A brief intervention for smoking cessation in the ambulance setting-an exploratory mixed methods study to reach
Karl Charlton1, Jon Rees2, Michelle Jackson1
1Research & Development, North East Ambulance Service National Health Service Foundation Trust Bernicia House, Goldcrest Way, Newburn Riverside, Newcastle upon Tyne NE15 8NY, UK.
Background:
The role of a brief intervention (BI) for smoking cessation with patients using National Health Service (NHS) ambulance services is underexplored but may reach tobacco smokers currently not engaging with NHS stop smoking services (SSS).
Methods:
A BI comprising smoking cessation education, a referral to local NHS SSS and nicotine replacement therapy (NRT) was delivered to consenting patients aged ≥18 years in a regional NHS ambulance service in England.
Results:
Of 140 patients (56% female, mean age 54.9 (14.6) years), 103 (74%) were conveyed, and 41 (29%) admitted to hospital. Outcomes included 28-day quit achieved (n = 31), current supported quit attempt (n = 6), reconsidered decision to quit/lost to follow-up after commencing NRT (n = 76), and uncontactable (n = 27). There was no association between a successful quit attempt and patient age, gender, ethnicity, or socio-economic status. Reasons behind being lost to follow-up included reconsidering the quit attempt, competing co-morbidity, and digital poverty.
Conclusion:
A BI delivered in the ambulance setting may be the only opportunity to connect tobacco smokers currently not reached by the current model, with NHS SSS. A repeated offer of support with 'all' smokers in this setting may help reduce disparities in health inequality.
More Related Videos
02:34Author Spotlight: Efficacy of Auricular Pressure Bean Therapy in Reducing Wheezing Symptoms
Published on: May 10, 2024
12:22Mindfulness in Motion MIM: An Onsite Mindfulness Based Intervention MBI for Chronically High Stress Work Environments to Increase Resiliency and Work Engagement
Published on: July 1, 2015
Related Concept Videos
01:28Acute Coronary Syndrome IV: Interprofessional Care
01:29SBAR I: Understanding the Concept
Standardized methods of communication have been developed to ensure that information is...
01:22Cardiopulmonary Resuscitation II: ACLS Airway Management
01:23Assessment of Respiration
Subjective Assessment: Nurses interview the patient to gather information directly during the subjective assessment. It includes questions about the individual's medical history, medications, and symptoms, focusing on past respiratory conditions like...
01:14SBAR II: Application of SBAR
SBAR Report from a Nurse to a Health Care Provider
S: "Hello, Dr. Smith. This is Jane, RN, from the Med Surg unit. I am calling to tell you about Ms. White in Room 210, who is experiencing increased pain and redness at her incision site. Her recent...
01:30Community Based Intervention
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...