title: [Volumes of services supplied by Italian Stop-Smoking Services and their characteristics predictive of abstinence].
abstract: OBJECTIVE
  to evaluate differences in terms of smokers' attendance to National Health System (NHS) Stop-Smoking Services with a prevalent individual approach (SSSi), and to those with a prevalent group approach (SSSg). To identify predictive characteristics of success, in terms of quit rates at the end of treatment (QR0) and after 6 months (QR1), according to SSS type (SSSi/SSSg), treatment (individual/ group counseling with/without pharmacologic treatments), 5 SSS scores: type of structure (S), number and hours per week of SSS health professionals (P), SSS involvement in local tobacco control networks (N), and type of smokers' assessment (A); and 3 principal components of SSS characteristics.
  
  
  METHODS
  survey to 19 SSSs, and survey to smokers attending these SSSs, with a six month follow-up.
  
  
  METHODS
  1,276 smokers attending 19 SSSs (664 at 7 SSSi; 612 at 12 SSSg) in 9 months in the period 2008-2010.
  
  
  METHODS
  smokers' attendance to scheduled sessions; QR0; QR1.
  
  
  RESULTS
  even though SSSi treated more smokers per month (12 vs. 8 in SSSg), SSSi scheduled fewer treatment sessions (7 vs. 9 sessions) in a wider treatment period (3 months vs. 2 in SSSg). SSSg recorded lower P and higher A scores. Four out of 5 smokers attending SSSg and 2/5 of smokers attending SSSi completed treatment protocols. Considering all smokers, QR1 in both types of SSS were around 36%. Smokers treated with pharmacotherapy, those more motivated and with high self-efficacy, and those non-living together with smokers were more likely to recorded higher QR1.
  
  
  CONCLUSIONS
  the most relevant interventions in order to increase the number of smokers treated at SSS and to improve cessation rates among them were: for SSSi, increasing completion to treatment protocol; for SSSg, improving the P scores to increase the number of treated smokers; for all SSS, increasing the use of pharmacotherapy in combination with individual/group counseling to sustain abstinence.
authors.affiliation: Struttura complessa di epidemiologia ambientale occupazionale, Istituto per lo studio e la prevenzione oncologica (ISPO), Firenze a.martini@ispo.toscana.it.
authors.forename: Giuseppe
authors.initials: G
authors.lastname: Gorini
authors.forename: Matteo
authors.initials: M
authors.lastname: Ameglio
authors.forename: Andrea
authors.initials: A
authors.lastname: Martini
authors.forename: Sandra
authors.initials: S
authors.lastname: Bosi
authors.forename: Maurizio
authors.initials: M
authors.lastname: Laezza
mesh_terms: D005260:Female; D005544:Forecasting; D006296:Health Services / Q000706:statistics & numerical data; D006801:Humans; D007558:Italy; D008297:Male; D008875:Middle Aged; D009313:National Health Programs / Q000706:statistics & numerical data*; D010342:Patient Acceptance of Health Care / Q000706:statistics & numerical data*; D016540:Smoking Cessation / Q000706:statistics & numerical data*