Equipping community pharmacy workers as agents for health behaviour change: developing and testing a theory-based smoking cessation intervention
Authors
Steed, LizSohanpal, Ratna
James, Wai-Yee
Rivas, Carol
Jumbe, Sandra
Chater, Angel M.
Todd, Adam
Edwards, Elizabeth
Macneil, Virginia
Macfarlane, Fraser
Greenhalgh, Trisha
Griffiths, Chris
Eldridge, Sandra
Taylor, Stephanie
Walton, Robert
Affiliation
Queen Mary University of LondonUniversity of Southampton
University of Bedfordshire
University of Durham
University of Oxford
Issue Date
2017-08-01Subjects
self determination theoryhealth behaviour change
community pharmacies
smoking cessation
diffusion of innovations theory
intervention development
social cognitive theory
C841 Health Psychology
Metadata
Show full item recordAbstract
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.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 GroupJournal
BMJ OpenPubMed ID
28801403Additional Links
http://bmjopen.bmj.com/content/7/8/e015637Type
ArticleLanguage
enISSN
2044-6055ae974a485f413a2113503eed53cd6c53
10.1136/bmjopen-2016-015637
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