In this section
@article{Williams:2025,
author = {Williams, P and Buttery, S and Perkins, A and Philip, K and Chan, L and Derbyshire, J and Bartlett, E and Devaraj, A and Polkey, M and Laverty, A and Hopkinson, N},
journal = {BMJ Open Respiratory Research},
title = {Exploring the predictors and barriers to accepting smoking cessation support within a targeted lung health check setting},
year = {2025}
}
TY - JOUR
AB - Background: The Quit Smoking Lung Health Intervention Trials (QuLIT-1 and -2) and other studies show that providing immediate smoking cessation within lung cancer screening services substantially improves quit rates. However, in the QuLIT2 trial only around half of those offered smoking cessation support actually accepted it. Understanding what underpins this and how to facilitate higher smoking cessation rates would enhance the health impact of the Targeted Lung Health Check programme.Method: We compared characteristics of participants in the intervention arm of the QuLIT-2 study who accepted or declined the offer of smoking cessation support and conducted thematic analysis of interviews with 15 smokers who had declined it. Results: Of 152 randomised to smoking cessation support (61.3±4.8 years, 42% female), 80 declined the offer and 15 dropped out after the initial session leaving 57 “accepters”. Accepters were more likely to be female [53% vs 40% AOR: 3.30, 95%CI 1.47-7.48], younger [AOR: 0.90(0.80-0.98)] and were more likely to live in areas of medium or low deprivation, [AOR: 5.30(1.86-22.85)]. Thematic analysis of the interviews revealed four main barriers to acceptance: concerns about mental health, beliefs about quitting smoking and about the effectiveness of interventions, and negative past experiences of smoking cessation support.Discussion: Cessation services embedded in lung screening clinics need to anticipate barriers such as mental health concerns, past experiences and personal beliefs. Efforts should be made to design and offer equitable services that meet the needs of this population. Trial registration: This study is registered online: ISRCTN12455871.What is already known on this topic- Intensive smoking cessation support embedded within lung cancer screening services significantly increases 3 and 12 month quit rates among this high-risk population. What this study adds- Despite the success of cessation embedded into screening, a
AU - Williams,P
AU - Buttery,S
AU - Perkins,A
AU - Philip,K
AU - Chan,L
AU - Derbyshire,J
AU - Bartlett,E
AU - Devaraj,A
AU - Polkey,M
AU - Laverty,A
AU - Hopkinson,N
PY - 2025///
SN - 2052-4439
TI - Exploring the predictors and barriers to accepting smoking cessation support within a targeted lung health check setting
T2 - BMJ Open Respiratory Research
ER -