A pilot cluster randomised controlled trial of a peer-delivered outreach community-based smoking cessation intervention for women living in disadvantaged communities in Ireland
Introduction: The health of women in rural communities is adversely impacted by increased rates of tobacco use linked to socio-economic disadvantage (SED) and by limited access to services. We Can Quit (WCQ) is a smoking cessation programme delivered by trained lay women (community facilitators) in...
| Main Authors: | , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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James Cook University
2023-01-01
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| Series: | Rural and Remote Health |
| Online Access: | https://www.rrh.org.au/journal/article/8163/ |
| _version_ | 1797901718016491520 |
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| author | Catherine Hayes Jenny Patterson Stefania Castello Emma Burke Nicola O'Connell Catherine Darker Joanne Vance Linda Bauld Fiona Dobbie Kirsty Loudon Declan Devane Nadine Dougall |
| author_facet | Catherine Hayes Jenny Patterson Stefania Castello Emma Burke Nicola O'Connell Catherine Darker Joanne Vance Linda Bauld Fiona Dobbie Kirsty Loudon Declan Devane Nadine Dougall |
| author_sort | Catherine Hayes |
| collection | DOAJ |
| description | Introduction: The health of women in rural communities is adversely impacted by increased rates of tobacco use linked to socio-economic disadvantage (SED) and by limited access to services. We Can Quit (WCQ) is a smoking cessation programme delivered by trained lay women (community facilitators) in local communities, which was developed using a Community-based Participatory Research (CBPR) approach and tailored to women living in SED areas of Ireland.Methods: The We Can Quit2 (WCQ2) pilot cluster randomised controlled trial with an inbuilt process evaluation was conducted in four matched pairs of urban and semi-rural SED districts (8-10,000 women per district) to assess feasibility. Districts were independently randomised to WCQ (group support +/- nicotine replacement therapy), or to individual support delivered by health professionals.Results: Findings showed that that the WCQ outreach programme is acceptable and feasible to implement for smoking women living in disadvantaged neighbourhoods. A secondary outcome of smoking abstinence (self-report + biochemical validation) demonstrated 27% abstinence in the intervention group versus 17% in usual care at end of programme. Low literacy was highlighted as a major barrier to participants’ acceptability.Discussion: The design of our project provides an affordable solution for governments in prioritising outreach smoking cessation in vulnerable populations in countries with rising rates of female lung cancer. Our community-based model using a CBPR approach empowers local women to become trained to deliver smoking cessation programmes within their own local communities. This provides a foundation to create a sustainable and equitable way to address tobacco use in rural communities. |
| first_indexed | 2024-04-10T09:06:18Z |
| format | Article |
| id | doaj.art-24506367a23e4c7fb2fd7042ea195aa5 |
| institution | Directory Open Access Journal |
| issn | 1445-6354 |
| language | English |
| last_indexed | 2024-04-10T09:06:18Z |
| publishDate | 2023-01-01 |
| publisher | James Cook University |
| record_format | Article |
| series | Rural and Remote Health |
| spelling | doaj.art-24506367a23e4c7fb2fd7042ea195aa52023-02-21T06:55:35ZengJames Cook UniversityRural and Remote Health1445-63542023-01-012310.22605/RRH8163A pilot cluster randomised controlled trial of a peer-delivered outreach community-based smoking cessation intervention for women living in disadvantaged communities in IrelandCatherine Hayes0Jenny Patterson1Stefania Castello2Emma Burke3Nicola O'Connell4Catherine Darker5Joanne Vance6Linda Bauld7Fiona Dobbie8Kirsty Loudon9Declan Devane10Nadine Dougall11Public Health and Primary Care, School of Medicine, Trinity College Dublin, Tallaght, Dublin, IrelandSchool of Health and Social Care, Edinburgh Napier University , Edinburgh, Scotland Public Health and Primary Care, School of Medicine, Trinity College Dublin, Tallaght, Dublin, IrelandPublic Health and Primary Care, School of Medicine, Trinity College Dublin, Tallaght, Dublin, IrelandPublic Health and Primary Care, School of Medicine, Trinity College Dublin, Tallaght, Dublin, IrelandPublic Health and Primary Care, School of Medicine, Trinity College Dublin, Tallaght, Dublin, IrelandIrish Cancer Society, Dublin, IrelandUsher Institute, College of Medicine and Veterinary Sciences, Edinburgh, ScotlandUsher Institute, College of Medicine and Veterinary Sciences, Edinburgh, ScotlandFreelance Researcher, Edinburgh, ScotlandHRB Trials Methodology Research Network & School of Nursing & Midwifery, The University of Galway, Galway, IrelandSchool of Health and Social Care, Edinburgh Napier University , Edinburgh, Scotland Introduction: The health of women in rural communities is adversely impacted by increased rates of tobacco use linked to socio-economic disadvantage (SED) and by limited access to services. We Can Quit (WCQ) is a smoking cessation programme delivered by trained lay women (community facilitators) in local communities, which was developed using a Community-based Participatory Research (CBPR) approach and tailored to women living in SED areas of Ireland.Methods: The We Can Quit2 (WCQ2) pilot cluster randomised controlled trial with an inbuilt process evaluation was conducted in four matched pairs of urban and semi-rural SED districts (8-10,000 women per district) to assess feasibility. Districts were independently randomised to WCQ (group support +/- nicotine replacement therapy), or to individual support delivered by health professionals.Results: Findings showed that that the WCQ outreach programme is acceptable and feasible to implement for smoking women living in disadvantaged neighbourhoods. A secondary outcome of smoking abstinence (self-report + biochemical validation) demonstrated 27% abstinence in the intervention group versus 17% in usual care at end of programme. Low literacy was highlighted as a major barrier to participants’ acceptability.Discussion: The design of our project provides an affordable solution for governments in prioritising outreach smoking cessation in vulnerable populations in countries with rising rates of female lung cancer. Our community-based model using a CBPR approach empowers local women to become trained to deliver smoking cessation programmes within their own local communities. This provides a foundation to create a sustainable and equitable way to address tobacco use in rural communities.https://www.rrh.org.au/journal/article/8163/ |
| spellingShingle | Catherine Hayes Jenny Patterson Stefania Castello Emma Burke Nicola O'Connell Catherine Darker Joanne Vance Linda Bauld Fiona Dobbie Kirsty Loudon Declan Devane Nadine Dougall A pilot cluster randomised controlled trial of a peer-delivered outreach community-based smoking cessation intervention for women living in disadvantaged communities in Ireland Rural and Remote Health |
| title | A pilot cluster randomised controlled trial of a peer-delivered outreach community-based smoking cessation intervention for women living in disadvantaged communities in Ireland |
| title_full | A pilot cluster randomised controlled trial of a peer-delivered outreach community-based smoking cessation intervention for women living in disadvantaged communities in Ireland |
| title_fullStr | A pilot cluster randomised controlled trial of a peer-delivered outreach community-based smoking cessation intervention for women living in disadvantaged communities in Ireland |
| title_full_unstemmed | A pilot cluster randomised controlled trial of a peer-delivered outreach community-based smoking cessation intervention for women living in disadvantaged communities in Ireland |
| title_short | A pilot cluster randomised controlled trial of a peer-delivered outreach community-based smoking cessation intervention for women living in disadvantaged communities in Ireland |
| title_sort | pilot cluster randomised controlled trial of a peer delivered outreach community based smoking cessation intervention for women living in disadvantaged communities in ireland |
| url | https://www.rrh.org.au/journal/article/8163/ |
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