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Better practices for youth smoking cessation: lessons from the NHS Health Scotland/ASH Scotland young people and smoking cessation pilot programme
Amanda Amos, Christine Sheehey, Steve Platt & Wendy Gnich

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Abstract
There has been an increasing interest in providing smoking cessation services for young people. However there is relatively little research evidence on which to base the development of such services. In April 2002 NHS Health Scotland and ASH Scotland funded a major programme of eight pilot cessation project projects, which aimed to engage with young people who wanted to quit smoking and to identify acceptable and potentially effective approaches to help them quit.

The projects took place in a range of settings (NHS, community, education, prison, internet), focused on different groups (pregnant women, students, pupils, offenders) and each was funded for three years. It was intended that the lessons learnt from this programme would inform the development of a national smoking strategy for young people in Scotland.

This session will discuss the findings from the in-depth evaluation of this programme which was completed in March 2006. This included process evaluation involving qualitative interviews with key stakeholders from each of the projects throughout their three year funding, and outcome evaluation which followed up project participants at 3 and 12 months and collected quantitative data including their CO validated quit status. The session will end with a discussion of the implications of the evaluation findings for the development of better practice in youth smoking cessation in the UK.

 

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Biographies

Amanda Amos: I am Reader in Health Promotion in the Public Health Sciences section of the Division of Community Health Sciences at the University of Edinburgh. My research has focused on a range of smoking issues from the individual to community and societal levels including: the influence of the media on smoking, especially editorial and advertising messages and images in youth and women's magazines; smoking and disadvantage; community level initiatives on women, low income and smoking; smoking uptake and cessation in the mid-to-late teens; networking on women and tobacco in Europe. I am a member of the Boards of ASH Scotland, INWAT (International Network of Women Against Tobacco) Europe and ENSP (European Network for Smoking Prevention), a senior editor of the international journal Tobacco Control, and Chair of the researchers' group of the Scottish Tobacco Control Alliance.

Dr Amanda Amos
Reader in Health Promotion
Public Health Sciences
Medical School, Teviot Place
Edinburgh
EH8 9AG

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Christine Sheehy has worked in the academic, health service and voluntary sectors. She has been a Senior Researcher with the Scottish Centre for Social Research since the centre was set up in 2004. Prior to that, she worked for five years as a Research Manager with Scottish Health Feedback, an independent research organisation. Between 1988 and 1997 she was Information Manager at ASH Scotland.

In recent years she has worked on a wide range of health and health service projects including:

Evaluation of the Breathing Space phone line (Scottish Executive Health Department) 2006

National audit of parenting education provision (NHS Health Scotland) 2004.

Direct supply of medicines in Scotland: Evaluation of a pilot scheme (Health and Community Care, Scottish Executive) 2002

Management of finances of nursing and residential home residents (Alzheimer Scotland) 2001

Evaluation of the Scottish Community Diet Project (Scottish Community Diet Project) 2001

Women's views of maternity services in Lothian (Lothian Health Council) 2000

Survey of renal patients, Edinburgh Royal Infirmary 2000

Christine Sheehy
Senior Researcher
Scottish Centre for Social Research
5 Leamington Terrace
Edinburgh
EH10 4JW

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Stephen Platt is Director of the Research Unit in Health, Behaviour and Change (RUHBC) at the University of Edinburgh. He has previously held the posts of Director of Development and Evaluation at the Health Education Board for Scotland (1992-95) and non-clinical scientist in two Medical Research Council units (Medical Sociology [1989-92] and Epidemiological Studies in Psychiatry [1977-89]).

Trained in sociology and social policy, Stephen has conducted research using theoretical, conceptual and methodological tools from other disciplines, including psychiatry, anthropology, economics and epidemiology. His current research interests include: smoking-related inequalities and socio-economic disadvantage; the health impact of organisational change and restructuring; social and cultural aspects of suicidal behaviour; evaluation of complex interventions for health improvement and the reduction of health inequalities; and supporting practice and policy development relating to public health.

Current and recent research projects in the area of smoking and tobacco control include: evaluation of a community-based anti-smoking intervention in an area of low income (funded by the Department of Health); evaluation of smoking cessation pilot programme for young people (funded by NHS Health Scotland & Ash Scotland); multi-level analysis of the determinants of smoking behaviour, based on data from the Scottish Health Survey (produced for the European Network for Smoking Prevention and funded by the European Commission); and a scoping study to develop a monitoring and evaluation framework for tobacco policy in England (commissioned by the Department of Health).

Stephen Platt
Director & Professor
RUHBC, University of Edinburgh
Medical School, Teviot Place
Edinburgh
Midlothian
EH8 9AG

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Dr Wendy Gnich is a research fellow in the field of evaluation at the Research Unit in Health Behaviour and Change, Edinburgh University, She is currently working on the evaluation of the Health Demonstration Project Have a Heart Paisley (Phase 2) in addition to disseminating findings from ASH Scotland/ NHS Health Scotland's Young People's Smoking cessation Pilot Programme. Her prior evaluation work included the quasi-experimental evaluation of a community-based anti-smoking initiative in a low income area of Edinburgh.

Research interests include: the evaluation of health promotion, particularly complex interventions, mixed methods approaches, community and user involvement and the determinants of physical and psychological well-being. Awarded an Honours Psychology degree from Glasgow University in 1995, her doctoral dissertation examined the relationship between financial well-being and quality of life in later years.

Wendy Gnich
Research Fellow
RUHBC
Medical School, Teviot Place
Edinburgh
EH8 9AG

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