Introduction:
Most smokers cannot stop smoking effectively by himself. Before 2015 Seka Hospital used 1 village health volunteer monitoring smoker 5-10 person, could stop smoking by 5% .Having a network to monitor and support various processes will be the most effective and together with the novel program(DUO)

Objectives:
This study aimed to investigate the efficacy of novel program (DUO) for smoking cessation in Khambon community, Buengkan province.

Methods:
The study design was pretest-posttest control-group. In total, 1,299 smokers were recruited from October 2016 to September 2017. Participants were divided into three groups: a group receiving consultation and exercise twice a week (n=50), a group receiving consultation and exercise once a month (n=250), and a control group (n=999). A village health volunteer was assigned to each participant in the first two groups, i.e. those receiving consultation and exercise. They provided consultation and exercise focusing on cardiopulmonary system regularly to assigned smokers for 6 months. The control group received normal home visits by village health volunteers. A researcher assessed smoking cessation rate in the groups before and after receiving the 6-month intervention.

Results:
After the intervention, all participants (100%) who received consultation and exercise twice a week by village health volunteers quitted smoking. Almost one fifth of participants (19%) who received consultation and exercise once a month by village health volunteers quitted smoking and 81% of them reported a reduction in a number of smoking cigarettes. Only 2% of participants in the control group quitted smoking and 52% of them reduced a number of smoking cigarettes.

Conclusion(s):
In conclusion, the novel program, i.e. having a village health volunteer to provide closely consultation and exercise to each smoker, is a promising intervention to promote smoking cessation. Based on the findings, it seems that the more frequent the consultation and exercise is provided, the more efficacy the intervention become.