Aquino Maria Raisa Jessica, Brennan-Tovey Kerry, Fong Mackenzie, Wearn Angela, Bigirumurame Theophile, Robinson Tomos, Trevor Miranda, Feeney Joanna, Rutter Ailsa, Sharrock Ruth, West Jane, Bridges Sally, Attwood Angela S, Jolly Kate, Damery Sarah, Flanagan Sarah, Armitage Chris, Russell Samantha, Strong Steve, Ramsay Sheena E, Kaner Eileen F S
Population Health Sciences Institute, Faculty of Medical Sciences, Newcastle University, Newcastle upon Tyne, UK
Population Health Sciences Institute, Faculty of Medical Sciences, Newcastle University, Newcastle upon Tyne, UK.
BMJ Open. 2024 Dec 26;14(12):e089630. doi: 10.1136/bmjopen-2024-089630.
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.
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.
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).
吸烟仍然是健康不佳、过早死亡的主要原因，也是健康不平等问题的一个驱动因素。为了帮助英格兰的吸烟者，正在实施一种全面治疗烟草依赖的方法。这包括为所有住院患者以及国民保健服务体系内的女性和孕妇提供支持。我们旨在描述对这项烟草依赖服务进行评估的方案。
这是一项在英格兰五个地区（即西南、西米德兰兹、大曼彻斯特、东北和北坎布里亚、约克郡和亨伯赛德）进行的全国性评估，涉及11家国民保健服务基金会信托机构。该评估从2021年9月至2025年9月获得资助。评估场所包括急症医院、产科和住院精神健康机构。工作包（WP）1包括对关键信息提供者进行定性访谈，以描述政策实施背景。WP 2包括一项在线调查，以评估该服务在实际中的常规化情况以及工作人员对烟草依赖的态度，另外还包括与相关从业者进行深入访谈，以探讨调查结果，并与吸烟者进行访谈，以调查该服务的实用性和影响。WP 3包括对常规收集的数据进行描述性统计分析，以评估服务的接受情况以及对健康和护理结果（如吸烟状况）的影响。WP 4包括对常规收集的数据进行经济分析，以确定该服务的财务影响。定性数据（WP 1、WP 2）将分别使用主题分析和框架分析进行分析。WP 2的调查数据将使用描述性统计进行分析。
这项评估获得了纽卡斯尔大学（17756/2021）和威尔士国民保健服务研究伦理委员会（22/WA/0203）的有利伦理意见。它还获得了保密咨询小组的支持（22CAG0103）。
