1. Caring for our community GROUP BASED TREATMENT David Harrison Nurse Leader East Health Trust PHO

2. Caring for our Community East Auckland enrolled pop 92,500, 71% of those enrolled have a smoking status recorded, of these 12% are identified as smokers A Nurse and Health Promotion Coordinator undertook training to facilitate group based treatment (GBT) in Feb 2012 by (Dr Haydon McRobbie, Inspiring Ltd). Funded by Counties Manukau Health/East Health Trust PHO BACKGROUND

3. Caring for our Community Evidence based programme (Successfully been running in UK) Course duration - 7 weeks (1 hour sessions per week) Week 3 is quit week with week 1 and 2 aimed at preparing participants Support clients using Nicotine Replacement Therapy (NRT) and GP prescribed medications, (Buproprion) Zyban™, (Varenicline) Champix™, and (Nortriptyline) Norpress™ Key to the success is group support ABOUT THE PROGRAMME

4. Caring for our Community GROUP ADVERTISING FLYER

5. Caring for our Community FEEDBACK Group was great, wonderful support and feedback! I’m an ex-smoker now Group support was awesome! Learnt a lot on this journey Great ideas and strategies to cope Wonderful support from group – thanks for your patience and guidance Non Judgemental

6. Caring for our Community RESULTS FROM FIRST QUIT GROUP Expressions of interestn = 35 Turned up week 1n = 21 Turned up week 3 (Quit Week)n = 17 Completed at week 7n = 15 out of 17 9 weeks post quit weekn = 13 out of 17 21 weeks post quit weekn = 9 out of 17 or 8 out of 17

7. Caring for our Community 12 MONTHS LATER

8. Caring for our Community WHAT DO THE OVERALL RESULTS LOOK LIKE ?

9. Caring for our Community LEARNINGS Daytime course including a fee did not work. However evening sessions with no fee worked best Use of local media was paramount Not a “walk in the park” Success required intense support, texting, phoning and coaching. Overall feedback confirmed a non-judgmental approach from facilitators was important.

10. Caring for our Community The PHO provided a platter of Self Management programmes for attendees. e.g. weight self management, healthy eating active lifestyle (HEAL’s) etc Friendships developed A walking group started People attending weight loss activities together Pot luck dinners together A spring board to a healthier lifestyle OTHER BENEFITS FOR PARTICIPANTS

11. Caring for our Community GOOD NEWS STORIES

12. Caring for our Community STOP SMOKING TRAINING

13. Caring for our Community WHERE TO FROM HERE? Promote Group Based Treatment and provide training for nurses to facilitate GBT in their own practices