PT  - JOURNAL ARTICLE
AU  - Murray, Rachael L.
AU  - Alexandris, Panos
AU  - Baldwin, David
AU  - Brain, Kate
AU  - Britton, John
AU  - Crosbie, Philip A.J.
AU  - Gabe, Rhian
AU  - Lewis, Sarah
AU  - Parrott, Steve
AU  - Quaife, Samantha L.
AU  - Tam, Hui Zhen
AU  - Wu, Qi
AU  - Beeken, Rebecca
AU  - Copeland, Harriet
AU  - Eckert, Claire
AU  - Hancock, Neil
AU  - Lindop, Jason
AU  - McCutchan, Grace
AU  - Marshall, Catriona
AU  - Neal, Richard D.
AU  - Rogerson, Suzanne
AU  - Quinn Scoggins, Harriet D.
AU  - Simmonds, Irene
AU  - Thorley, Rebecca
AU  - Callister, Matthew E.
TI  - Uptake and 4-week quit rates from an opt-out co-located smoking cessation service delivered alongside community-based low-dose computed tomography screening within the Yorkshire Lung Screening Trial
AID  - 10.1183/13993003.01768-2023
DP  - 2024 Apr 01
TA  - European Respiratory Journal
PG  - 2301768
VI  - 63
IP  - 4
4099  - https://publications.ersnet.org//content/63/4/2301768.short
4100  - https://publications.ersnet.org//content/63/4/2301768.full
SO  - Eur Respir J2024 Apr 01; 63
AB  - Background Up to 50% of those attending for low-dose computed tomography screening for lung cancer continue to smoke and co-delivery of smoking cessation services alongside screening may maximise clinical benefit. Here we present data from an opt-out co-located smoking cessation service delivered alongside the Yorkshire Lung Screening Trial (YLST).Methods Eligible YLST participants were offered an immediate consultation with a smoking cessation practitioner (SCP) at their screening visit with ongoing smoking cessation support over subsequent weeks.Results Of 2150 eligible participants, 1905 (89%) accepted the offer of an SCP consultation during their initial visit, with 1609 (75%) receiving ongoing smoking cessation support over subsequent weeks. Uptake of ongoing support was not associated with age, ethnicity, deprivation or educational level in multivariable analyses, although men were less likely to engage (adjusted OR (ORadj) 0.71, 95% CI 0.56–0.89). Uptake was higher in those with higher nicotine dependency, motivation to stop smoking and self-efficacy for quitting. Overall, 323 participants self-reported quitting at 4 weeks (15.0% of the eligible population); 266 were validated by exhaled carbon monoxide (12.4%). Multivariable analyses of eligible smokers suggested 4-week quitting was more likely in men (ORadj 1.43, 95% CI 1.11–1.84), those with higher motivation to quit and previous quit attempts, while those with a stronger smoking habit in terms of cigarettes per day were less likely to quit.Conclusions There was high uptake for co-located opt-out smoking cessation support across a wide range of participant demographics. Protected funding for integrated smoking cessation services should be considered to maximise programme equity and benefit.Uptake of stop smoking support co-located within a lung cancer screening programme was high across a range of participant demographics and quit rates were in excess of those reported in other studies at similar time-points without such intervention. https://bit.ly/3vc8bln