Introduction:
Smoking prevalence in Thailand decreased very slowly especially in rural areas where there is a limitation of smoking cessation accessibility. Giving brief advise plus foot reflexology therapy will be studied for providing more alternatives to help smokers to quit.

Objectives:
To evaluate the effect of brief advice plus foot reflexology therapy on the success rate of smoking quit among different nicotine dependent smokers in Thailand.

Methods:
This quasi-experimental research has been actualized in 462 daily smokers in 4 Sub-district Health Promoting hospitals, Ratchaburi Province, Thailand. Daily smokers have got brief advice only on the first day plus a foot massage for 10 days by village health volunteers and health workers. Data were collected pre-test before the intervention and post-test on day 11 and one month by a scheduled interview. Data were analyzed by descriptive statistic and proportional comparison tested by Z-test.

Results:
Almost all of the daily smokers were male (95%) who smoke an average of 15 sticks per day with a period of smoking for 25 years, and more than half were high nicotine dependent. The type of cigarette was different by age. The majority of elderly smoked roll-your-own. Ten days after the intervention, 30% could quit, 31.8% were in the high nicotine dependence group and 29.6% in the low group. There was no significant difference among the different nicotine dependence smokers at the day 11th (z=0.2, p=0.839). A month after the intervention, the overall smoking rate has increased a little bit to 31.7%, while in the high nicotine dependence group the rate was decreased to 27.3% and in the low group increased to 32.7%. Nevertheless, there was no significant difference among the different nicotine dependence smokers at one month (Z=0.5, p=0.623).

Conclusion(s):
Applying foot reflexology therapy in addition to providing brief advice help people to quit smoking effectively. It should be routinized into smoking cessation service in Sub-district Health Promoting hospital.