Walking as an aid to smoking cessation: a feasibility study in an NHS Stop Smoking Service

Lead Research Organisation: University of Exeter
Department Name: Sport and Health Sciences

Abstract

The proposed study aims to identify the views of those working in stop smoking services and those attempting to quit smoking regarding the potential role of exercise. This information, coupled with scientific evidence from the exercise and smoking literature will be used to develop an exercise intervention, to be testing in a feasibility study. The results will inform future practice in helping people use exericse while also quitting smoking.

Technical Summary

Research suggests that brief low-moderate intensity exercise, such as walking, can be used to regulate withdrawal symptoms and cigarette cravings during temporary smoking abstinence. However, few trials have identified an effect of exercise programmes on rates of smoking abstinence. A reason may be that brief exercise has not been promoted as a coping strategy for reducing the desire to smoke. The proposed will develop and evaluate an exercise component (for inclusion in a standard 6-week smoking cessation clinic), based on scientific research and an initial survey of smoking counsellors and quitters. The outcomes will inform future research trials.
 
Description HTA
Amount £1,821,614 (GBP)
Funding ID HTA/15/111/01 
Organisation National Institute for Health Research 
Department Health Technology Assessment Programme (HTA)
Sector Public
Country United Kingdom
Start 05/2017 
End 12/2020
 
Description HTA
Amount £416,093 (GBP)
Funding ID HTA 07/78/02 
Organisation National Institute for Health Research 
Department Health Technology Assessment Programme (HTA)
Sector Public
Country United Kingdom
Start 01/2010 
End 12/2012
 
Title Walk-2-Quit surveys 
Description Two surveys were developed and administered concerned with participants readiness to use physical activity as an aid to quitting, and readiness to promote physical activity as an aid to quitting among smoking cessation advisers. 
Type Of Material Model of mechanisms or symptoms - human 
Provided To Others? No  
Impact Only just published. 
 
Title Walk-2-Quit 
Description Walk-2-Quit involves an overt focus on promoting physical activity as a positive behaviour change to aid quitting, through craving and weight management, in parallel with a quit attempt with support from an NHS Stop Smoking Service. The intervention includes a 30 page Self-Help Guide, and use of a pedometer for motivational purposes, especially through increasing self-efficacy and expected value of physical activity. 
Type Preventative Intervention - Behavioural risk modification
Current Stage Of Development Refinement. Clinical
Year Development Stage Completed 2008
Development Status Closed
Impact It will feed into a funded HTA phase 2 trial (EARS) to help smokers, who do not wish to quit, to use physical activity as an aid to smoking reduction, and hopefully quitting. 
 
Description BPS-DCP London 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Health professionals
Results and Impact Organiser. Symposium: Mental health and Physical Activity: New perspectives. Presented on exercise and smoking cessation. British Psychological Society, Division of Clinical Psychology Annual Conference, London.

Interest from other delegates on the role of exercise in the treatment of alcohol abuse.
Year(s) Of Engagement Activity 2008
 
Description CSP - Liverpool 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Health professionals
Results and Impact Invited keynote lecture on exercise and smoking cessation at the Chartered Society of Physiotherapists Annual conference.

Ongoing discussions with several delegates regarding future research.
Year(s) Of Engagement Activity 2009
 
Description Devon Counsellors - Exeter 
Form Of Engagement Activity A formal working group, expert panel or dialogue
Part Of Official Scheme? No
Geographic Reach Local
Primary Audience Health professionals
Results and Impact 2 hour workshop for psychological therapists on physical activity and smoking cessation.

None
Year(s) Of Engagement Activity 2009
 
Description Mind - Somerset 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach Local
Primary Audience Health professionals
Results and Impact Invited talk to mental health professionals and service users on exercise and smoking cessation.

None
Year(s) Of Engagement Activity 2008
 
Description St Andrews - Northampton 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Health professionals
Results and Impact Presentation by Taylor on 'Physical activity and smoking cessation: Translating theory and evidence to practice.' St Andrews Mental Health Trust, Northampton. One day conference on physical activity and mental health.

Invited to speak on a similar topic at the Annual Chartered Society of Physiotherapists conference, Liverpool, 2009. Also, discussed possibility of research with mental health patients.
Year(s) Of Engagement Activity 2008
 
Description UKNSCC-Birmingham 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Participants in your research and patient groups
Results and Impact Presentation on 'predicting the promotion of physical activity, as a cessation aid, by NHS Stop Smoking Service advisors: Implications for practice.'

A lot of interest from Stop Smoking Services around the UK, some of which increased their promotion of physical activity as an aid to quitting (eg, Warwick).
Year(s) Of Engagement Activity 2008