HoptoStop: Development and feasibility of a novel intervention to promote active ageing and smoking cessation in inactive smokers

与一般人群相比，吸烟者的身体活动较少，这使他们患传染病和过早死亡的风险更大。因此，鼓励吸烟者过无烟和积极的生活是一个优先事项。在当地社区的药店、超市和全科医生诊所开展的戒烟服务为吸烟者提供了一个独特的机会，让他们除了戒烟外，还参与体育活动。一些研究已经探索了这种方法。体育活动已经被用作戒烟的辅助手段，因为它可以减少吸烟的欲望，帮助减肥和提高信心，这些都是戒烟的常见障碍。目前，我们还不能确定体育活动是否能提高戒烟率，因为很难让人们对改变所必需的运动强度保持兴趣和参与。在监督下进行为期12周的剧烈运动计划，如果与戒烟计划结合使用，可以促进长期戒烟率，因此这是可能的。然而，像这样有监督的锻炼计划超出了大多数戒烟服务的范围，不太可能被个人长期维持。对于吸烟者来说尤其如此，他们认为缺乏时间是保持定期体育锻炼的常见障碍。高强度的体育活动，如跳跃和跳跃，有可能被用作减少吸烟欲望的应对策略，因为它涉及短时间的高强度活动，有足够的恢复时间。它也有可能用于提高戒烟率，因为它可以在家中进行，并且很容易融入日常生活，从而更有可能吸收和维持对公共卫生的影响。在不运动的成年人中，我们已经表明，短时间的定期高强度体育活动在12个月的时间里产生了91%以上的坚持率。在戒烟服务中实施高影响体育活动具有直观的吸引力，因为它可以提供机会，协助戒烟治疗，提高戒烟率。身体健康和肌肉骨骼健康的改善也可以为戒烟提供重要的额外刺激。然而，这从来没有尝试过，所以我们不知道可行性，可接受性或用户对这种想法的看法。如果没有这些关键信息和对潜在障碍的一些了解，就很难进行下去。本项目将调查在当地戒烟服务中实施高影响体育活动的可行性和可接受性（Quit51），并探讨与干预有关的意见和态度，以发展和完善它。为此，我们将首先根据现有吸烟者和戒烟者、运营经理（Quit51）和公共卫生领导的意见制定方法，其次评估有多少人自愿参加这项研究，他们是否开展了这项活动，以及程序的有效性如何。第三，我们将探讨吸烟者的意见谁做了和谁没有自愿参加研究，找出原因，和那些谁做了和没有完成活动，以找出他们喜欢/不喜欢它的观点。最后，我们的戒烟顾问将向我们提供他们对活动实施的看法，以及如何改进这种方法以促进未来工作的想法。

Smokers are less physically active than the general population which puts them at greater risk of infectious disease and early death. Encouraging individuals who smoke to lead smoke-free and active lives is therefore a priority. Stop-smoking services operating out of pharmacies, supermarkets and GP surgeries in local neighbourhoods provide a unique opportunity to engage smokers in physical activity in addition to smoking cessation. Some studies have explored this approach. Physical activity has been used as an aid for smoking cessation because it can reduce the desire to smoke, help weight-loss and improve confidence, which are common barriers to smoking cessation. At the moment, we cannot be certain that physical activity improves smoking quit-rates, because it is difficult to keep people interested and involved with the intensity of activity necessary for change. A 12-week supervised vigorous exercise programme has facilitated long-term quit rates when used in combination with a smoking cessation programme so it is possible. However, supervised exercise programmes like this are beyond the scope of most stop-smoking services and are unlikely to be maintained by individuals in the long-term. This is especially true for smokers who cite lack of time as a common barrier to maintaining regular physical activity. High-impact physical activity such as jumping and hopping has the potential to be used as a coping strategy for reducing the desire to smoke because it involves short bouts of intense activity with time for sufficient recovery. It also has the potential to be used for improving quit rates because it can be carried out at home and is easily integrated into every-day routine, allowing for a greater chance of uptake and maintenance for public-health impact. In inactive adults, we have shown that short bouts of regular high impact physical activity produced more than 91% adherence rates over a 12-month period. Implementing high impact physical activity into stop-smoking services has intuitive appeal because it could provide opportunity to assist stop-smoking treatment with improving quit rates. Improvements in physical fitness and musculoskeletal health could also provide an important extra stimulus to stop smoking. However this has never been tried, so we know nothing about the feasibility, acceptability or views of users towards such an idea. Without this crucial information and some knowledge of the potential barriers, it would be difficult to proceed. This project would investigate the feasibility and acceptability of implementing high-impact physical activity into a local stop-smoking service (Quit51) and explore the views and attitudes relevant to the intervention in order to develop and refine it. We would do this by first developing the approach with input from current and ex-smokers, Operations Managers (Quit51) and Public Health Leads and secondly by assessing how many people volunteered for the study, whether they carried out the activity and how effectively procedures were delivered. Thirdly, we would explore the views of smokers who did and who did not volunteer for the study to find out why, and the views of those who did and did not complete the activity to find out what they liked/disliked about it. Finally we smoking-cessation advisors would give us their views on the delivery of the activity and thoughts how such an approach might be improved for future work.