Collaborative Mixed Methods Evaluation Design for Smoking Cessation within a Substance Misuse treatment setting
PHE ePoster Library. Haynes H. Sep 12, 2019; 274409; 208
Hayley Haynes
Hayley Haynes
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Abstract Smoking remains a significant risk factor affecting population health in Dorset. Whilst smoking prevalence has fallen amongst the general population, it remains high in some sub-groups, particularly those with substance misuse problems. As health gains are being accrued by some and not others, health inequalities become widened. In response to this we have developed a pilot smoking cessation intervention for clients in our substance misuse services. The offer includes the provision of nicotine replacement therapy together with motivational support.To evaluate the accessibility, efficacy and compliance of the pilot, the programme team have developed a mixed-methods evaluation framework incorporating a utilisation-focused approach. A series of collaborative workshops were held with system colleagues to explore stakeholder analysis, develop a programme logic and theory of change model. These tools enabled the team to prioritise the key questions to be answered, with a focus on understanding the impact on client's smoking cessation, their engagement with substance misuse treatment and exploring self-efficacy and wellbeing effects. A mixed-methods approach combining routine quantitative data collection, quantitative evaluation tools and qualitative interviewing has been implemented, for use throughout the pilot and beyond. The evaluation has stimulated dialogue between stakeholders, facilitating greater thinking on how to integrate smoking cessation interventions within traditional substance misuse treatment. The results will be used to demonstrate efficacy, in order to roll out the approach through future commissioning of substance misuse services. Wider roll out will improve our chances of realising our long-term outcome to reduce the smoking rate amongst this complex group. External funding details
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