RT Journal Article
SR Electronic
T1 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
JF European Respiratory Journal
JO Eur Respir J
FD European Respiratory Society
SP 2301768
DO 10.1183/13993003.01768-2023
VO 63
IS 4
A1 Murray, Rachael L.
A1 Alexandris, Panos
A1 Baldwin, David
A1 Brain, Kate
A1 Britton, John
A1 Crosbie, Philip A.J.
A1 Gabe, Rhian
A1 Lewis, Sarah
A1 Parrott, Steve
A1 Quaife, Samantha L.
A1 Tam, Hui Zhen
A1 Wu, Qi
A1 Beeken, Rebecca
A1 Copeland, Harriet
A1 Eckert, Claire
A1 Hancock, Neil
A1 Lindop, Jason
A1 McCutchan, Grace
A1 Marshall, Catriona
A1 Neal, Richard D.
A1 Rogerson, Suzanne
A1 Quinn Scoggins, Harriet D.
A1 Simmonds, Irene
A1 Thorley, Rebecca
A1 Callister, Matthew E.
YR 2024
UL https://publications.ersnet.org//content/63/4/2301768.abstract
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