Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2021 Jun 30;16(1):43.
doi: 10.1186/s13722-021-00254-6.

Smoking cessation using preference-based tools: a mixed method pilot study of a novel intervention among smokers with low socioeconomic position

Mégane Héron  1 , Anne-Laurence Le Faou  2   3 , Gladys Ibanez  1   4 , Brigitte Métadieu  5 , Maria Melchior  1 , Fabienne El-Khoury Lesueur  6   7
Affiliations

Smoking cessation using preference-based tools: a mixed method pilot study of a novel intervention among smokers with low socioeconomic position

Mégane Héron et al. Addict Sci Clin Pract. .

Abstract

Background: Compared to smokers with favorable socio-economic position (SEP), those with low SEP are less likely to have a successful smoking cessation attempt. Tailored approaches are therefore needed, and general practitioners could help reaching and assisting usually hard-to-reach population.

Method: STOP (Sevrage Tabagique à l'aide d'Outils dédiés selon la Préférence) is a pilot study, examining the feasibility, acceptability and potentiality of a smoking cessation intervention centered on smoker's preference. Smokers with low SEP, wishing to quit, were recruited in six healthcare centers in the Greater Paris area. They were asked to choose between different types of nicotine replacement therapy (NRT) products and/or e-cigarette with liquids delivered free of charge to aid their smoking cessation attempt. We describe the characteristics of recruited participants, their perception of smoking cessation aids, and the evolution of their smoking status 4 to 6 weeks after recruitment.

Results: We recruited 49 participants, of which 29% chose an e-cigarette, 29% chose NRT and 42% chose both an e-cigarette and NRT. The intervention was shown to be acceptable by participants and health professionals. Among the 24 participants followed for at least one month, 14 (28% of all participants) stopped smoking, and 9 (18%) considerably reduced their consumption.

Conclusion: The STOP intervention is feasible and acceptable, even if more efforts should be made to limit lost-to-follow-up. This preference-based intervention also shows interesting prospect in helping smokers with low SEP quit smoking. We will test the efficacy of this preference-based intervention in a randomized controlled trial.

Keywords: Electronic cigarette; Health disparities; NRT; Pilot study; Smoking cessation.

PubMed Disclaimer

Conflict of interest statement

All authors declare no conflict of interest.

Figures

Fig. 1
Fig. 1
: Participating centers in the STOP pilot study. 2018–2019
Fig. 2
Fig. 2
Flow chart of the STOP Pilot study
See this image and copyright information in PMC

References

    1. Kulik MC, Hoffmann R, Judge K, Looman C, Menvielle G, Kulhánová I, et al. Smoking and the potential for reduction of inequalities in mortality in Europe. Eur J Epidemiol déc. 2013;28(12):959–971. doi: 10.1007/s10654-013-9860-5. - DOI - PubMed
    1. Agaku IT, King BA, Dube SR. Centers for Disease Control and Prevention (CDC). Current cigarette smoking among adults - United States, 2005–2012. Morb Mortal Wkly Rep. 2014;63(2):29–34. - PMC - PubMed
    1. Andler R, Richard J-B, Guignard R, Quatremère G, Verrier F, Gane J, et al. Baisse de la prévalence du tabagisme quotidien parmi les adultes : Résultats du baromètre de santé publique France 2018. BEH; 2019.
    1. El-Khoury Lesueur F, Bolze C, Melchior M. Factors associated with successful vs unsuccessful smoking cessation: Data from a nationally representative study. Addict Behav. 2018;80:110–5. doi: 10.1016/j.addbeh.2018.01.016. - DOI - PubMed
    1. Kotz D, West R. Explaining the social gradient in smoking cessation: it’s not in the trying, but in the succeeding. Tob Control. 2009;18(1):43–6. doi: 10.1136/tc.2008.025981. - DOI - PubMed

Publication types