setting a quit date and all individuals referred was 57.4% (n=132/230) and 17.8% (n=132/742), respectively.Conclusion A proactive, ‘opt-out’ smoking cessation referral strategy for individuals currently smoking tobacco who interact with an LCS programme may be beneficial.https://bmjopenrespres.bmj.com/content/12/1/e002337.full |
| spellingShingle | Anthony Edey Neal Navani Kitty Chan Graham Robinson Janine Zylstra Paul Robinson Laura Green Anand Devaraj Jane Rowlands Allan Hackshaw Carolyn Horst Arjun Nair Sam M Janes Kate Davies Jeannie Eng Mamta Ruparel Samantha L Quaife Jennifer L Dickson Magali Taylor Angshu Bhowmik Hasti Robbie Joseph Jacob Laura Farrelly Sophie Tisi Tanya Patrick Andrew Creamer Helen Hall Samanjit Hare Jon Teague Samuel M Janes Esther Arthur-Darkwa Thea Buchan Stephen Ellis Thomas Callender Rachael Sarpong John McCabe Zaheer Mangera Ethaar El-Emir Terry O'Shaughnessy Geoff Bellingan Nick Screaton Priyam Verghese William M Ricketts Vicky Bowyer Kylie Gyertson Fanta Bojang Claire Levermore Tania Anastasiadis Ruth Prendecki Amyn Bhamani Malavika Suresh Judy Airebamen Alice Cotton Kaylene Phua Elodie Murali Simranjit Mehta Karen Parry-Billings Columbus Ife April Neville Zahra Hanif Helen Kiconco Ricardo McEwen Dominique Arancon Nicholas Beech Derya Ovayolu Christine Hosein Sylvia Patricia Enes Qin April Neville Aashna Samson Urja Patel Fahmida Hoque Hina Pervez Sofia Nnorom Moksud Miah Julian McKee Mark Clark Anant Patel Sara Lock Rajesh Banka Ugo Ekeowa Charlotte Cash Tunku Aziz Alberto Villanueva Elena Stefan Charlie Sayer Navinah Nundlall Andrew Crossingham Tanita Limani Kate Gowers Andrew Perugia James Rusius Anne-Marie Hacker Monica L Mullin Evangelos Katsampouris Chuen R Khaw Chuen Khaw Sheetal Karavadra Alan Shaw Chris Valerio Ali Mohammed Lynsey Gallagher Mehran Azimbagirad Burcu Ozaltin Maureen Browne Eleanor Hellier Catherine Nestor Uptake and 4-week outcomes of an ‘opt-out’ smoking cessation referral strategy in a London-based lung cancer screening setting BMJ Open Respiratory Research |
| title | Uptake and 4-week outcomes of an ‘opt-out’ smoking cessation referral strategy in a London-based lung cancer screening setting |
| title_full | Uptake and 4-week outcomes of an ‘opt-out’ smoking cessation referral strategy in a London-based lung cancer screening setting |
| title_fullStr | Uptake and 4-week outcomes of an ‘opt-out’ smoking cessation referral strategy in a London-based lung cancer screening setting |
| title_full_unstemmed | Uptake and 4-week outcomes of an ‘opt-out’ smoking cessation referral strategy in a London-based lung cancer screening setting |
| title_short | Uptake and 4-week outcomes of an ‘opt-out’ smoking cessation referral strategy in a London-based lung cancer screening setting |
| title_sort | uptake and 4 week outcomes of an opt out smoking cessation referral strategy in a london based lung cancer screening setting |
| url | https://bmjopenrespres.bmj.com/content/12/1/e002337.full |
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