DOI QR코드

DOI QR Code

Effectiveness of Individual and Group Counseling for Cessation of Tobacco Habit Amongst Industrial Workers in Pimpri, Pune - An Interventional Study

  • Published : 2013.02.28

Abstract

Background: In India, tobacco consumption is responsible for one of the highest rates of oral cancer in the world, the annual oral cancer incidence is steadily increasing among young tobacco users. Studies have documented efforts taken by physicians, doctors and even dentists, in the form of individual or group counseling to curb tobacco use in smoke or smokeless form. However, which one is more effective, still remains an unanswered question. The aim of the study was to compare the effectiveness of individual and group counseling for cessation of the tobacco habit amongst industrial workers in Pune and to compare quit rates. Materials and methods: An interventional study design was selected for 150 industrial workers which were stratified randomly into three groups (control, individual and group counseling groups) and interventions were provided to individual and group counseling groups over a period of six months, which were then compared with the control group that received brief intervention at the start of the study. Results: There was significant difference in the quit rates of the participants in the individual counseling group (ICG) and group counseling group (GCG) when compared at 6 months with the control counseling group (CCG). In the individual counseling group was 6% while in group counseling group it was 7.5% after six months of counseling. Conclusions: No conclusion could be drawn whether individual or group counseling were better interms of quit rates. Individual and group counseling groups were definitely better than the control group when compared at 3 and 6 months, respectively.

Keywords

References

  1. Abdullah AS, Zhou J, Huang D, et al (2010). Smoking status and cessation counseling practices among physicians, Guangxi, China, 2007. Prev Chronic Dis, 7, 15.
  2. Abroms LC, Padmanabhan N, Thaweethai L, Phillips T (2011). iPhone apps for smoking cessation: a content analysis. Am J Prev Med, 40, 279-85. https://doi.org/10.1016/j.amepre.2010.10.032
  3. Albert D, Ward A (2012). Tobacco cessation in the dental office. Dent Clin North Am, 56, 747-70. https://doi.org/10.1016/j.cden.2012.07.004
  4. Balhara YP, Jain R, Sundar AS, Sagar R (2012). Use of cotinine urinalysis to verify self-reported tobacco use among male psychiatric out-patients. Lung India, 29, 217-20. https://doi.org/10.4103/0970-2113.99102
  5. Benowitz NL (2010). Nicotine addiction. N Engl J Med, 362, 2295-303. https://doi.org/10.1056/NEJMra0809890
  6. Bier MC, Zwarun L, Fehrmann WV (2011). Getting universal primary tobacco use prevention into priority area schools: a media literacy approach. Hlth Promot Pract, 126, 152-8.
  7. Bhan N, Srivastava S, Agrawal S, et al (2012). Are socioeconomic disparities in tobacco consumption increasing in India? A repeated cross-sectional multilevel analysis. BMJ Open, 2, 5.
  8. Carr AB, Ebbert J (2012). Interventions for tobacco cessation in the dental setting. Cochrane Database Syst Rev, 13, 6.
  9. Carson KV, Verbiest ME, Crone MR, et al (2012). Training health professionals in smoking cessation. Cochrane Database Syst Rev, 16, 5.
  10. Dikshit R, Gupta PC, Ramasundarahestige C, et al (2012). Cancer mortality in India: a nationally representative survey. Lancet, 12, 1807-16.
  11. Duaso M, Duncan D (2012). Health impact of smoking and smoking cessation strategies: current evidence. Br J Community Nurs, 17, 356-63. https://doi.org/10.12968/bjcn.2012.17.8.356
  12. Ebbert JO, Patten CA, Schroeder DR (2006). The Fagerstrom test for nicotine dependence-smokeless tobacco (FTND-ST). Addict Behav, 31, 1716-21. https://doi.org/10.1016/j.addbeh.2005.12.015
  13. Fiore MC, Baker TB (2011). Treating smokers in the health care setting. N Engl J Med, 365, 1222-31. https://doi.org/10.1056/NEJMcp1101512
  14. Gonseth S, Abarca M, Madrid C, Cornuz J (2010). A pilot study combining individual-based smoking cessation counseling, pharmacotherapy, and dental hygiene intervention. BMC Public Hlth, 10, 348. https://doi.org/10.1186/1471-2458-10-348
  15. Gupta B, Ariyawardana A, Johnson NW (2013). Oral cancer in India continues in epidemic proportions: evidence based and policy initiatives. Int Dent J, 63, 12-25. https://doi.org/10.1111/j.1875-595x.2012.00131.x
  16. Heatherton TF, Kozlowski LT, Frecker RC, Fagerstrom KO (1991). The Fagerstrom test for nictoine dependence: a revision of the Fagerstrom tolerance questionnaire. Br J Addict, 86, 1119-27. https://doi.org/10.1111/j.1360-0443.1991.tb01879.x
  17. Hou H, Xiong W, Zhang X, et al (2012). XLC-MS-MS measurements of urinary creatinine and the application of creatinine normalization technique on cotinine in smokers' 24 hour urine. J Anal Methods Chem, 245, 415.
  18. Kakde S, Bhopal RS, Jones CM (2012). A systematic review on the social context of smokeless tobacco use in the South Asian population: implications for public health. Public Hlth, 126, 635-45. https://doi.org/10.1016/j.puhe.2012.05.002
  19. Lal PG, WilsonNC, Gupta PC (2012). Attributable deaths from smoking in the last 100 years in India. Current Science, 103, 1085-90.
  20. Lim SG, Chung WJ, Kim HJ, et al (2010). The influence of housing tenure and marital status on smoking in South Korea. Health Policy, 94, 101-10. https://doi.org/10.1016/j.healthpol.2009.08.013
  21. Lim HK, Ghazali SM, Kee CC, et al (2013). Epidemiology of smoking among Malaysian adult males: prevalence and associated factors. BMC Public Hlth, 13, 8. https://doi.org/10.1186/1471-2458-13-8
  22. Hughes MC, Yette EM, Hannon PA, et al (2011). Promoting tobacco cessation via the workplace: opportunities for improvement. Tob Control, 20, 305-8. https://doi.org/10.1136/tc.2010.041038
  23. Mark A, Ramseier CA, Katalin B, et al (2012). Current concepts in tobacco cessation and prevention. Fogorv Sz, 105, 99-103.
  24. Murthy P, Saddichha S (2010). Tobacco cessation services in India: Recent developments and the need for expansion. Indian J Cancer, 47, 69-74. https://doi.org/10.4103/0019-509X.63873
  25. 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
  26. Pampel FC, Denney, JT, Krueger PM (2011). Cross-national sources of health inequality: education and tobacco use in the world health survey. Demography, 48, 653-74. https://doi.org/10.1007/s13524-011-0027-2
  27. Pandey S, Lin Y (2013). Tobacco Use among married women in Nepal: the role of women's empowerment. Matern Child Health J, 17, 530-8. https://doi.org/10.1007/s10995-012-1027-6
  28. Pimple S, Pednekar M, Mazumdar P, et al (2012a). Predictors of quitting tobacco--results of a worksite tobacco cessation service program among factory workers in Mumbai, India. Asian Pac J Cancer Prev, 13, 533-8. https://doi.org/10.7314/APJCP.2012.13.2.533
  29. Pimple S, Pednekar M, Mazumdar P, et al (2012b). An integrated approach to worksite tobacco use prevention and oral cancer screening among factory workers in Mumbai, India. Asian Pac J Cancer Prev, 13, 527-32. https://doi.org/10.7314/APJCP.2012.13.2.527
  30. Prabhakar B, Narake SS, Pednekar MS (2012). Social disparities in tobacco use in India: The roles of occupation, education and gender. Indian J Cancer, 49, 401-9. https://doi.org/10.4103/0019-509X.107747
  31. Prakash P, Belek MG, Grimes B, et al (2012). Dentists' attitudes, behaviors, and barriers related to tobacco-use cessation in the dental setting. J Public Health Dent.
  32. Raupach T, Falk J, Vangeli E, et al (2012). Structured smoking cessation training for health professionals on cardiology wards: a prospective study. Eur J Prev Cardiol.
  33. Rigotti NA (2012). Strategies to help a smoker who is struggling to quit. JAMA, 308 , 1573-80. https://doi.org/10.1001/jama.2012.13043
  34. Rosenthal L, Carroll-Scott A, Earnshaw VA, et al (2013). Targeting cessation: Understanding barriers and motivations to quitting among urban adult daily tobacco smokers. Addict Behav, 38, 1639-42. https://doi.org/10.1016/j.addbeh.2012.09.016
  35. Rose JE, Behm FM, Drgon T, et al (2010). Personalized smoking cessation: interactions between nicotine dose, dependence and quit-success genotype score. Mol Med, 16, 247-53.
  36. Stead LF, Lancaster T (2012). Combined pharmacotherapy and behavioural interventions for smoking cessation. Cochrane Database Syst Rev, 17, 10.
  37. Strayer SM, Heim SW, Rollins LK, et al (2013). Improving smoking cessation counseling using a point-of-care health intervention tool (IT): From the Virginia Practice Support and Research Network (VaPSRN). J Am Board Fam Med, 26, 116-25. https://doi.org/10.3122/jabfm.2013.02.110078
  38. Thankappan K, Mini G, Daivadanam M, et al (2013). Smoking cessation among diabetes patients: results of a pilot randomized controlled trial in Kerala, India. BMC Public Hlth, 18, 13-47.
  39. Tsiapa G, Gkiozos I, Souliotis K, Syrigos K (2013). Smoking cessation strategies in patients with lung disease. In Vivo, 27, 171-6.
  40. US Department of Health and Human Services (2010). Ending the tobacco epidemic: a tobacco control strategic action plan for the US department of health and human services. Washington, DC: Office of the Assistant Secretary for Health. http://www.hhs.gov/ash/initiatives/tobacco/tobaccostrategicplan2010 .pdf. (Accessed: March, 2013).
  41. Venkatesh S, Sinha DN (2012). Involvement of health professionals in tobacco control in the South-East Asia region. Indian J Cancer, 49, 327-35. https://doi.org/10.4103/0019-509X.107721
  42. Vidrine JI, Shete S, Cao Y, et al (2013). Ask-advise-connect: A new approach to smoking treatment delivery in health care settings. JAMA Intern Med, 25, 1-7.
  43. Whittaker R, McRobbie H, Bullen C, et al (2012). Mobile phone-based interventions for smoking cessation. JAMA, 308, 1573-80. https://doi.org/10.1001/jama.2012.13043
  44. Yong HH, Siahpush M, Borland R, et al (2012). Urban Chinese smokers from lower socioeconomic backgrounds face more barriers to quitting: results from the international tobacco control-china survey. Nicotine Tob Res (Epub ahead of print).

Cited by

  1. A Study on Lung Cancer in Jianghan Plain vol.06, pp.12, 2014, https://doi.org/10.4236/health.2014.612164
  2. A Meta-Analysis of Brief Tobacco Interventions for Use in Integrated Primary Care pp.1469-994X, 2017, https://doi.org/10.1093/ntr/ntx212