Roy, KayAlshammari, Turki Faleh2024-12-082024-08-27https://hdl.handle.net/20.500.14154/74060Background Tobacco dependency is a significant global public health challenge, affecting the NHS; UK, causing substantial morbidity and mortality, especially in COPD and asthma patients where Tobacco Dependency Services (TDS) have potential to reduce hospital admissions and improve health outcomes. NHS Long-Term Plan prioritizes COPD and smoking-related health inequalities. Although carbon monoxide monitoring (COM) is recommended for smoking cessation, its use in airway diseases has not been studied before. Aim To determine whether the iCOquit has potential value to help quit attempts in respiratory patients (asthmatics and COPD smokers) as part of the TDS in acute trusts and adds to positive experience. Methods COPD and asthma patients admitted to two London hospitals were offered the iCOquit device for home COM and remotely followed for up to 12 weeks, with motivation levels and stages of behavioural change assessed. Pre- and post-intervention surveys were conducted to assess patient experiences. Results 15 COPD and asthma patients were initially reviewed, (mean age 59 years), predominantly male (60%) and White British (80%). Initial motivation to quit smoking was high (73.3% at maximum), with 20% remaining smoke-free after 4 weeks. Patient experience was good but suggested specific technological improvements. Discussion This study introduced a novel approach to enhancing TDS within acute care settings. Initial findings suggest that the iCOquit device may be beneficial for certain patient populations and future research will focus on identifying these groups more precisely and the value of home COM in different settings, alongside a follow-up study incorporating health economic modelling to validate the clinical efficacy, cost-effectiveness, and scalability of iCOquit within the NHS. Collaboration with manufacturers will aim to enhance the device's accessibility and usability, improving data collection and decision-making processes, with the potential for broader implementation of similar digital health tools across healthcare.88enTobacco dependencyCOPDasthmaiCOquitcarbon monoxide monitoringThesis