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2007 UK National Smoking Cessation Conference

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The effectiveness of the NHS stop smoking services: A critical review of the evidence
Laura Jane Singleton, MSc Student, Coventry University

Abstract
Objective

The main objective of this study was to critically review the evidence concerning the effectiveness of the NHS Stop Smoking Services in the UK.

Design

A critical literature review of published and unpublished research.

Results

22 studies met the inclusion criteria. The studies indicated the NHS Stop Smoking Services in England have been effective at producing high rates of four-week quitters, but were less successful at promoting long-term cessation. The stop smoking services in Wales have not produced high four-week quit rates and the services in Fife have not accurately reported service activity. The evidence suggests that drop in groups, group therapy, and motivational postcards have been effective in reducing smoking behaviour, whereas narrative and buddy interventions have not been effective.

Conclusions

Existing studies suggest that the effectiveness of the NHS Stop Smoking Services in the UK is a complex issue and is dependant upon three factors; the location of a service, the type of service delivery, and the duration of the follow-up. The services in the UK are not sufficient for promoting long-term abstinence and there is the need to implement interventions aimed at reducing relapse. The services should offer group therapy and drop in sessions to clients as the literature suggests that they are the most effective types of service delivery.


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