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Poster presentation
Evaluation of drop in to quit
Joanne Adams, Jane Beach, Carol Carter, Ann Fitchett and Sally Jones

Abstract
Background: The UK government has created services to enable smokers to quit. Typically, these services provide group support, for an hour per week for seven weeks, using a Withdrawal-Orientated Therapy model (Hajek, 1989). Government monitors the performance of these services, by assessing the number of people who set a quit date and are abstinent for four weeks. Many services, including South Birmingham were failing to meet the target and were recruiting more affluent smokers. South Birmingham pioneered an alternative model of service and evaluated the results using descriptive data to compare the outcome of existing groups with the Drop In.

Method: Group sessions are structured with participants attending for three weeks prior to quitting and four weeks post quit. NRT is provided on prescription. The Drop In was less formal with visits lasting approximately fifteen minutes. Participants set a quit date on week one, then attended weekly for four weeks. NRT was provided free.

Results: Thirty groups took place during 2003 to 04, with on average 15 participants per group (total=450). However, 1037 people attended the Drop In, leading to queuing times of an hour or more. 789 (76%) of Drop In participants set a quit date and 574 (55%) were point prevalence quit at four weeks, validated by exhaled carbon monoxide. An additional 30 groups would have been required to produce this figure. The Drop in attracted men and women equally, whereas groups attracted more women than men (60/40). Interestingly, 44% of those who quit with the Drop In were manual workers, compared to a figure of 10% within groups. Furthermore, the cost per quitter for groups was £233, compared to a figure of £118 for the Drop In.

Conclusion: The Drop In attracted large numbers of people and boosted quit figures, reaching smokers whom otherwise might not have accessed support.

Joanne Adams, Jane Beach, Carol Carter,
Ann Fitchett and Sally Jones
South Birmingham PCT Stop Smoking Service,
Springfield Centre, Raddlebarn Road,
Selly Oak, Birmingham B29 6JB
Tel: 0121 627 8372 / 0797 097 1338
jane.beach@southbirminghampct.nhs.uk
carol.carter@southbirminghampct.nhs.uk
catherine.fitchett@southbirminghampct.nhs.uk

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