MULTIMEDIA TOOLS TO HELP SMOKERS WHO WANT TO QUIT
Chris WalmsleySpecialist Stop Smoking Advisor,North Yorkshire Stop Smoking Service; Clinical Lead (Smoking Cessation),
This year there is more reason than ever for people to stop smoking,with the ban on smoking in public places coming into force in July. How can we support smokers who want to quit? In this article, we provide a comprehensive guide to resources that can help.
Many smokers know that smoking is the single
greatest cause of premature death in the UK, but
because of the highly addictive nature of
nicotine countless smokers find it difficult to
stop. The good news is research has shown
that if smokers receive support in their bid to
stop, they are four times more likely to succeed
general view was: “Is it worth all the effort
talking to smokers?” Instead, we all recognise
that helping someone to stop smoking is the
best gift you can give to a patient or their family,
with research showing the cost-effectiveness of
continued government funding of local smoking
cessation services, is due to the availability of
skilled advisors in general practice who provide
one-to-one or group support for patients making
a quit attempt. However, with the smoke-free
legislation coming into effect on the 1st July
2007 primary care will see many more heavily
dependent smokers searching for advice and
support in quitting. Some of these smokers
trying to quit may need more support than can
be given in two weekly sessions. One way to
encourage them is to provide self-help resources,
which are generally available free-of-charge.
❝The good news is research has shown that if smokers receive support in their bid to stop, they are four times more likely to succeed than those who get no help❞ SELF-HELP PATIENT INFORMATION
The mainstay of stop smoking support is the NHS
Giving up for life booklet, which groups detailed
information on different topics to form a work book
or reference book. People can gain a basic insight
into why they smoke by filling in the smoking diary,
in conjunction with the addiction triangle. This helps
smokers to identify the three main focus areas for
making an action plan in order to have a successful
quit attempt. Many people are happy to fill this in
and are surprised by the self-knowledge it provides. Smoking triangle
Will & Deni McIntyre/Science Photo Librar
FOR THE BLIND AND PARTIALLY SIGHTED Stop smoking resources for
For blind or partially sighted smokers, a Braille
Emotional young people
version of Giving up for life may be obtained from
Reducing the targets for the young people is proving
www.givingupsmoking.co.uk or by phoning 0800169
challenging. However, there are many loud, vivid
coloured interactive websites (see Table) with
Although it may seem obvious, it is worth noting
Nicotine dependence
practical activities, games and competitions that
that only people who have been taught Braille will be
Nicotine replacement therapy (NRT) and Zyban
young smokers wanting to quit can access. Many
able to use this resource so it is important to ask
have been designed specially by young people and
Loma Linda California (2003). Adapted from a model and methods used in
first. If the Braille version is not suitable, then the
Gerry L Pettis War Veterans Hospital.
information in the book is available on cassette or
NON-ENGLISH-SPEAKING SMOKERS
CD and is presented in an enjoyable format of expert
Statistics show that girls aged 11-15 are more
For non-English-speaking smokers, stop smoking
advice, quiz shows, news headlines and positive
likely to be regular smokers than boys. Directing
leaflets can be obtained in different languages
comments from ex-smokers, all contributing to an
these young smokers to www.uglysmoking.info,
simply by phoning the appropriate language helpline
informative, yet easy, listening experience.
which shows the harmful and quite scary effects of
(see Table), giving details and a pack will be sent to
A text phone support service (0800 169 0 171)
smoking on skin and teeth, may have a big impact.
the patient. All ethnic minority translations are
is available for deaf or partially deaf smokers, which
available in PDF format for downloading and
provides ongoing support in a method similar to
www.stayinghard.info which gives hard-hitting facts
However, it is important to be aware that some
reproductive system. Both of these websites, working
YOUNG PEOPLE
in conjunction with recent television adverts, are
patients from ethnic minorities may be able to
colourful, funky and full of helpful tips and messages.
speak their language but unable to read the written
incorporates telephone or online support with posted
word. Even those who can read their language may
written materials, to increase the intensity of the
websites, information can be sent by mail by texting
find the language used in the books difficult to read.
intervention. This is an approach that has been
UGLY to 84118 and STAYING HARD to 84118. PREGNANT WOMEN
Reducing the rates of smoking among pregnant
It is available for young people aged 14 and over
TELEPHONE HELPLINES
women is part of Department of Health targets, but
living in England, but if the smoker is under 14 the
Many people are not avid readers, so telephone
reaching these targets is proving difficult. There are
NHS smoking helpline will still offer support and
counselling helplines are a good option for follow-up
specialist pregnancy advisors for pregnant women,
advice. An easy-to-read pack, containing lots of
after face-to-face cessation advice. They have been
but research has shown that many pregnant women
practical help and advice on how to get started and
shown to achieve a small increase in success rates.
are likely to quit after being given a leaflet early in
keeping going in a quit attempt, is sent to the
The individualised encouragement offered, outside
their pregnancy. A selection of informative leaflets,
smoker before their designated quit day. The pack
surgery hours, can be just what is needed to get the
along with other resources, can be obtained from
contains lots of insights from smokers who have
patient through a tough time when they are at their
successfully managed to stop, giving further
most vulnerable, low in confidence and finding it
difficult to resist the craving for a cigarette.
A variety of telephone helplines (see Table)
are available for different groups of people,
including ethnic minorities, young people and
available to give ongoing support throughout
E-mail counselling may suit people who find it
easier to discuss personal matters such as
smoking when they have time to prepare their
thoughts, making e-mail correspondence more
suitable than telephone. It may also suit some
people’s lifestyle or working hours and means
overheard. Free individual support that is
e-mailed on the same day is available from
[email protected] or [email protected].
Some of the websites have discussion boards or
buddy schemes (see Table), which may appeal
to smokers living alone, providing an opportunity
for them to realise that other smokers are going
through the same experiences and that they are
The NHS website www.givingupsmoking.co.uk
provides answers to frequently asked questions.
If smokers can’t find an answer to their query,
they can click on ‘ask an expert’ and receive a
personalised e-mail response from a specialist
INTERNET ACCESS
Using the Internet can be supportive in a more
information. There is a perception that many
people have limited access and skills in the use
of the Internet, but it is amazing how many
people are able to access this facility through
family and friends or at libraries. Some sites are
entertaining with interactive resources such as
calculators, meters and games, in addition to
providing important information. Many smokers
wishing to quit live with smokers and playing
interactive games on a website may be a way of
prompting their partner to quit as well, as they
IN CONCLUSION
We live in a multimedia society where it is the
norm to use mobiles, texts and the Internet, so
‘be the patient’s advocate’ and direct them to
the assortment of support that is ‘out there’
giving those wishing to quit the opportunity to
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