Journal of Preventive Medicine

Are factors that promote quit attempts on first visit predicts success at 1-month, 3-month and 6-month follow-up between smokers treated with standard smoking cessation programme and the modified UK standard treatment plan?

9^th Edition of International Conference on Preventive Medicine & Public Health
July 16-17, 2018 London, UK

Wee Lei Hum, Komathi Perialathan, Ho Bee Kiau, Azman Ahmad, Aziman Mahdi, Abu Bakar Abdul Rahman, Swinderjit Jagsingh, Lena Yeap and Mohd Haniki Nik Mohammed

National University of Malaysia, Malaysia Ministry of Health Malaysia, Malaysia National Cancer Society of Malaysia, Malaysia International Islamic University Malaysia, Malaysia

Posters & Accepted Abstracts: J Prev Med

DOI: 10.21767/2572-5483-C1-003

Abstract

Background: Factors contributing to successful quitting are dynamics in nature and difficult to predict. This study attempted to identify factors that promote quit attempts at first visit able to predict success rates among smokers treated with standard smoking cessation treatment programme and the modified UK standard treatment plan from NHS Centre for Smoking Cessation and Training (NCSCT). Methods: This was a double arms cluster-randomized control trial with follow-up to 6-months. All 19 public hospitals in Malaysia that offered quit smoking services (QSS) were randomized in to intervention (n=10) and control (n=9) groups. The smokers were required to complete self-administered questionnaires on their first visit and were followed up at 4-week, 3-month and 6-month. The health staff in the intervention group were trained with the UK adapted training module to treat smokers (n=330) and the control group continued with the standard treatment programme (n=172). The association between both groups was analyzed using univariate analysis. Multiple logistic regression backward elimination was carried out to assess the repeated measures treatment effect of quitting. Results: There was no significant difference between intervention and control group in most demographic and characteristics of smoking habits such as mean age, education level, marital status, perceived health problem and age started smoking. However, there were significant differences on the first cigarette of the day (P=0.05a), urges to smoke (0.020a), methods of quitting (0.018a) and CO level at base line (0.0234d). Interestingly, there was no significant difference on their motivations and confident levels to quit smoking between both groups even though the control group reported they were more worried about their future health (p= 0.030a), concerned about the effect of cigarettes smoke to their family (p<0.0001a), smoking is expensive (p=0.001a), family wanting them to stop smoking (p<0.0001a), family nagging (p=0.001a), ashamed to be a smoker (p<0.0001a), had a family who had quitted successfully (p= 0.017a) and friends encouragement to quit (p=0.002a). The intervention group showed higher success rates with carbon-monoxide validated at 4-week (p=0.013a), 3-month (p<0.0001a) and 6-month follow-up (p<0.0001a) Conclusions: Factors that promote quit attempts at first visit may not predict successful quitting at 4-week, 3-month and 6-month follow-up.

Biography

E-mail:

weeleihum@ukm.edu.my