Equipping community pharmacy workers as agents for health behaviour change: developing and testing a theory-based smoking cessation intervention
Chater, Angel M.
AffiliationQueen Mary University of London
University of Southampton
University of Bedfordshire
University of Durham
University of Oxford
Subjectsself determination theory
health behaviour change
diffusion of innovations theory
social cognitive theory
C841 Health Psychology
MetadataShow full item record
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.
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).
PublisherBMJ Publishing Group
The following license files are associated with this item:
- Creative Commons
Except where otherwise noted, this item's license is described as Green - can archive pre-print and post-print or publisher's version/PDF
- Evaluating NHS Stop Smoking Service engagement in community pharmacies using simulated smokers: fidelity assessment of a theory-based intervention.
- Authors: Jumbe S, James WY, Madurasinghe V, Steed L, Sohanpal R, Yau TK, Taylor S, Eldridge S, Griffiths C, Walton R
- Issue date: 2019 May 19
- Determining counselling communication strategies associated with successful quits in the National Health Service community pharmacy Stop Smoking programme in East London: a focused ethnography using recorded consultations.
- Authors: Rivas C, Sohanpal R, MacNeill V, Steed L, Edwards E, Antao L, Griffiths C, Eldridge S, Taylor S, Walton R
- Issue date: 2017 Oct 27
- Understanding recruitment and retention in the NHS community pharmacy stop smoking service: perceptions of smoking cessation advisers.
- Authors: Sohanpal R, Rivas C, Steed L, MacNeill V, Kuan V, Edwards E, Griffiths C, Eldridge S, Taylor S, Walton R
- Issue date: 2016 Jul 7
- What works for whom in pharmacist-led smoking cessation support: realist review.
- Authors: Greenhalgh T, Macfarlane F, Steed L, Walton R
- Issue date: 2016 Dec 16
- Evaluating the effectiveness and cost-effectiveness of the Smoking Treatment Optimisation in Pharmacies (STOP) intervention: protocol for a cluster randomised controlled trial.
- Authors: Sohanpal R, Jumbe S, James WY, Steed L, Yau T, Rivas C, Madurasinghe V, Houlihan C, Berdunisov V, Taylor M, Taylor SJC, Griffiths C, Eldridge S, Walton R
- Issue date: 2019 Jun 10