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This paper aims to explore smokefree prison policy, from the perspective of people in custody in Scotland.

In total, 77 people in custody in Scotland were interviewed in the period leading up to implementation of a nationwide prison smokefree policy. Data were thematically analysed to identify the diversity of views and experiences.

Participants described a widespread awareness in prisons of plans to implement a smokefree policy from 30 November 2018. Opinions about smokefree prisons varied among participants based on perceptions of the fairness, and anticipated positive and negative consequences of removing tobacco from prisons. At the time of the interviews, people in custody were responding to the impending smokefree policy, either by proactively preparing for the smokefree rule change or by deploying avoidance strategies. Participants described opportunities and challenges for implementing smokefree policy in prisons across three main themes: the role of smoking in prison, prison smoking cessation services and motivations for quitting smoking among people in custody.

This study exploring smokefree prisons from the perspectives of people in custody has several novel features which extend the evidence base. The findings highlight measures for jurisdictions to consider when planning to prohibit smoking in their prisons in the future. These include the need for evidence-based smoking cessation support in advance of smokefree policy, effective communication campaigns, consideration of broader structural determinants of health in prison and ongoing measures to reduce rates of return to smoking post release.

The debate surrounding tobacco control has become increasingly polarised as the health and tobacco lobbies seek to influence tobacco policy. In recent times the main focus for debate has been the impact of tobacco advertising on under‐age smoking. However, with the proposed ban on tobacco advertising, this paper argues that branding may prove pivotal to re‐orienting thinking about how tobacco marketing continues to influence smoking initiation. Marketing theory asserts that creating demand for a product is dependent upon building a strong brand identity that concurs with the needs, values and lifestyles of the consumer. It is hypothesised that branding can function by affecting not only the way people perceive specific tobacco products but also their perceptions of smoking behaviour itself. Using branding to extend the debate in this way provides some useful insights into the role tobacco marketing might play in encouraging young people to start smoking. It is concluded that explanations for smoking initiation can be found, not by attempting to isolate the abilities of tobacco marketing and health policy to persuade young people to adopt one behaviour in favour of the other, but by examining how exposure to competing forces such as these during adolescence may conspire to brand smoking in a way that encourages young people to experiment with cigarettes. It is suggested that more significant advances in reducing smoking rates are likely to depend upon a willingness to confront the fundamental contradictions that are created by such competing forces.

Describes a study investigating the motivations of food retailers to engage in corporate socially responsible (CSR) activities. Focusing on confectionery retailing and merchandising, the study sought to establish the extent of CSR activities and the motivations for companies to act as they do. An audit of food retailers was first conducted to establish the nature and extent of CSR activities. This was followed by a series of in‐depth interviews with key decision makers in food retailing organisations, to reveal motivations behind their policies on confectionery retailing. The authors found the main motivations driving confectionery merchandising decisions to be space maximisation, profitability and customer pressure. While certain proactive companies recognised the benefits of being seen as a socially responsible company, none of the companies was driven primarily by philanthropic motivations.

The Internet has revolutionised information exchange. Its rapid connection of users and materials locally and globally make it an ideal health promotion medium, for both the public and professionals. However, the mechanisms through which it might contribute to health improvement are unclear. This paper provides an overview of Internet developments and presents findings from research carried out on behalf of the Health Education Board for Scotland, illustrating some of the assumptions implicit in using the Internet for health promotion. In the absence good evidence on the effects of delivering health promotion online, this paper argues that good practice requires greater responsiveness to user needs and circumstances at the planning stage, better quality assurance, more clearly defined indicators of “success” and the pathways to it, and more comprehensive evaluation of short‐ and long‐term impacts and outcomes.

Like those of other older industrial areas in the Midwest and Northeast, Cleveland's problems are many and deepseated. Overall economic stagnation and population loss have eroded the tax base, and the inner city grows older and poorer, while a superficial renaissance of skyscraper construction and theater restoration buoys spirits. Although serious efforts are underway to improve Cleveland's city government, the continued decline in the tax base, along with services, and the virtual collapse of the school system, drive more people into the suburbs and ultimately, from the region.

The European Union (EU, formerly the European Community) celebrated, in November 1993, the ratification of the Maastrict Treaty pushing European union another step closer to realization. In the face of growing external forces (the disequilibrium caused by the disintegration of Eastern Europe and the former Soviet Union, the war in Bosnia and global economic recession) that affect the planned progress and strategy the European Union (EU) leaders pursue, the authors of this article use a strategic management framework to analyze the EU. To our knowledge, this has not been attempted before. There is a growing volume of literature on the adaptation of the strategic management model to public sector institutions (Rainey, Backoff & Levine, 1976; Eadie & Steinbacher, 1985; Bryson & Williams, 1983; Nutt & Backoff, 1993). Public enterprises sometimes pursue objectives different from those of private — and third‐sector (non‐profit) enterprises (Jauch & Glueck, 1988). Public managers must be able to deal with more complex internal and external environments than private — and third sector managers. Despite these and other difficulties, a strategic analysis provides clues for effective strategic management in the public sector (Eadie & Steinbacher, 1985; Ring & Perry, 1985; Nutt & Backoff, 1993). A strategic management model is used here to provide a framework of analysis and direction on which critical areas of concern need to be addressed for the EU to continue with their creation of a community wholly open to the free and unimpeded circulation of people, services, capital and goods (Wechsler; Hahn, 1991).

The primary aim of the research reported here is to provide strategic guidance for the development of a national communication strategy to improve sun protection practice amongst young people.

The research adopted an exploratory approach, employing qualitative focus groups to represent three population groups, mothers, teenagers and young adults living independently of the family home. A total of 12 focus groups were conducted (with six to eight participants per group) in the UK. Participants were recruited door‐to‐door using quota sampling methods.

Consistent with other studies, awareness of sun protection measures was high compared with actual practice. A number of factors were identified which help to explain this behaviour deficit. These include environment and exposure context, financial cost, understanding of protection process, behavioural influence and control, experiential learning and benefits attached to tanning.

While the findings highlight the importance of supporting parents through the provision of information and guidance, they also identified a need to develop initiatives specifically tailored to meet the needs of young people as they achieve independence.

Explores the rationale for, and value of, using projective and enabling techniques in qualitative market research and in particular their application to researching “sensitive” issues. Defines these techniques and illustrates their usage through a case study of research conducted by the Centre for Social Marketing, University of Strathclyde. Concludes with a discussion focusing on the relevance, suitability and level of applicability of projective and enabling techniques to market research.

Secondary prevention programmes have traditionally employed mass screening approaches to assess for asymptomatic signs of cancer. It has been suggested that early detection strategies involving public education and self‐referral may prove more cost‐effective with low risk populations for cancers with symptomatic presentation. This study, which was commissioned to inform the development of a cancer awareness campaign, aims to examine public perceptions of the early detection of cancer, the psycho‐social barriers to self‐referral amongst a key at‐risk population and the implications for patient education.

An exploratory study using qualitative focus groups with an at‐risk population of older people living in deprived communities in west‐central Scotland.

The findings reveal broad support for initiatives designed to raise symptom awareness. However, fear of cancer can lead to apparently irrational responses to symptoms and subsequent delay, particularly amongst men who are less likely to seek support from lay networks.

Early detection messages need to take account tone and symptom description to allay fears and ensure appropriate presentation. Consideration also needs to be given to the role played by lay and professional opinion formers to informing and supporting patients' decision to present with suspicious symptoms, particularly when targeting harder to reach patients of men, older people, and people living in deprived communities.

The purpose of this paper is to explore the use of qualitative approaches to add depth and insight to understanding concerning the issues involved when consumers try to make changes in their behaviour. The context of this study is people trying to make and sustain changes to their dietary behaviour. Taking Prochaska and Di Clemente's Stages of Change model as the starting point, this paper marks a departure from other work in the behavioural change area in so far as a qualitative approach is adopted rather than a quantitative perspective.

This study was longitudinal in design and the data presented concern groups of people who were categorized as belonging to stages of change and who followed a similar stage of change pattern over a period of 18 months (according to the Stage of Change algorithm described by Curry et al.).

By examining peoples' behaviour changes in depth, the similarities and differences in their attitudes and motivations are revealed in terms of their dietary behaviour change and maintenance of change. This provides a more refined understanding of how people make changes and maintain them over time.

While focusing only on a small number of people, the weaknesses of the Stages of Change model is demonstrated and how qualitative research approaches can be used to add depth and meaning to quantitative methodologies popular in the social marketing domain.

This paper demonstrates that the Stages of Change model has value in categorizing people into stages of change and measuring these changes over time but is limited in its ability to develop understanding of the lived experience of trying to change behaviour.