Efficacy of standard nicotine replacement therapy (NRT) versus video-assisted nurse-led NRT on tobacco cessation: A randomized controlled pilot trial
Introduction: Nicotine effectiveness has been tested in multiple forms to stop tobacco use. However, the evidence remains inconclusive for the efficacy of a single nicotine intervention. This study aims to test the efficacy of a nurse-led video-assisted nicotine replacement therapy (NRT) to standard...
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| Format: | Article |
| Language: | English |
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Elsevier
2021-01-01
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| Series: | Clinical Epidemiology and Global Health |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2213398420301871 |
| _version_ | 1819290791590232064 |
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| author | Hoineiting Rebecca Haokip Dr Rajesh Kumar Dr Vikram Singh Rawat Dr Suresh Kumar Sharma |
| author_facet | Hoineiting Rebecca Haokip Dr Rajesh Kumar Dr Vikram Singh Rawat Dr Suresh Kumar Sharma |
| author_sort | Hoineiting Rebecca Haokip |
| collection | DOAJ |
| description | Introduction: Nicotine effectiveness has been tested in multiple forms to stop tobacco use. However, the evidence remains inconclusive for the efficacy of a single nicotine intervention. This study aims to test the efficacy of a nurse-led video-assisted nicotine replacement therapy (NRT) to standard NRT on tobacco addiction and cessation among tobacco users. Design: Randomised controlled trial (RCT) comparing two study groups (41/group) with blinded follow-up at two and four weeks. A video-assisted nurse-led NRT and routine standard treatment groups are compared. A weekly call reminder was placed to the video-assisted nurse-led group to take nicotine gum/lozenge and to attend follow-up regularly. Measures: Primary endpoints at two and four weeks were self-reported addiction status and tobacco cessation. A standardized urine cotinine test was performed to validate self-reported addiction status at five weeks. Results: Addiction status was significantly (p < 0.001) improved in the video-assisted nurse-led NRT group. A significant improvement was observed in importance (p < 0.001) to quit tobacco at two weeks of follow-ups. The participants in the nurse-led group enable to boost their readiness (p < 0.001) to quit tobacco at the second and fourth-week follow-ups. There was a significant reduction in urine cotinine levels at 5th week (OR: 2.79, CI 1.26–6.18) in the nurse-led NRT group. Conclusions: A video-assisted nurse-led nicotine replacement therapy found effective in reducing tobacco use. Developing culturally appropriate material and technology use can be a cost-effective means to curb the problem of tobacco and substance abuse. |
| first_indexed | 2024-12-24T03:28:21Z |
| format | Article |
| id | doaj.art-4968308d69aa44c393b4f768720806ca |
| institution | Directory Open Access Journal |
| issn | 2213-3984 |
| language | English |
| last_indexed | 2024-12-24T03:28:21Z |
| publishDate | 2021-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Clinical Epidemiology and Global Health |
| spelling | doaj.art-4968308d69aa44c393b4f768720806ca2022-12-21T17:17:17ZengElsevierClinical Epidemiology and Global Health2213-39842021-01-019141146Efficacy of standard nicotine replacement therapy (NRT) versus video-assisted nurse-led NRT on tobacco cessation: A randomized controlled pilot trialHoineiting Rebecca Haokip0Dr Rajesh Kumar1Dr Vikram Singh Rawat2Dr Suresh Kumar Sharma3College of Nursing, All India Institute of Medical Sciences (AIIMS), Rishikesh, Uttarakhand, 249203, IndiaCollege of Nursing, All India Institute of Medical Sciences (AIIMS), Rishikesh, Uttarakhand, 249203, India; Corresponding author.Department of Psychiatry, All India Institute of Medical Sciences (AIIMS), Rishikesh, Uttarakhand, 249203, IndiaCollege of Nursing, All India Institute of Medical Sciences (AIIMS), Rishikesh, Uttarakhand, 249203, IndiaIntroduction: Nicotine effectiveness has been tested in multiple forms to stop tobacco use. However, the evidence remains inconclusive for the efficacy of a single nicotine intervention. This study aims to test the efficacy of a nurse-led video-assisted nicotine replacement therapy (NRT) to standard NRT on tobacco addiction and cessation among tobacco users. Design: Randomised controlled trial (RCT) comparing two study groups (41/group) with blinded follow-up at two and four weeks. A video-assisted nurse-led NRT and routine standard treatment groups are compared. A weekly call reminder was placed to the video-assisted nurse-led group to take nicotine gum/lozenge and to attend follow-up regularly. Measures: Primary endpoints at two and four weeks were self-reported addiction status and tobacco cessation. A standardized urine cotinine test was performed to validate self-reported addiction status at five weeks. Results: Addiction status was significantly (p < 0.001) improved in the video-assisted nurse-led NRT group. A significant improvement was observed in importance (p < 0.001) to quit tobacco at two weeks of follow-ups. The participants in the nurse-led group enable to boost their readiness (p < 0.001) to quit tobacco at the second and fourth-week follow-ups. There was a significant reduction in urine cotinine levels at 5th week (OR: 2.79, CI 1.26–6.18) in the nurse-led NRT group. Conclusions: A video-assisted nurse-led nicotine replacement therapy found effective in reducing tobacco use. Developing culturally appropriate material and technology use can be a cost-effective means to curb the problem of tobacco and substance abuse.http://www.sciencedirect.com/science/article/pii/S2213398420301871Nicotine replacement therapyNurse-ledVideo-assistedAddictionTobaccoCessation |
| spellingShingle | Hoineiting Rebecca Haokip Dr Rajesh Kumar Dr Vikram Singh Rawat Dr Suresh Kumar Sharma Efficacy of standard nicotine replacement therapy (NRT) versus video-assisted nurse-led NRT on tobacco cessation: A randomized controlled pilot trial Clinical Epidemiology and Global Health Nicotine replacement therapy Nurse-led Video-assisted Addiction Tobacco Cessation |
| title | Efficacy of standard nicotine replacement therapy (NRT) versus video-assisted nurse-led NRT on tobacco cessation: A randomized controlled pilot trial |
| title_full | Efficacy of standard nicotine replacement therapy (NRT) versus video-assisted nurse-led NRT on tobacco cessation: A randomized controlled pilot trial |
| title_fullStr | Efficacy of standard nicotine replacement therapy (NRT) versus video-assisted nurse-led NRT on tobacco cessation: A randomized controlled pilot trial |
| title_full_unstemmed | Efficacy of standard nicotine replacement therapy (NRT) versus video-assisted nurse-led NRT on tobacco cessation: A randomized controlled pilot trial |
| title_short | Efficacy of standard nicotine replacement therapy (NRT) versus video-assisted nurse-led NRT on tobacco cessation: A randomized controlled pilot trial |
| title_sort | efficacy of standard nicotine replacement therapy nrt versus video assisted nurse led nrt on tobacco cessation a randomized controlled pilot trial |
| topic | Nicotine replacement therapy Nurse-led Video-assisted Addiction Tobacco Cessation |
| url | http://www.sciencedirect.com/science/article/pii/S2213398420301871 |
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