Evaluation of “Let’s Kick Butt (LKB) 2017”: A Mass Quit Smoking Challenge for Mental Health and Addiction Services Users

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dc.contributor.advisor Bullen, C en
dc.contributor.advisor Appleton-Dyer, S en
dc.contributor.author Kumar, Rajesh en
dc.date.accessioned 2019-02-07T03:16:40Z en
dc.date.issued 2018 en
dc.identifier.uri http://hdl.handle.net/2292/45147 en
dc.description Full Text is available to authenticated members of The University of Auckland only. en
dc.description.abstract INTRODUCTION: Smoking is very common in people with mental illnesses. Innovative solutions need to be trialled to increase engagement and reduce smoking in this population group. The 12-week Let's Kick Butt 2017 (LKB 2017) challenge was one such solution piloted by the Auckland and Waitemata District Health Boards during mid-2017 to assist smokers to quit or cut down smoking. OBJECTIVES: The evaluation research considered the implementation fidelity of the programme and assessed the level of client engagement in cessation interventions, reduction in smoking, smoking cessation and the influence of motivational tools on the outcomes. METHODS: The LKB 2017 utilised a tailored new smoking cessation intervention involving Group-Based Therapy delivered under the Motivational Interviewing framework with a harm reduction approach. A formative evaluation monitored and evaluated implementation fidelity of the programme. Quantitative data was used to enumerate attendance rate, dropout rate, the number who quit or significantly reduced smoking at the end of the challenge and changes in their exhaled breath carbon monoxide (CO) reading. Qualitative data collected through client focus groups and key stakeholder interviews provided insights into the programme and its implementation, client engagement, acceptance and satisfaction and the influence of different motivational tools on outcomes. FINDINGS: The programme was largely implemented as intended. Client engagement and acceptance was high (80%), and they thought the services delivered were personally useful and culturally appropriate. At the end of the programme, 68 of the 82 (83%) registered clients completed the challenge. The cessation rate of 36% (20/68) was high compared with the quit rates found in trials in general population. Of the remaining 48 who did not quit, 29 were smoking fewer than five cigarettes a day, compared to six to 20 cigarettes a day at the beginning of the challenge. Many participants had a tendency to relapse four weeks after the end of the challenge. CONCLUSIONS: A new tailored approach when combined with a range of motivational tools, can help increase engagement and reduce smoking in people with mental illnesses. Strengths of the evaluation included its formative nature which allowed programme modifications along the way to achieve desired results. en
dc.publisher ResearchSpace@Auckland en
dc.relation.ispartof Masters Thesis - University of Auckland en
dc.relation.isreferencedby UoA99265112013002091 en
dc.rights Items in ResearchSpace are protected by copyright, with all rights reserved, unless otherwise indicated. Previously published items are made available in accordance with the copyright policy of the publisher. en
dc.rights Restricted Item. Full Text is available to authenticated members of The University of Auckland only. en
dc.rights.uri https://researchspace.auckland.ac.nz/docs/uoa-docs/rights.htm en
dc.rights.uri http://creativecommons.org/licenses/by-nc-nd/3.0/nz/ en
dc.title Evaluation of “Let’s Kick Butt (LKB) 2017”: A Mass Quit Smoking Challenge for Mental Health and Addiction Services Users en
dc.type Thesis en
thesis.degree.discipline Public Health en
thesis.degree.grantor The University of Auckland en
thesis.degree.level Masters en
dc.rights.holder Copyright: The author en
pubs.elements-id 761076 en
pubs.org-id Medical and Health Sciences en
pubs.org-id Population Health en
pubs.org-id Audiology en
pubs.record-created-at-source-date 2019-02-07 en

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