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Preventive Medicine 2018
Journal of Preventive Medicine
ISSN: 2572-5483
Page 63
July 16-17, 2018
London, UK
9
th
Edition of International Conference on
Preventive Medicine
& Public Health
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.
weeleihum@ukm.edu.myAre 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?
Wee Lei Hum
1
, Komathi Perialathan
2
, Ho Bee Kiau
2
, Azman Ahmad
2
, Aziman Mah-
di
2
, Abu Bakar Abdul Rahman
2
, Swinderjit Jagsingh
3
, Lena Yeap
1
and
Mohd Haniki
Nik Mohammed
4
1
National University of Malaysia, Malaysia
2
Ministry of Health Malaysia, Malaysia
3
National Cancer Society of Malaysia, Malaysia
4
International Islamic University Malaysia, Malaysia
J Prev Med 2018, Volume 3
DOI: 10.21767/2572-5483-C1-003