Equipping community pharmacy workers as agents for health behaviour change: developing and testing a theory-based smoking cessation intervention

2.50
Hdl Handle:
http://hdl.handle.net/10547/622313
Title:
Equipping community pharmacy workers as agents for health behaviour change: developing and testing a theory-based smoking cessation intervention
Authors:
Steed, Liz; Sohanpal, Ratna; James, Wai-Yee; Rivas, Carol; Jumbe, Sandra; Chater, Angel M. ( 0000-0002-9043-2565 ) ; Todd, Adam; Edwards, Elizabeth; Macneil, Virginia; Macfarlane, Fraser; Greenhalgh, Trisha; Griffiths, Chris; Eldridge, Sandra; Taylor, Stephanie; Walton, Robert
Abstract:
OBJECTIVE: To develop a complex intervention for community pharmacy staff to promote uptake of smoking cessation services and to increase quit rates. DESIGN: Following the Medical Research Council framework, we used a mixed-methods approach to develop, pilot and then refine the intervention. METHODS: Phase I: We used information from qualitative studies in pharmacies, systematic literature reviews and the Capability, Opportunity, Motivation-Behaviour framework to inform design of the initial version of the intervention. Phase II: We then tested the acceptability of this intervention with smoking cessation advisers and assessed fidelity using actors who visited pharmacies posing as smokers, in a pilot study. Phase III: We reviewed the content and associated theory underpinning our intervention, taking account of the results of the earlier studies and a realist analysis of published literature. We then confirmed a logic model describing the intended operation of the intervention and used this model to refine the intervention and associated materials. SETTING: Eight community pharmacies in three inner east London boroughs. PARTICIPANTS: 12 Stop Smoking Advisers. INTERVENTION: Two, 150 min, skills-based training sessions focused on communication and behaviour change skills with between session practice. RESULTS: The pilot study confirmed acceptability of the intervention and showed preliminary evidence of benefit; however, organisational barriers tended to limit effective operation. The pilot data and realist review pointed to additional use of Diffusion of Innovations Theory to seat the intervention in the wider organisational context. CONCLUSIONS: We have developed and refined an intervention to promote smoking cessation services in community pharmacies, which we now plan to evaluate in a randomised controlled trial.
Affiliation:
Queen Mary University of London; University of Southampton; University of Bedfordshire; University of Durham; University of Oxford
Citation:
Steed L., Sohanpal R., James W., Rivas C., Jumbe S., Chater A., Todd A., Edwards E., Macneil V., Macfarlane F., Greenhalgh T., Griffiths C., Eldridge S., Taylor S., Walton R. (2017) 'Equipping community pharmacy workers as agents for health behaviour change: developing and testing a theory-based smoking cessation intervention', BMJ Open, 7 (8).
Publisher:
BMJ Publishing Group
Journal:
BMJ Open
Issue Date:
1-Aug-2017
URI:
http://hdl.handle.net/10547/622313
DOI:
10.1136/bmjopen-2016-015637
PubMed ID:
28801403
Additional Links:
http://bmjopen.bmj.com/content/7/8/e015637
Type:
Article
Language:
en
ISSN:
2044-6055
Appears in Collections:
Health

Full metadata record

DC FieldValue Language
dc.contributor.authorSteed, Lizen
dc.contributor.authorSohanpal, Ratnaen
dc.contributor.authorJames, Wai-Yeeen
dc.contributor.authorRivas, Carolen
dc.contributor.authorJumbe, Sandraen
dc.contributor.authorChater, Angel M.en
dc.contributor.authorTodd, Adamen
dc.contributor.authorEdwards, Elizabethen
dc.contributor.authorMacneil, Virginiaen
dc.contributor.authorMacfarlane, Fraseren
dc.contributor.authorGreenhalgh, Trishaen
dc.contributor.authorGriffiths, Chrisen
dc.contributor.authorEldridge, Sandraen
dc.contributor.authorTaylor, Stephanieen
dc.contributor.authorWalton, Roberten
dc.date.accessioned2017-10-24T13:06:47Z-
dc.date.available2017-10-24T13:06:47Z-
dc.date.issued2017-08-01-
dc.identifier.citationSteed L., Sohanpal R., James W., Rivas C., Jumbe S., Chater A., Todd A., Edwards E., Macneil V., Macfarlane F., Greenhalgh T., Griffiths C., Eldridge S., Taylor S., Walton R. (2017) 'Equipping community pharmacy workers as agents for health behaviour change: developing and testing a theory-based smoking cessation intervention', BMJ Open, 7 (8).en
dc.identifier.issn2044-6055-
dc.identifier.pmid28801403-
dc.identifier.doi10.1136/bmjopen-2016-015637-
dc.identifier.urihttp://hdl.handle.net/10547/622313-
dc.description.abstractOBJECTIVE: To develop a complex intervention for community pharmacy staff to promote uptake of smoking cessation services and to increase quit rates. DESIGN: Following the Medical Research Council framework, we used a mixed-methods approach to develop, pilot and then refine the intervention. METHODS: Phase I: We used information from qualitative studies in pharmacies, systematic literature reviews and the Capability, Opportunity, Motivation-Behaviour framework to inform design of the initial version of the intervention. Phase II: We then tested the acceptability of this intervention with smoking cessation advisers and assessed fidelity using actors who visited pharmacies posing as smokers, in a pilot study. Phase III: We reviewed the content and associated theory underpinning our intervention, taking account of the results of the earlier studies and a realist analysis of published literature. We then confirmed a logic model describing the intended operation of the intervention and used this model to refine the intervention and associated materials. SETTING: Eight community pharmacies in three inner east London boroughs. PARTICIPANTS: 12 Stop Smoking Advisers. INTERVENTION: Two, 150 min, skills-based training sessions focused on communication and behaviour change skills with between session practice. RESULTS: The pilot study confirmed acceptability of the intervention and showed preliminary evidence of benefit; however, organisational barriers tended to limit effective operation. The pilot data and realist review pointed to additional use of Diffusion of Innovations Theory to seat the intervention in the wider organisational context. CONCLUSIONS: We have developed and refined an intervention to promote smoking cessation services in community pharmacies, which we now plan to evaluate in a randomised controlled trial.en
dc.language.isoenen
dc.publisherBMJ Publishing Groupen
dc.relation.urlhttp://bmjopen.bmj.com/content/7/8/e015637en
dc.rightsGreen - can archive pre-print and post-print or publisher's version/PDF-
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/*
dc.subjectself determination theoryen
dc.subjecthealth behaviour changeen
dc.subjectcommunity pharmaciesen
dc.subjectsmoking cessationen
dc.subjectdiffusion of innovations theoryen
dc.subjectintervention developmenten
dc.subjectsocial cognitive theoryen
dc.subjectC841 Health Psychologyen
dc.titleEquipping community pharmacy workers as agents for health behaviour change: developing and testing a theory-based smoking cessation interventionen
dc.typeArticleen
dc.contributor.departmentQueen Mary University of Londonen
dc.contributor.departmentUniversity of Southamptonen
dc.contributor.departmentUniversity of Bedfordshireen
dc.contributor.departmentUniversity of Durhamen
dc.contributor.departmentUniversity of Oxforden
dc.identifier.journalBMJ Openen
dc.date.updated2017-10-24T11:28:59Z-
dc.description.noteopen access-

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