title: Effectiveness of a mobile, drop-in stop smoking service in reaching and supporting disadvantaged UK smokers to quit.
abstract: BACKGROUND
  In countries where there are large disparities in smoking with persistent high rates among disadvantaged groups, there is a need to ensure that stop smoking services (SSS) reach such smokers. The primary aim of this study was to evaluate the effectiveness of a mobile, drop-in, community-based SSS in reaching more disadvantaged smokers, particularly those from routine and manual (RM) occupation groups, than standard services; secondary aims were to evaluate effectiveness in reaching those who had not previously accessed SSS, triggering unplanned quit behaviour, helping people quit and cost-effectiveness.
  
  
  METHODS
  Following a 4-week pilot period, a mobile drop-in SSS was delivered across various public locations in Nottingham City, UK for 6 months, offering behavioural and pharmacological support via one-to-one consultations with trained cessation advisors. Detailed demographic and smoking behaviour data were collected from all clients accessing the mobile SSS, and Nottingham's standard SSS for comparison.
  
  
  RESULTS
  Compared with smokers accessing the standard SSS (n=1856), mobile SSS smokers (n=811) were significantly more likely to be from the RM group (33.3% vs 27.2%, p=0.002), and to be first-time SSS users (67.8% vs 59.3%, p<0.001). Nearly 1 in 10 smokers setting a quit date through the mobile SSS had no prior quit intentions. The cost per smoker setting a quit date for the mobile SSS was only slightly higher than the standard SSS (£224 vs £202).
  
  
  CONCLUSIONS
  A mobile drop-in SSS is an effective way of reaching more disadvantaged smokers from RM occupations, as well as those who have not previously accessed standard SSS and those without prior quit intentions.
authors.affiliation: Division of Epidemiology and Public Health and UK Centre for Tobacco and Alcohol Studies, University of Nottingham, Nottingham, UK.
authors.forename: Andrea
authors.initials: A
authors.lastname: Venn
authors.affiliation: Division of Primary Care, University of Nottingham, Nottingham, UK.
authors.forename: Anne
authors.initials: A
authors.lastname: Dickinson
authors.affiliation: Division of Epidemiology and Public Health and UK Centre for Tobacco and Alcohol Studies, University of Nottingham, Nottingham, UK.
authors.forename: Rachael
authors.initials: R
authors.lastname: Murray
authors.affiliation: Unit of Public Health, Epidemiology and Biostatistics and UK Centre for Tobacco and Alcohol Studies, University of Birmingham, Birmingham, UK.
authors.forename: Laura
authors.initials: L
authors.lastname: Jones
authors.affiliation: Department of Health Sciences and UK Centre for Tobacco and Alcohol Studies, University of York, York, UK.
authors.forename: Jinshuo
authors.initials: J
authors.lastname: Li
authors.affiliation: Department of Health Sciences and UK Centre for Tobacco and Alcohol Studies, University of York, York, UK.
authors.forename: Steve
authors.initials: S
authors.lastname: Parrott
authors.affiliation: National Addiction Centre, Institute of Psychiatry and UK Centre for Tobacco and Alcohol Studies, King's College London, London, UK.
authors.forename: Ann
authors.initials: A
authors.lastname: McNeill
mesh_terms: D000328:Adult; D003362:Cost-Benefit Analysis; D005260:Female; D006296:Health Services; D006801:Humans; D008297:Male; D008875:Middle Aged; D012017:Referral and Consultation; D016540:Smoking Cessation / Q000191:economics; D006113:United Kingdom
keywords: Cessation; Health Services; Socioeconomic status