Integrating smoking cessation care into routine service delivery in a medically supervised injecting facility: An acceptability study

Eliza Skelton, Flora Tzelepis, Anthony Shakeshaft, Ashleigh Guillaumier, William Wood, Marianne Jauncey, Allison M. Salmon, Sam McCrabb, Kerrin Palazzi, Billie Bonevski

Research output: Contribution to journalArticlepeer-review

5 Citations (Scopus)

Abstract

Background: Among people who inject drugs (PWIDs) the prevalence of tobacco smoking exceeds 80%; making smoking cessation intervention a priority for this population. This study aims to examine staff and client perspectives from a supervised injecting facility regarding: i) whether an organizational change intervention increased rates of smoking cessation care delivery (pre- to post-intervention); and ii) acceptability of the intervention. Methods: A pre-and-post intervention pilot study in a supervised injecting facility was conducted in Sydney, Australia between July 2014–December 2015. The intervention employed an organizational change approach and included six components. Cross-sectional samples of staff (pre n = 27, post n = 22) and clients (pre n = 202, post n = 202) completed online surveys pre and post intervention. Results: From pre to post-intervention staff reported smoking cessation practices significantly increased for the provision of verbal advice (30% to 82%; p < 0.001), offer of free or subsidized nicotine replacement therapy (30% to 91%; p < 0.001), referral to a general practitioner (19% to 64%; p = 0.001), and follow-up to check on quit smoking progress (18.5% to 64%; p = 0.001). Significantly more clients reported receiving all smoking cessation strategies post-intervention. Over 85% of staff agreed that it was acceptable to address client smoking as part of usual care and 95% of clients agreed that it was acceptable to be asked by staff about their tobacco smoking. Conclusions: Increasing the provision of smoking cessation care using an organizational change approach is both feasible for staff and acceptable to staff and clients of supervised injecting facilities.

Original languageEnglish
Pages (from-to)193-200
Number of pages8
JournalAddictive Behaviors
Volume84
DOIs
Publication statusPublished - Sep 2018
Externally publishedYes

Keywords

  • Drug consumption room
  • Organizational change
  • People who inject drugs
  • Smoking cessation care
  • Supervised injecting facility
  • Tobacco smoking

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