Smoking Cessation With Older Adults

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Smoking Cessation With Older Adults Kay
Samson Tobacco Co-ordinator Have a Heart Paisley
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Have a Heart Paisley

• National Health Demonstration Project for CHD
• Funded by the Scottish Executive
• Whole population approach
• Risk factors of Smoking, Unhealthy eating and
  lack of physical activity
• Have a Heart Phase 2
• 45-60 year olds

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Needs Assessment

• Principal Objectives
• To establish awareness and usage of local
  services related to becoming more healthy
• To identify what types of services and provisions
  the target population would be interested in
• To establish the barriers to taking up services
  to aid a healthy lifestyle

In street interviews with 750 of target group
weighted towards those in the higher depcat areas
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Needs Assessment Results (Smoking)

• Prevalence
• 47 smoked (63 Depcat 7 55 Depcat 5)
• Awareness of Smoking Cessation services
• 67 (higher amongst males than females)
• Accessed a service
• Only 33 had used a cessation service
• Key barrier to stopping
• 64 said to hard to stop(spontaneous)
• 25 tried to stop but it didnt work
  (spontaneous)

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Needs Assessment (Healthy Lifestyle)

• Reasons for not accessing services (spontaneous)
• 68 dont need to use any of the services
• 10 Im too busy
• 2 Services too far away
• 5 Dont want to go on my own
• 2 services not relevant to my lifestyle
• 8 Dont know
• 8 Other

Those aware of services to promote a healthy
lifestyle
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Needs Assessment (Healthy Lifestyle)

• Factors that could encourage use of services
  (spontaneous)
• 9 Make services free
• 2 Have services at a more convenient time
• 2 Have someone to go with
• 1 Have shorter waiting lists
• 60 Nothing
• 19 Dont know

Aware of services but hadnt used them
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Needs Assessment (Healthy Lifestyle)

• Areas of health they would like support with
• 24 No services
• 7 Stop smoking
• 2 Smoke free places
• 7 Healthy Eating
• 10 Physical Activity
• 1 Alcohol
• 2 Drugs
• 1 Sexual Health
• 53 Dont know

Those unaware of services
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Needs Assessment (Healthy Lifestyle)
Factors considered important ..available
locally in the community (97 important) ..practi
cal and easy to use (97 important) ..free (95
important) ..run at convenient times (94
important)
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St Ninians Mens Group
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Mens Group Background

• Mixed Group of smokers, non-smokers and
  ex-smokers
• Live depcat 7 area
• 16-66 years of age
• Meet 3 times a week between 11am and 2pm
• Local church hall
• Unemployed
• Social context
• On average smoking 100 cigarettes a day

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Mens Group

• Approach
• Community Development Approach
• Expressed need
• Traditionally not a group that access medical
  services
• No Smoking Day activities

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Mens Group Smoking Cessation

• Educational input
• Self-esteem and confidence
• Weekly support
• Preparation period
• Small realistic goals
• Cutting down to quit
• Build rapport

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Conclusions

• Need for services to be proactive - take services
  to the community
• Support needs to be flexible and should be for as
  long as required
• Acknowledgement understanding of social
  circumstances is crucial
• Self-esteem and confidence needs to be built
  first
• Mixed group has proved to work well
• Cutting down is a great achievement
• Time and resource intensive
• Incentives
• Use a variety of opportunities to access older
  adults