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Multiple Approaches and Participation Rate for a Community Based Smoking Cessation Intervention Trial in Rural Kerala, India

  • Published : 2013.05.30

Abstract

Background: To illustrate multiple approaches and to assess participation rates adopted for a community based smoking cessation intervention programme in rural Kerala. Materials and Methods: Resident males in the age group 18-60 years who were 'current daily smokers' from 4 randomly allocated community development blocks of rural Thiruvananthapuram district, Kerala (2 intervention and 2 control groups) were selected. Smoking status was assessed through house-to-house survey using trained volunteers. Multiple approaches included awareness on tobacco hazards during baseline survey and distribution of multicolour anti-tobacco leaflets for intervention and control groups. Further, the intervention group received a tobacco cessation booklet and four sessions of counselling which included a one-time group counselling cum medical camp, followed by proactive counselling through face-to-face (FTF) interview and mobile phone. In the second and fourth session, motivational counselling was conducted. Results: Among 928 smokers identified, smokers in intervention and control groups numbered 474 (mean age: 44.6 years, SD: 9.66 years) and 454 respectively (44.5 years, SD: 10.30 years). Among the 474 subjects, 75 (16%) had attended the group counselling cum medical camp after completion of baseline survey in the intervention group, Among the remaining subjects (n=399), 88% were contacted through FTF and mobile phone (8.5%). In the second session (4-6 weeks time period), the response rate for individual counselling was 94% (78% through FTF and 16% through mobile phone). At 3 months, 70.4% were contacted by their mobile phone and further, 19.6% through FTF (total 90%) while at 6 months (fourth session), the response rate was 74% and 16.4% for FTF and mobile phone respectively, covering 90.4% of the total subjects. Overall, in the intervention group, 97.4% of subjects were being contacted at least once and individual counselling given. Conclusion: Proactive community centred intervention programmes using multiple approaches were found to be successful to increase the participation rate for intervention.

References

  1. Anderson JE, Jorenby DE, Scott WJ, et al (2002). Treating tobacco use and dependence: an evidence-based clinical practice guideline for tobacco cessation. Chest, 121, 932-1. https://doi.org/10.1378/chest.121.3.932
  2. Cornuz J (2007). Smoking cessation interventions in clinical practice. Eur J Vasc Endovasc Surg, 34, 397-404. https://doi.org/10.1016/j.ejvs.2007.06.009
  3. Dikshit, R, Gupta PC, Ramasundarahettige C, et al (2012). Cancer mortality in India: a nationally representative survey. Lancet, 379, 1807-6. https://doi.org/10.1016/S0140-6736(12)60358-4
  4. Fiore MC, Jaén CR, Baker TB, et al (2009) Treating tobacco use and dependence: 2008 Update: Quick Reference Guide for Clinicians. Rockville, MD: U.S. Department of Health and Human Services. Public Health Service.
  5. Gajalakshmi V, Peto R, Kanaka TS, et al (2003). Smoking and mortality from tuberculosis and other diseases in India: retrospective study of 43000 adult male deaths and 35000 controls. Lancet, 362, 507-5. https://doi.org/10.1016/S0140-6736(03)14109-8
  6. Graham H (2012). Smoking, stigma and social class. J Social Policy, 41, 83-9. https://doi.org/10.1017/S004727941100033X
  7. Jayakrishnan R, Mathew A, Uutela A, et al (2011). A community based smoking cessation intervention trial for rural kerala, india – preliminary results. Asian Pac J Cancer Prev, 12, 3191-5.
  8. Jayakrishnan R, Mathew A, Lekshmi K, et al (2012). Assessment of Nicotine Dependence among Smokers in a Selected Rural Population in Kerala, India. Asian Pac J Cancer Prev, 13, 2663-7. https://doi.org/10.7314/APJCP.2012.13.6.2663
  9. Jha P, Jacob B, Gajalakshmi V, et al (2008). A nationally representative case-control study of smoking and death in India. N Engl J Med, 358, 1137-47. https://doi.org/10.1056/NEJMsa0707719
  10. King A, Sanchez-Johnsen L, Van Orman S, et al (2008). A pilot community-based intensive smoking cessation intervention in African Americans: Feasibility, acceptability and early outcome indicators. J Natl Med Assoc, 100, 208-17.
  11. Kumar R, Kushwah AS, Gopal C, et al (2007). Smoking cessation interventions and continuous abstinence rate at one year. Indian J Chest Dis Allied Sci, 49, 201-7.
  12. Kumar MS, Sarma PS, Thankappan KR (2012). Communitybased group intervention for tobacco cessation in rural Tamil Nadu, India: a cluster randomized trial. J Subst Abuse Treat, 43, 53-60. https://doi.org/10.1016/j.jsat.2011.10.026
  13. Lancaster T, Stead LF (2005). Individual behavioural counselling for smoking cessation. Cochrane Database Syst Rev, 2, 1292.
  14. Mackay J, Eriksen M, Shafey O (2006). The Tobacco Atlas 2nd edition. Atlanta: American Cancer Society, 1106-7.
  15. Mathers CD, Loncar D (2006). Projections of global mortality and burden of disease from 2002 to 2030. PLoS Med, 3, 442. https://doi.org/10.1371/journal.pmed.0030442
  16. Murthy P, Sadicha S (2010). Tobacco cessation services in India. Recent developments and the need for expansion. Indian J Cancer, 47, 69-4. https://doi.org/10.4103/0019-509X.63873
  17. Oncken C, McKee S, Sarin K, et al (2005). Knowledge and perceived risk of smoking-related conditions: a survey of cigarette smokers. Prev Med, 40, 779-4. https://doi.org/10.1016/j.ypmed.2004.09.024
  18. Owen N, Davis MJ (1990). Smokers preferences for assistance with smoking cessation. Prev Med, 19, 424-1. https://doi.org/10.1016/0091-7435(90)90040-Q
  19. Pai A, Prasad S (2012). Attempting tobacco cessation - an oral physician's perspective. Asian Pac J Cancer Prev, 13, 4973-7. https://doi.org/10.7314/APJCP.2012.13.10.4973
  20. Parkin DM, Bray F, Ferlay J, et al (2005). Global cancer statistics 2002. CA Cancer J Clin, 55, 74-08. https://doi.org/10.3322/canjclin.55.2.74
  21. Peto R, Darby S, Deo H, et al (2000). Smoking, smoking cessation and lung cancer in the UK since 1950: combination of national statistics with two case control studies. BMJ, 321, 323-9. https://doi.org/10.1136/bmj.321.7257.323
  22. Rani M, Bonu S, Jha P, et al (2003). Tobacco use in India: Prevalence and predictors of smoking and chewing in a nationally representative cross sectional household survey. Tob Control, 12, 4. https://doi.org/10.1136/tc.12.4.e4
  23. Stead LF, Lancaster T (2012). Behavioural interventions as adjuncts to pharmacotherapy for smoking cessation. Cochrane Database of Systematic Reviews, 12, 9670.
  24. Stead LF, Perera R, Lancaster T (2006). Telephone counselling for smoking cessation. Cochrane Database of Systematic Reviews, 3, 2850.
  25. Stead LF, Bergson G, Lancaster T (2008). Physician advice for smoking cessation. Cochrane Database of Systematic Reviews, 2. CD 000165.
  26. Thankappan KR, Mini GK, Daivadanam M, et al (2013). Smoking cessation among diabetes patients: results of a pilot randomized controlled trial in Kerala, India. BMC Public Health, 13, 47. https://doi.org/10.1186/1471-2458-13-47
  27. Tobacco use. Global Adult Tobacco Survey: India Report 2009-2010 (2010). Ministry of Health and Family Welfare, Government of India. pp:1-36.
  28. Varghese C, Kaurb J, Desaic NG, et al (2012). Initiating tobacco cessation services in India: challenges and opportunities. WHO South-East Asia J Public Health, 1, 159-8.
  29. Weinstein ND, Marcus SU, Moser RP (2005). Smokers' unrealistic optimism about their risk. Tob Control, 14, 55-9. https://doi.org/10.1136/tc.2004.008375

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