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The Acceptability of a Tobacco Dependency Treatment for NHS Staff in the North East of England: A Mixed-Methods Study

Lookup NU author(s): Dr Kerry Brennan-ToveyORCiD, Professor Eileen KanerORCiD, Professor Sheena RamsayORCiD, Dr Ryc AquinoORCiD

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This work is licensed under a Creative Commons Attribution 4.0 International License (CC BY 4.0).


Abstract

© 2025 by the authors. Aims: High smoking rates and deprivation levels in the North East of England have led to an opportunity to pilot a tobacco dependency treatment offer for NHS (National Health Service) staff who smoke, to make a supported quit attempt. The direct and indirect benefits to staff, patients, and NHS organisations are well documented. This study aimed to evaluate service acceptability. Methods: The service included up to 12 weeks of free nicotine replacement therapy (NRT) and/or a refillable e-cigarette, motivational support, and premium access to the Smoke-Free app. The service evaluation used a mixed-methods design, combining the Theoretical Framework of Acceptability (TFA) questionnaire and semi-structured interviews with staff who had accessed the offer. The quantitative data were analysed using descriptive statistics and qualitative data via thematic analysis. Results: Sixty-eight survey responses reflected high acceptability and revealed four themes relating to the service familiarity and ease of access, suitability of the NRT/E-liquid ordering service, the vape kit, and behavioural support. Conclusions: The service was deemed highly acceptable, and service users’ experiences informed recommendations for improving future tobacco dependency services. This is the first known application of the TFA to an evaluation of a smoking cessation intervention, and it contributes to a broader body of research on reducing tobacco dependency.


Publication metadata

Author(s): Thompson CL, Brennan-Tovey K, Robinson C, McIlvenna R, Kaner EFS, Ramsay SE, Aquino MRJ

Publication type: Article

Publication status: Published

Journal: International Journal of Environmental Research and Public Health

Year: 2025

Volume: 22

Issue: 3

Online publication date: 27/02/2025

Acceptance date: 21/02/2025

Date deposited: 14/04/2025

ISSN (print): 1661-7827

ISSN (electronic): 1660-4601

Publisher: MDPI

URL: https://doi.org/10.3390/ijerph22030352

DOI: 10.3390/ijerph22030352

Data Access Statement: Anonymous survey data (as an SPSS file) will be shared upon reasonable request by the corresponding author. The interview data cannot be shared publicly due to transcripts containing potentially identifying material and, therefore, cannot be shared to protect the anonymity and privacy of participants.


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Funding

Funder referenceFunder name
National Institute for Health and Care Research (NIHR) Applied Research Collaboration (ARC) North East and North Cumbria (NIHR200173)
Newcastle University
North East and North Cumbria ICB Tobacco Taskforce

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