Increasing reach for smoking cessation service in primary care setting
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Thailand National Quitline, Thailand
Publication date: 2018-03-01
Tob. Induc. Dis. 2018;16(Suppl 1):A864
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ABSTRACT
Background and challenges to implementation:
Thailand National Quitline (TNQ) has been established in order to provide
smoking cessation service for Thai smokers. Almost a decade, the TNQ has been
promoted based on television advertising which were very costly. Consequently,
this study aims to develop the consolidation between the TNQ service and
primary care service in order to Increasing reach for smoking cessation service
in primary care setting in accordance with the policy of The WHO Framework
Convention on Tobacco Control (WHO FCTC). Furthermore, this will be a new
approach for effective and sustainable quitline promotion strategy.
Intervention or response:
The study design was a quasi- experimental design which divided the subjects
into experimental (n = 123) and control (n = 108) groups from primary health
care community centers. For the experimental group, the subjects received brief
intervention aimed at increasing intention to quit by village health volunteers
who were trained and equipped with smoking cessations toolkits for providing
smoking cessation service in primary care settings, whereas the control group
the subjects received usual care. Relative
risk was used to analyze the ratio of the probability of the outcomes between
experimental and control group.
Results and lessons learnt:
The findings revealed that participants in the experimental group, 62.60% in the
control group, 5.56% [RR 28.46 (95%CI = 11.56,
70.04)] could
access to smoking cessation service by the TNQ. It is considered that the
new intervention can successfully Increasing reach for Thai smokers in the
community, thus, Increasing smoking service accessibility. .
Conclusions and key recommendations:
Promoting the TNQ service in the
primary care setting significantly increased the proportion among Thai smokers
to access the smoking cessation service. Consequently, the expanded reach to smoking cessation
service in primary care setting are advantageous for smokers
in community.