Implementation and impact of NHS-funded tobacco dependence services in England: a mixed-method evaluation protocol
Introduction Tobacco smoking remains a leading cause of ill-health, premature mortality and a driver of health inequalities. To support smokers in England, a comprehensive approach to treating tobacco dependence is being implemented. This includes offering support to all people admitted to hospitals...
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BMJ Publishing Group
2024-12-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/14/12/e089630.full |
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| author | Kate Jolly Tomos Robinson Sheena E Ramsay Sarah Damery Eileen F S Kaner Sarah Flanagan Chris Armitage Jane West Ailsa Rutter Mackenzie Fong Angela S Attwood Sally Bridges Angela Wearn Maria Raisa Jessica Aquino Theophile Bigirumurame Kerry Brennan-Tovey Samantha Russell Miranda Trevor Joanna Feeney Ruth Sharrock Steve Strong |
| author_facet | Kate Jolly Tomos Robinson Sheena E Ramsay Sarah Damery Eileen F S Kaner Sarah Flanagan Chris Armitage Jane West Ailsa Rutter Mackenzie Fong Angela S Attwood Sally Bridges Angela Wearn Maria Raisa Jessica Aquino Theophile Bigirumurame Kerry Brennan-Tovey Samantha Russell Miranda Trevor Joanna Feeney Ruth Sharrock Steve Strong |
| author_sort | Kate Jolly |
| collection | DOAJ |
| description | Introduction Tobacco smoking remains a leading cause of ill-health, premature mortality and a driver of health inequalities. To support smokers in England, a comprehensive approach to treating tobacco dependence is being implemented. This includes offering support to all people admitted to hospitals, as well as women and pregnant people within NHS settings. We aim to describe the protocol for an evaluation of this tobacco-dependence service.Methods and analysis This is a national evaluation across five regions in England (i.e., South West, West Midlands, Greater Manchester, North East and North Cumbria, Yorkshire and Humber) including 11 NHS Foundation Trusts. It is funded from September 2021 to September 2025. Evaluation settings are acute hospital, maternity and inpatient mental health.Work package (WP) 1 involves qualitative key informant interviews to characterise the policy implementation context. WP 2 involves an online survey to assess the routinisation of the service in practice and staff attitudes regarding tobacco dependence, plus in-depth interviews with relevant practitioners to explore survey findings and interviews with smokers to investigate its usefulness and impact. WP 3 involves descriptive statistical analysis of routinely collected data to assess service uptake and impact on health and care outcomes (e.g., smoking status). WP 4 involves an economic analysis of routinely collected data to determine the financial impact of the service. Qualitative data (WP 1, WP 2) will be analysed using Thematic Analysis and Framework Analysis, respectively. WP 2 survey data will be analysed using descriptive statistics.Ethics and dissemination This evaluation received favourable ethical opinion from Newcastle University (17756/2021) and NHS Wales Research Ethics Committee (22/WA/0203). It has also received Confidentiality Advisory Group support (22CAG0103). |
| format | Article |
| id | doaj-art-d9897bcfd1464535a84fa15dc99fee92 |
| institution | DOAJ |
| issn | 2044-6055 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj-art-d9897bcfd1464535a84fa15dc99fee922025-08-20T02:55:53ZengBMJ Publishing GroupBMJ Open2044-60552024-12-01141210.1136/bmjopen-2024-089630Implementation and impact of NHS-funded tobacco dependence services in England: a mixed-method evaluation protocolKate Jolly0Tomos Robinson1Sheena E Ramsay2Sarah Damery3Eileen F S Kaner4Sarah Flanagan5Chris Armitage6Jane West7Ailsa Rutter8Mackenzie Fong9Angela S Attwood10Sally Bridges11Angela Wearn12Maria Raisa Jessica Aquino13Theophile Bigirumurame14Kerry Brennan-Tovey15Samantha Russell16Miranda Trevor17Joanna Feeney18Ruth Sharrock19Steve Strong20Institute of Applied Health Research, University of Birmingham, Birmingham, UKPopulation Health Sciences Institute, Faculty of Medical Sciences, Newcastle University, Newcastle upon Tyne, UKPopulation Health Sciences Institute, Faculty of Medical Sciences, Newcastle University, Newcastle upon Tyne, UKInstitute of Applied Health Research, University of Birmingham, Birmingham, UKPopulation Health Sciences Institute, Faculty of Medical Sciences, Newcastle University, Newcastle upon Tyne, UKInstitute of Applied Health Research, University of Birmingham, Birmingham, UKManchester Centre for Health Psychology, University of Manchester, Manchester, UKBradford Institute for Health Research, Bradford Teaching Hospitals NHS Foundation Trust, Bradford, UKFresh and Balance, Durham, UKPopulation Health Sciences Institute, Faculty of Medical Sciences, Newcastle University, Newcastle upon Tyne, UKSchool of Experimental Psychology, University of Bristol, Bristol, UKBradford Institute for Health Research, Bradford Teaching Hospitals NHS Foundation Trust, Bradford, UKPopulation Health Sciences Institute, Faculty of Medical Sciences, Newcastle University, Newcastle upon Tyne, UKPopulation Health Sciences Institute, Faculty of Medical Sciences, Newcastle University, Newcastle upon Tyne, UKPopulation Health Sciences Institute, Faculty of Medical Sciences, Newcastle University, Newcastle upon Tyne, UKPopulation Health Sciences Institute, Faculty of Medical Sciences, Newcastle University, Newcastle upon Tyne, UKN/A, N/A, UKPopulation Health Sciences Institute, Faculty of Medical Sciences, Newcastle University, Newcastle upon Tyne, UKAction on Smoking and Health, London, London, UKGateshead Health NHS Foundation Trust, Gateshead, Gateshead, UKN/A, N/A, UKIntroduction Tobacco smoking remains a leading cause of ill-health, premature mortality and a driver of health inequalities. To support smokers in England, a comprehensive approach to treating tobacco dependence is being implemented. This includes offering support to all people admitted to hospitals, as well as women and pregnant people within NHS settings. We aim to describe the protocol for an evaluation of this tobacco-dependence service.Methods and analysis This is a national evaluation across five regions in England (i.e., South West, West Midlands, Greater Manchester, North East and North Cumbria, Yorkshire and Humber) including 11 NHS Foundation Trusts. It is funded from September 2021 to September 2025. Evaluation settings are acute hospital, maternity and inpatient mental health.Work package (WP) 1 involves qualitative key informant interviews to characterise the policy implementation context. WP 2 involves an online survey to assess the routinisation of the service in practice and staff attitudes regarding tobacco dependence, plus in-depth interviews with relevant practitioners to explore survey findings and interviews with smokers to investigate its usefulness and impact. WP 3 involves descriptive statistical analysis of routinely collected data to assess service uptake and impact on health and care outcomes (e.g., smoking status). WP 4 involves an economic analysis of routinely collected data to determine the financial impact of the service. Qualitative data (WP 1, WP 2) will be analysed using Thematic Analysis and Framework Analysis, respectively. WP 2 survey data will be analysed using descriptive statistics.Ethics and dissemination This evaluation received favourable ethical opinion from Newcastle University (17756/2021) and NHS Wales Research Ethics Committee (22/WA/0203). It has also received Confidentiality Advisory Group support (22CAG0103).https://bmjopen.bmj.com/content/14/12/e089630.full |
| spellingShingle | Kate Jolly Tomos Robinson Sheena E Ramsay Sarah Damery Eileen F S Kaner Sarah Flanagan Chris Armitage Jane West Ailsa Rutter Mackenzie Fong Angela S Attwood Sally Bridges Angela Wearn Maria Raisa Jessica Aquino Theophile Bigirumurame Kerry Brennan-Tovey Samantha Russell Miranda Trevor Joanna Feeney Ruth Sharrock Steve Strong Implementation and impact of NHS-funded tobacco dependence services in England: a mixed-method evaluation protocol BMJ Open |
| title | Implementation and impact of NHS-funded tobacco dependence services in England: a mixed-method evaluation protocol |
| title_full | Implementation and impact of NHS-funded tobacco dependence services in England: a mixed-method evaluation protocol |
| title_fullStr | Implementation and impact of NHS-funded tobacco dependence services in England: a mixed-method evaluation protocol |
| title_full_unstemmed | Implementation and impact of NHS-funded tobacco dependence services in England: a mixed-method evaluation protocol |
| title_short | Implementation and impact of NHS-funded tobacco dependence services in England: a mixed-method evaluation protocol |
| title_sort | implementation and impact of nhs funded tobacco dependence services in england a mixed method evaluation protocol |
| url | https://bmjopen.bmj.com/content/14/12/e089630.full |
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