- Title
- Integrating smoking cessation care into routine service delivery in a medically supervised injecting facility: An acceptability study
- Creator
- Skelton, Eliza; Tzelepis, Flora; Shakeshaft, Anthony; Guillaumier, Ashleigh; Wood, William; Jauncey, Marianne; Salmon, Allison M.; McCrabb, Sam; Palazzi, Kerrin; Bonevski, Billie
- Relation
- Addictive Behaviors Vol. 84, p. 193-200
- Publisher Link
- http://dx.doi.org/10.1016/j.addbeh.2018.04.001
- Publisher
- Elsevier
- Resource Type
- journal article
- Date
- 2018
- Description
- Background: Among people who inject drugs (PWIDs) the prevalence of tobacco smoking exceeds 80%; making smoking cessation intervention a priority for this population. This study aims to examine staff and client perspectives from a supervised injecting facility regarding: i) whether an organizational change intervention increased rates of smoking cessation care delivery (pre- to post-intervention); and ii) acceptability of the intervention. Methods: A pre-and-post intervention pilot study in a supervised injecting facility was conducted in Sydney, Australia between July 2014¿December 2015. The intervention employed an organizational change approach and included six components. Cross-sectional samples of staff (pre n = 27, post n = 22) and clients (pre n = 202, post n = 202) completed online surveys pre and post intervention. Results: From pre to post-intervention staff reported smoking cessation practices significantly increased for the provision of verbal advice (30% to 82%; p < 0.001), offer of free or subsidized nicotine replacement therapy (30% to 91%; p < 0.001), referral to a general practitioner (19% to 64%; p = 0.001), and follow-up to check on quit smoking progress (18.5% to 64%; p = 0.001). Significantly more clients reported receiving all smoking cessation strategies post-intervention. Over 85% of staff agreed that it was acceptable to address client smoking as part of usual care and 95% of clients agreed that it was acceptable to be asked by staff about their tobacco smoking. Conclusions: Increasing the provision of smoking cessation care using an organizational change approach is both feasible for staff and acceptable to staff and clients of supervised injecting facilities.
- Subject
- people who inject drugs; organizational change; supervised injecting facility; drug consumption room; smoking cessation care; tobacco smoking
- Identifier
- http://hdl.handle.net/1959.13/1454451
- Identifier
- uon:44945
- Identifier
- ISSN:0306-4603
- Language
- eng
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