{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,31]],"date-time":"2025-08-31T20:10:02Z","timestamp":1756671002934,"version":"3.44.0"},"reference-count":12,"publisher":"BMJ","issue":"1","license":[{"start":{"date-parts":[[2022,10,10]],"date-time":"2022-10-10T00:00:00Z","timestamp":1665360000000},"content-version":"unspecified","delay-in-days":9,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open Resp Res"],"accepted":{"date-parts":[[2022,9,11]]},"published-print":{"date-parts":[[2022,10]]},"abstract":"<jats:sec>\n                  <jats:title>Introduction<\/jats:title>\n                  <jats:p>Treating tobacco dependency in patients admitted to hospital is a key priority in the National Health Service long-term plan. This service evaluation assessed the perception, needs and experience of care within an opt-out hospital-based tobacco dependency treatment service (the Conversation, Understand, Replace, Experts and Evidence Base (CURE) team) in North-West England.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>A survey was offered to all eligible patients between 1 July 2020 and 30 September 2020. Eligibility criteria were adult patients identified as an active smoker being approached by the CURE team as part of the standard opt-out service model, on a non-covid ward without a high suspicion of COVID-19 infection and able to read and write in English.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>106 completed surveys were evaluated. Participants demonstrated high levels of tobacco dependency with an average of 37 years smoking history and 66% describing the onset of cravings within 30 min of hospital admission. The average number quit attempts in the previous 12 months was 1.3 but only 9% had used the most effective National Institute for Health and Care Excellence (NICE) recommended treatments. 100% felt the opt-out service model was appropriate and 96% stated the treatment and support they had received had prompted them to consider a further quit attempt. 82% of participants rated their experience of care as 9\/10 or 10\/10. Participants wanted a broad range of support post discharge with the most popular option being with their general practitioner. 66% and 65% of participants would have been interested in a vaping kit as stop smoking intervention and support vaping-friendly hospital grounds respectively.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>These results suggest this hospital-based, opt-out tobacco dependency treatment service delivers high-quality experience of care and meets the needs of the patients it serves. It also highlights the opportunity to enhance outcomes by providing access to NICE recommended most-effective interventions (varenicline, vaping and combination nicotine replacement therapy) and providing flexible, individualised discharge pathways.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1136\/bmjresp-2022-001334","type":"journal-article","created":{"date-parts":[[2022,10,10]],"date-time":"2022-10-10T12:18:05Z","timestamp":1665404285000},"page":"e001334","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Patient survey examining the experience of care of a hospital-based opt-out tobacco dependency treatment service (the CURE Project)"],"prefix":"10.1136","volume":"9","author":[{"given":"Lynn","family":"Hryhorskyj","sequence":"first","affiliation":[{"name":"Cheadle Medical Practice, Cheadle, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Freya","family":"Howle","sequence":"additional","affiliation":[{"name":"The CURE Project Team, Greater Manchester Cancer Alliance, Greater Manchester Strategic Health Authority, Manchester, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kathryn","family":"Groom","sequence":"additional","affiliation":[{"name":"The CURE Project Team, Greater Manchester Cancer Alliance, Greater Manchester Strategic Health Authority, Manchester, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ryan","family":"Moore","sequence":"additional","affiliation":[{"name":"The CURE Project Team, Greater Manchester Cancer Alliance, Greater Manchester Strategic Health Authority, Manchester, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hannah","family":"Clegg","sequence":"additional","affiliation":[{"name":"The CURE Project Team, Greater Manchester Cancer Alliance, Greater Manchester Strategic Health Authority, Manchester, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David","family":"Shackley","sequence":"additional","affiliation":[{"name":"The CURE Project Team, Greater Manchester Cancer Alliance, Greater Manchester Strategic Health Authority, Manchester, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cheryl","family":"Pearce","sequence":"additional","affiliation":[{"name":"The CURE Project Team, Wythenshawe Hospital, Manchester University NHS Foundation Trust, Manchester, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Monique","family":"Baugh","sequence":"additional","affiliation":[{"name":"The CURE Project Team, Wythenshawe Hospital, Manchester University NHS Foundation Trust, Manchester, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael","family":"Rutherford","sequence":"additional","affiliation":[{"name":"The CURE Project Team, Wythenshawe Hospital, Manchester University NHS Foundation Trust, Manchester, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Helen","family":"Huddart","sequence":"additional","affiliation":[{"name":"The CURE Project Team, Wythenshawe Hospital, Manchester University NHS Foundation Trust, Manchester, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alyshia","family":"Mawson","sequence":"additional","affiliation":[{"name":"The CURE Project Team, Wythenshawe Hospital, Manchester University NHS Foundation Trust, Manchester, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Emily","family":"Manley","sequence":"additional","affiliation":[{"name":"The CURE Project Team, Wythenshawe Hospital, Manchester University NHS Foundation Trust, Manchester, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kath","family":"Hewitt","sequence":"additional","affiliation":[{"name":"The CURE Project Team, Wythenshawe Hospital, Manchester University NHS Foundation Trust, Manchester, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jane","family":"Coyne","sequence":"additional","affiliation":[{"name":"Make Smoking History Regional Tobacco Control Programme, Greater Manchester Strategic Health Authority, Manchester, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elizabeth","family":"Benbow","sequence":"additional","affiliation":[{"name":"Make Smoking History Regional Tobacco Control Programme, Greater Manchester Strategic Health Authority, Manchester, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrea","family":"Crossfield","sequence":"additional","affiliation":[{"name":"Make Smoking History Regional Tobacco Control Programme, Greater Manchester Strategic Health Authority, Manchester, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rachael L","family":"Murray","sequence":"additional","affiliation":[{"name":"Division of Epidemiology and Public Health, UK Centre for Tobacco and Alcohol Studies, University of Nottingham, Nottingham, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4066-5253","authenticated-orcid":false,"given":"Matthew","family":"Evison","sequence":"additional","affiliation":[{"name":"The CURE Project Team, Greater Manchester Cancer Alliance, Greater Manchester Strategic Health Authority, Manchester, UK"},{"name":"The CURE Project Team, Wythenshawe Hospital, Manchester University NHS Foundation Trust, Manchester, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2022,10,10]]},"reference":[{"key":"2025083112324782000_9.1.e001334.1","unstructured":"National Institute for Health and Care Excellence . Tobacco: preventing uptake, promoting quitting and treating dependence. NICE guideline NG209 2021. Available: https:\/\/www.nice.org.uk\/guidance\/ng209 [Accessed 16 May 2022]."},{"key":"2025083112324782000_9.1.e001334.2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(16)30272-0"},{"key":"2025083112324782000_9.1.e001334.3","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1808779"},{"key":"2025083112324782000_9.1.e001334.4","doi-asserted-by":"publisher","DOI":"10.1136\/tobaccocontrol-2015-052728"},{"key":"2025083112324782000_9.1.e001334.5","unstructured":"Royal College of Physicians . Hiding in plain sight: treating tobacco dependency in the NHS, 2018. Available: https:\/\/www.rcplondon.ac.uk\/projects\/outputs\/hiding-plain-sight-treating-tobacco-dependency-nhs [Accessed 16 May 2022]."},{"key":"2025083112324782000_9.1.e001334.6","unstructured":"Department of Health, NHS England . The NHS 10 year plan, 2019. Available: https:\/\/www.longtermplan.nhs.uk\/ [Accessed 16 May 2022]."},{"key":"2025083112324782000_9.1.e001334.7","doi-asserted-by":"publisher","DOI":"10.7861\/clinmed.2019-0336"},{"key":"2025083112324782000_9.1.e001334.8","doi-asserted-by":"publisher","DOI":"10.1136\/bmjresp-2021-001105"},{"key":"2025083112324782000_9.1.e001334.9","unstructured":"Royal College of Physicians . Smoking and health 2021: a coming of age for tobacco control? 2021. Available: https:\/\/www.rcplondon.ac.uk\/projects\/outputs\/smoking-and-health-2021-coming-age-tobacco-control [Accessed 16 May 2022]."},{"key":"2025083112324782000_9.1.e001334.10","unstructured":"National Institute for Health and Care Excellence . Varenicline for smoking cessation Technology appraisal guidance [TA123], 2007. Available: https:\/\/www.nice.org.uk\/guidance\/ta123 [Accessed 16 May 2022]."},{"key":"2025083112324782000_9.1.e001334.11","article-title":"Different doses, durations and modes of delivery of nicotine replacement therapy for smoking cessation","volume":"4","author":"Lindson","year":"2019","journal-title":"Cochrane Database Syst Rev"},{"key":"2025083112324782000_9.1.e001334.12","unstructured":"Hartmann-Boyce JMH , Lindson N , Bullen C . Can electronic cigarettes help people stop smoking, and do they have any unwanted effects when used for this purpose? Cochrane Library 2020."}],"container-title":["BMJ Open Respiratory Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bmjresp-2022-001334","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,31]],"date-time":"2025-08-31T19:32:51Z","timestamp":1756668771000},"score":1,"resource":{"primary":{"URL":"https:\/\/bmjopenrespres.bmj.com\/lookup\/doi\/10.1136\/bmjresp-2022-001334"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,10]]},"references-count":12,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2022,10,10]]},"published-print":{"date-parts":[[2022,10]]}},"alternative-id":["10.1136\/bmjresp-2022-001334"],"URL":"https:\/\/doi.org\/10.1136\/bmjresp-2022-001334","relation":{},"ISSN":["2052-4439"],"issn-type":[{"type":"electronic","value":"2052-4439"}],"subject":[],"published":{"date-parts":[[2022,10]]}}}