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Study Aims

Study Aims. Collation and dissemination of existing evidence Extend the knowledge base Identify opportunities for intervention. Phase 1 Phase 2 Phase 3. desk research, interviews with experts. Methods. Phase 1 Phase 2 Phase 3. postal and telephone Survey of 30 national

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Study Aims

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  1. Study Aims • Collation and dissemination of existing evidence • Extend the knowledge base • Identify opportunities for intervention

  2. Phase 1 Phase 2 Phase 3 desk research, interviews with experts Methods

  3. Phase 1 Phase 2 Phase 3 postal and telephone Survey of 30 national agencies that work with low income groups Methods

  4. Phase 1 Phase 2 Phase 3 In depth interviews with policy makers and service providers of key agencies Methods

  5. 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’ Phase 3

  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. 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 NGOs and social services

  9. 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 ‘Total Institutions’

  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

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