Study Aims

1
Study Aims

• Collation and dissemination of existing evidence
• Extend the knowledge base
• Identify opportunities for intervention

2
Methods

• Phase 1
• Phase 2
• Phase 3

• desk research, interviews
• with experts

3
Methods

• Phase 1
• Phase 2
• Phase 3

• postal and telephone
• Survey of 30 national
• agencies that work with
• low income groups

4
Methods

• Phase 1
• Phase 2
• Phase 3

• In depth interviews with
• policy makers and service
• providers of key agencies

5
Phase 3

• Aims
• Build trust and confidence
• Identify factors that encourage change
• Identify opportunities for collaboration

• Agencies Interviewed
• Government departments and agencies
• Social services and welfare organisations
• Total institutions

6
Government led approaches

• 4 models of tackling smoking among low income
  groups
• Pilot projects in key settings
• Smoking targets in broader programmes
• Guidance to alliances
• Approved Code of Practice on smoking (ACoP)

7
Government led approaches (contd.)

• Unrealistic, under-resourced, unsustainable and
  un-implemented
• Question marks over
• mechanisms for identifying and sharing good
  practice
• Innovation and experimentation vs. evidence based
  practice

8
NGOs and social services

• Barriers
• Smoking not a primary priority
• Other more urgent priorities
• Fear of alienating client group
• Conflicting loyalties about the rights of poor
  people to smoke

• Drivers
• Framing the issue in their terms
• Focusing on consumers demands
• Offering a helping hand
• Offering options
• Information provision
• Standards of professional development
• Policy changes

9
Total Institutions

• Barriers
• Long standing smoking culture
• Lack of information
• Confusion over funding
• Lack of leadership

• Drivers
• Identifying relevant evidence
• Recognising the importance of organisational
  structures
• Building support partnerships with key agencies

10
Recommendations

• Improved provision of basic information
• Tailored information to specific audiences
  staff working with low income groups
• Standard settings improved professional
  development
• Brief interventions in non health care settings
• Partnerships with national charities working with
  low income groups
• Task force on smoking and health inequalities