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Background Smoking rates in France are high, and present a substantial socio-economic gradient. Smokers with low socio-economic position (SEP) may be more dependent on nicotine, and have more financial difficulties to buy nicotine substitutes. Tailored approaches are therefore needed. Methods STOP (Sevrage Tabagique à l’aide d’Outils dédiés selon la Préférence) is an ongoing pilot study, examining the acceptability of a smoking cessation intervention. Smokers with low SEP are recruited in six healthcare centres in Greater Paris area by health professionals and are offered substitute(s) of their choice for 4 weeks. Participants can choose between different types of nicotine substitutes (NS; patches, inhalers, etc.) and/or an e-cigarette delivered free of charge. The acceptability of this approach is examined in patients and doctors, using a mixed-method approach. Results So far, 30 smokers have been included in our study, 20% chose e-cigarettes, 36% chose NS, 36% chose both, and 2 participants (8%) chose neither. More than half of participants quit smoking (66%) at one week after inclusion, with 11 reporting tobacco abstinence out of 16 participants followed for 4 weeks. The average number of cigarettes smoked decreased from 15(sd = 10) at inclusion to 8.5 (sd = 5) among those who didn’t quit at four week. In qualitative interviews, one of the facilitators highlighted by health professionals was the perceived “met need” of smokers with low SEP when given free quitting aids without upfront-payment. One of the reported obstacles is the difficulty in scheduling consecutive follow-up meetings in short time. Discussion It is feasible to implement a smoking cessation programme aimed at smokers with low SEP, and embedded in the healthcare system. If proven effective, this intervention could contribute to decreasing social inequalities with regard to tobacco use. Recruitment in a randomised controlled multicentre trial based on this pilot study will start at the end of 2019. Key messages It is feasible to put in place a smoking cessation intervention among socially-disadvantaged in healthcare centres. Free access to nicotine substitutes and e-cigarettes could be a promising smoking cessation intervention among smokers with low socio-economic position.

Free access to nicotine substitutes and e-cigarette for tobacco cessation: STOP a pilot intervention