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Implementation and impact of NHS-funded tobacco dependence services in England: a mixed-method evaluation protocol

Lookup NU author(s): Dr Ryc AquinoORCiD, Dr Kerry Brennan-ToveyORCiD, Dr Mackenzie Fong, Dr Angela Wearn, Dr Theophile BigirumurameORCiD, Tomos Robinson, Miranda Trevor, Professor Sheena Ramsay, Professor Eileen KanerORCiD

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This work is licensed under a Creative Commons Attribution 4.0 International License (CC BY 4.0).


Abstract

© Author(s) (or their employer(s)) 2024. Re-use permitted under CC BY. Published by BMJ Group.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).


Publication metadata

Author(s): Aquino MRJ, Brennan-Tovey K, Fong M, Wearn A, Bigirumurame T, Robinson T, Trevor M, Feeney J, Rutter A, Sharrock R, West J, Bridges S, Attwood AS, Jolly K, Damery S, Flanagan S, Armitage C, Russell S, Strong S, Ramsay SE, Kaner EFS

Publication type: Article

Publication status: Published

Journal: BMJ Open

Year: 2024

Volume: 14

Issue: 12

Print publication date: 01/12/2024

Online publication date: 26/12/2024

Acceptance date: 02/12/2024

Date deposited: 14/01/2025

ISSN (electronic): 2044-6055

Publisher: BMJ Publishing Group

URL: https://doi.org/10.1136/bmjopen-2024-089630

DOI: 10.1136/bmjopen-2024-089630

Data Access Statement: Protocol for an evaluation—no datasets generated in this manuscript

PubMed id: 39725430


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Funding

Funder referenceFunder name
National Institute for Health and Care Research
NIHR ARC North East and North Cumbria

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