Does a Personalised and Non-clinical Explanation of Lung Health Trigger the Impulse in Smokers to Make a Quit Attempt?

P127 Figure 1 Adult smoking cessation advice/counselling. Conclusions Low cost, easily-deliverable interventions can act asimportant drivers to improve awareness and delivery of smokingcessation advice. We have demonstrated that simple strategies can behighly cost effective, of particular importance in this financial climate. REFERENCES1. Rigotti, et al. Arch Int Med 2008;168:1950e60. P128 SMOKING CESSATION EDUCATIONAL POSTER CAMPAIGN doi:10.1136/thoraxjnl-2011-201054c.128 J Ryder, L Davies, J Bibby. Roy Castle Fag Ends, Liverpool, UK; Aintree UniversityNHS Trust, Liverpool, UK; Liverpool Community Health NHS Trust (Sefton SUPPORT),Liverpool, UK Introduction The health benefits of stopping smoking are wellestablished and hospitals have a unique opportunity to contribute toprotecting and promoting health through smoking cessation inter-ventions. NICE published recommendations in 2006 stating that allhealth professionals should offer brief advice of the benefits tostopping smoking to their patients and a referral to a specialistservice. However, despite this, smoking cessation interventions arenot generally part of routine care in a hospital setting.Method A partnership with Aintree NHS Trust, Pfizer and a designagency was established to develop a creative campaign to promotethe stop smoking service to hospital based health professionals whoare influential messengers available to give expert advice to patients.Furthermore, we wanted to engage with the patients, friends andfamily directly to endorse the message. We trained staff on a numberof wards to be champions for the campaign that was launched onNo Smoking Day 2010. We agreed on the theme “Time to Quit”consisting of posters; leaflets; prompts in patient notes; and infor-mation folders for all wards and clinical areas.Results The campaign met its objectives to increase the number ofpatients referred to the hospital stop smoking service. There was a60% increase in the referrals at Aintree over the first 8 monthscompared to the previous year. We particularly noticed an increaseon the wards with a Champion trained in delivering a briefintervention.Conclusion A comprehensive educational campaign proved to beeffective in raising awareness of the Hospital Stop Smoking Serviceand increasing referrals within the Trust. A similar campaign couldcontribute to an increase in referrals and support to patients in othersecondary care settings, resulting in smoking cessation interventionsbecoming part of routine care in hospital settings. Moreover, thecampaign contributes to supporting healthcare providers in theirrole in prevention and health education.Abstract P128 Table 1 Period:Referrals:Estimated No. of quitters*: May 2010eJanuary 2011:847381 May 2009eJanuary 2010:529238Increase:60%143 *Numbers estimated, based on average quit rate of 45% at 4 weeks. P129 REPORT OF A RESPIRATORY HEALTH CHECK IN A SELF-SELECTED GROUP OF MALE PRISONERS IN SUFFOLK doi:10.1136/thoraxjnl-2011-201054c.129 L J Pearce, E Cecil, C Phillips, T B Pulimood, C M Laroche. West Suffolk Hospital NHSTrust, Bury St Edmunds, UK Introduction A health bus sponsored by Pfizer Ltd was loaned toSuffolk PCT for a 2-week period in June 2011, for the purpose ofhealth promotion in a range of Suffolk locations. During this period,two prisons were visited, each on one occasion only. At each prison,the Unit Manager allowed prisoners to attend for voluntary healthchecks. As part of this assessment, members of the Suffolk COPDnursing team carried out a respiratory-focused questionnaire andspirometry on each volunteer.Method Each prisoner was asked a series of specific questionsconcerning respiratory status, including past and present history ofsmoking tobacco and other substances, presence of current respira-tory symptoms, history of known respiratory conditions andrespiratory medications. The questionnaire was administered by arespiratory nurse consultant, while a trained respiratory nursecarried out spirometry.Results 136 prisoners underwent the respiratory health check.Age range was 19e55 years, average 33 years, median 31 years.90 (66%) were current smokers (13% of whom had started smokingin prison), and a further 35 (26%) were ex-smokers. 85 (79%of current smokers and 40% of ex-smokers) had also smokedcannabis.Conclusions In 2008, smoking rates for England were reported to bearound 21% of adults. This snapshot sample of two prisons inSuffolk is consistent with a higher prevalence of both currentsmoking (66%) and past smoking (26%) in prisoners, although theincidence may be artificially raised due to self selection for the healthassessments. FEV1/FVC ratio tended to be lower among smokerscompared to ex smokers and never smokers. A more comprehensivestudy of prisoners should be considered, to reduce the burden ofsmoking related disease within the prison service. Abstract P129 Table 1 Effect of smoking history in incidence ofrespiratory symptomsP129 Table 1 Effect of smoking history in incidence ofrespiratory symptoms Respiratory symptoms Total Shortness of breath on exertion Cough Sputum Smokers90 3448 48 Ex-smokers35 22 2 Abstract P129 Table 2 Effect of smoking history on spirometryP129 Table 2 Effect of smoking history on spirometry Spirometry FEV1/FVC ratio average FEV1/FVC ratio median Range Smokers79%81%53e86 Ex-smokers 83%84%69e100 Non-smokers 90%89%86e100 REFERENCE1. Statistics on Smoking. England, 2010. http://www.ic.nhs.uk/webfiles/publications/smoking%2010/Statistics_on_Smoking_2010. Thorax December 2011 Vol 66 Suppl 4A119Poster sessionsgroup.bmj.comon September 6, 2017 Published byhttp://thorax.bmj.com/Downloaded from