Evaluating the implementation of adult smoking cessation programs in community settings: a scoping review

IntroductionTobacco smoking is a leading contributor to preventable morbidity and premature mortality globally. Although evidence-based smoking cessation programs have been implemented, there is limited evidence on the application of theories, models, and frameworks (TMFs), and implementation strate...

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Main Authors: Remai Mitchell, Kerry-Ann F. O’Grady, David Brain, Megumi Lim, Natalia Gonzalez Bohorquez, Ureni Halahakone, Simone Braithwaite, Joanne Isbel, Shelley Peardon-Freeman, Madonna Kennedy, Zephanie Tyack
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-03-01
Series:Frontiers in Public Health
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Online Access:https://www.frontiersin.org/articles/10.3389/fpubh.2024.1495151/full
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author Remai Mitchell
Kerry-Ann F. O’Grady
David Brain
Megumi Lim
Natalia Gonzalez Bohorquez
Ureni Halahakone
Simone Braithwaite
Joanne Isbel
Shelley Peardon-Freeman
Madonna Kennedy
Zephanie Tyack
author_facet Remai Mitchell
Kerry-Ann F. O’Grady
David Brain
Megumi Lim
Natalia Gonzalez Bohorquez
Ureni Halahakone
Simone Braithwaite
Joanne Isbel
Shelley Peardon-Freeman
Madonna Kennedy
Zephanie Tyack
author_sort Remai Mitchell
collection DOAJ
description IntroductionTobacco smoking is a leading contributor to preventable morbidity and premature mortality globally. Although evidence-based smoking cessation programs have been implemented, there is limited evidence on the application of theories, models, and frameworks (TMFs), and implementation strategies to support such programs. This scoping review mapped the evidence for interventions, TMFs, and implementation strategies used for smoking cessation programs in the community.MethodsWe searched four electronic databases in addition to grey literature and conducted hand-searching between February and December 2023. Original studies of qualitative, quantitative, or mixed methods were considered for inclusion. Studies reporting prospectively planned and/or delivered implementation of smoking cessation interventions or programs, incorporating contextual factors, use of implementation TMF, implementation strategies, or other factors influencing implementation were considered for inclusion. Intervention components were categorized using the Template for Intervention Description and Replication (TIDieR) checklist. Implementation strategies were mapped to the Expert Recommendations for Implementing Change (ERIC) Strategy Clusters.ResultsA total of 31 studies were included. We identified 12 discrete interventions, commonly included as part of multicomponent interventions. Most studies reported tailoring or modifying interventions at the population or individual level. We identified 19 distinct implementation TMFs used to prospectively guide or evaluate implementation in 26 out of 31 included studies. Studies reported diverse implementation strategies. Three studies embedded culturally appropriate TMFs or local cultural guidance into the implementation process. These studies took a collaborative approach with the communities through partnership, participation, cultural tailoring, and community-directed implementation.DiscussionOur findings highlight the methods by which the implementation of smoking cessation may be supported within the community. Whilst there is debate surrounding their necessity, there are practical benefits to applying TMFs for implementing, evaluating, and disseminating findings. We determined that whilst ERIC was well-suited as a framework for guiding the implementation of future smoking cessation programs, there was inconsistent use of implementation strategies across the ERIC domains. Our findings highlight a lack of harmonization in the literature to culturally tailor implementation processes for local communities.
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spelling doaj-art-dc25afe77c3f4b2b83dc5ed7441aba9a2025-08-20T02:48:35ZengFrontiers Media S.A.Frontiers in Public Health2296-25652025-03-011210.3389/fpubh.2024.14951511495151Evaluating the implementation of adult smoking cessation programs in community settings: a scoping reviewRemai Mitchell0Kerry-Ann F. O’Grady1David Brain2Megumi Lim3Natalia Gonzalez Bohorquez4Ureni Halahakone5Simone Braithwaite6Joanne Isbel7Shelley Peardon-Freeman8Madonna Kennedy9Zephanie Tyack10Australian Centre for Health Services Innovation (AusHSI), School of Public Health and Social Work Centre for Healthcare Transformation, Queensland University of Technology (QUT), Brisbane, QLD, AustraliaAustralian Centre for Health Services Innovation (AusHSI), School of Public Health and Social Work Centre for Healthcare Transformation, Queensland University of Technology (QUT), Brisbane, QLD, AustraliaAustralian Centre for Health Services Innovation (AusHSI), School of Public Health and Social Work Centre for Healthcare Transformation, Queensland University of Technology (QUT), Brisbane, QLD, AustraliaAustralian Centre for Health Services Innovation (AusHSI), School of Public Health and Social Work Centre for Healthcare Transformation, Queensland University of Technology (QUT), Brisbane, QLD, AustraliaAustralian Centre for Health Services Innovation (AusHSI), School of Public Health and Social Work Centre for Healthcare Transformation, Queensland University of Technology (QUT), Brisbane, QLD, AustraliaAustralian Centre for Health Services Innovation (AusHSI), School of Public Health and Social Work Centre for Healthcare Transformation, Queensland University of Technology (QUT), Brisbane, QLD, AustraliaQueensland Public Health and Scientific Services Division, Queensland Department of Health, Brisbane, QLD, AustraliaHealth Contact Centre, Queensland Ambulance Service, Queensland Department of Health, Brisbane, QLD, AustraliaHealth Contact Centre, Queensland Ambulance Service, Queensland Department of Health, Brisbane, QLD, AustraliaQueensland Public Health and Scientific Services Division, Queensland Department of Health, Brisbane, QLD, AustraliaAustralian Centre for Health Services Innovation (AusHSI), School of Public Health and Social Work Centre for Healthcare Transformation, Queensland University of Technology (QUT), Brisbane, QLD, AustraliaIntroductionTobacco smoking is a leading contributor to preventable morbidity and premature mortality globally. Although evidence-based smoking cessation programs have been implemented, there is limited evidence on the application of theories, models, and frameworks (TMFs), and implementation strategies to support such programs. This scoping review mapped the evidence for interventions, TMFs, and implementation strategies used for smoking cessation programs in the community.MethodsWe searched four electronic databases in addition to grey literature and conducted hand-searching between February and December 2023. Original studies of qualitative, quantitative, or mixed methods were considered for inclusion. Studies reporting prospectively planned and/or delivered implementation of smoking cessation interventions or programs, incorporating contextual factors, use of implementation TMF, implementation strategies, or other factors influencing implementation were considered for inclusion. Intervention components were categorized using the Template for Intervention Description and Replication (TIDieR) checklist. Implementation strategies were mapped to the Expert Recommendations for Implementing Change (ERIC) Strategy Clusters.ResultsA total of 31 studies were included. We identified 12 discrete interventions, commonly included as part of multicomponent interventions. Most studies reported tailoring or modifying interventions at the population or individual level. We identified 19 distinct implementation TMFs used to prospectively guide or evaluate implementation in 26 out of 31 included studies. Studies reported diverse implementation strategies. Three studies embedded culturally appropriate TMFs or local cultural guidance into the implementation process. These studies took a collaborative approach with the communities through partnership, participation, cultural tailoring, and community-directed implementation.DiscussionOur findings highlight the methods by which the implementation of smoking cessation may be supported within the community. Whilst there is debate surrounding their necessity, there are practical benefits to applying TMFs for implementing, evaluating, and disseminating findings. We determined that whilst ERIC was well-suited as a framework for guiding the implementation of future smoking cessation programs, there was inconsistent use of implementation strategies across the ERIC domains. Our findings highlight a lack of harmonization in the literature to culturally tailor implementation processes for local communities.https://www.frontiersin.org/articles/10.3389/fpubh.2024.1495151/fullsmoking cessation interventionsimplementation sciencetheoriesmodelsand frameworksimplementation strategies
spellingShingle Remai Mitchell
Kerry-Ann F. O’Grady
David Brain
Megumi Lim
Natalia Gonzalez Bohorquez
Ureni Halahakone
Simone Braithwaite
Joanne Isbel
Shelley Peardon-Freeman
Madonna Kennedy
Zephanie Tyack
Evaluating the implementation of adult smoking cessation programs in community settings: a scoping review
Frontiers in Public Health
smoking cessation interventions
implementation science
theories
models
and frameworks
implementation strategies
title Evaluating the implementation of adult smoking cessation programs in community settings: a scoping review
title_full Evaluating the implementation of adult smoking cessation programs in community settings: a scoping review
title_fullStr Evaluating the implementation of adult smoking cessation programs in community settings: a scoping review
title_full_unstemmed Evaluating the implementation of adult smoking cessation programs in community settings: a scoping review
title_short Evaluating the implementation of adult smoking cessation programs in community settings: a scoping review
title_sort evaluating the implementation of adult smoking cessation programs in community settings a scoping review
topic smoking cessation interventions
implementation science
theories
models
and frameworks
implementation strategies
url https://www.frontiersin.org/articles/10.3389/fpubh.2024.1495151/full
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