101. Smoking cessation using preference-based tools: a mixed method pilot study of a novel intervention among smokers with low socioeconomic position
- Author
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Maria Melchior, Brigitte Métadieu, Anne-Laurence Le Faou, Mégane Héron, Gladys Ibanez, Fabienne Lesueur, Institut Pierre Louis d'Epidémiologie et de Santé Publique (iPLESP), Sorbonne Université (SU)-Institut National de la Santé et de la Recherche Médicale (INSERM), Hôpital Européen Georges Pompidou [APHP] (HEGP), Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Hôpitaux Universitaires Paris Ouest - Hôpitaux Universitaires Île de France Ouest (HUPO), Association Charonne, GHU Paris Psychiatrie et Neurosciences, HAL-SU, Gestionnaire, and Institut National de la Santé et de la Recherche Médicale (INSERM)-Sorbonne Université (SU)
- Subjects
Medicine (General) ,medicine.medical_specialty ,NRT ,medicine.medical_treatment ,Population ,[SHS.PSY]Humanities and Social Sciences/Psychology ,Pilot Projects ,Electronic Nicotine Delivery Systems ,Smoking cessation ,030204 cardiovascular system & hematology ,law.invention ,[SHS.PSY] Humanities and Social Sciences/Psychology ,03 medical and health sciences ,R5-920 ,0302 clinical medicine ,Social pathology. Social and public welfare. Criminology ,Randomized controlled trial ,law ,Intervention (counseling) ,medicine ,Humans ,030212 general & internal medicine ,Electronic cigarette ,education ,HV1-9960 ,Pilot study ,education.field_of_study ,Smokers ,[SDV.MHEP] Life Sciences [q-bio]/Human health and pathology ,business.industry ,Research ,General Medicine ,Nicotine replacement therapy ,Tobacco Use Cessation Devices ,Health equity ,3. Good health ,Health psychology ,Socioeconomic Factors ,[SDV.SPEE] Life Sciences [q-bio]/Santé publique et épidémiologie ,Family medicine ,[SDV.SPEE]Life Sciences [q-bio]/Santé publique et épidémiologie ,Health disparities ,business ,Delivery of Health Care ,[SDV.MHEP]Life Sciences [q-bio]/Human health and pathology - Abstract
Background Compared to smokers with favorable socio-economic position (SEP), those with low SEP are less likely to have a successful smoking cessation attempt. Tailored approaches are therefore needed, and general practitioners could help reaching and assisting usually hard-to-reach population. Method STOP (Sevrage Tabagique à l’aide d’Outils dédiés selon la Préférence) is a pilot study, examining the feasibility, acceptability and potentiality of a smoking cessation intervention centered on smoker’s preference. Smokers with low SEP, wishing to quit, were recruited in six healthcare centers in the Greater Paris area. They were asked to choose between different types of nicotine replacement therapy (NRT) products and/or e-cigarette with liquids delivered free of charge to aid their smoking cessation attempt. We describe the characteristics of recruited participants, their perception of smoking cessation aids, and the evolution of their smoking status 4 to 6 weeks after recruitment. Results We recruited 49 participants, of which 29% chose an e-cigarette, 29% chose NRT and 42% chose both an e-cigarette and NRT. The intervention was shown to be acceptable by participants and health professionals. Among the 24 participants followed for at least one month, 14 (28% of all participants) stopped smoking, and 9 (18%) considerably reduced their consumption. Conclusion The STOP intervention is feasible and acceptable, even if more efforts should be made to limit lost-to-follow-up. This preference-based intervention also shows interesting prospect in helping smokers with low SEP quit smoking. We will test the efficacy of this preference-based intervention in a randomized controlled trial.
- Published
- 2021