Effectiveness of advice from physician and nurse on smoking cessation stage in Taiwanese male smokers attending a community-based integrated screening program
Introduction A screening program provides a teachable moment for primary prevention such as encouraging smoking cessation. However, little is known about the efficacy of smoking cessation intervention delivered to the general population through a community-based screening program. Material and Meth...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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European Publishing
2016-04-01
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| Series: | Tobacco Induced Diseases |
| Subjects: | |
| Online Access: | http://www.journalssystem.com/tid/Effectiveness-of-advice-from-physician-and-nurse-on-smoking-cessation-stage-in-Taiwanese-male-smokers-attending-a-community-based-integrated-screening-program,67234,0,2.html |
| _version_ | 1819050011281850368 |
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| author | Dih-Ling Luh Sam Li-Sheng Chen Amy Ming-Fang Yen Sherry Yueh-Hsia Chiu Ching-Yuan Fann Hsiu-Hsi Chen |
| author_facet | Dih-Ling Luh Sam Li-Sheng Chen Amy Ming-Fang Yen Sherry Yueh-Hsia Chiu Ching-Yuan Fann Hsiu-Hsi Chen |
| author_sort | Dih-Ling Luh |
| collection | DOAJ |
| description | Introduction
A screening program provides a teachable moment for primary prevention such as encouraging smoking cessation. However, little is known about the efficacy of smoking cessation intervention delivered to the general population through a community-based screening program.
Material and Methods
A quasi-experimental untreated control design with pre-test and post-test was conducted with 42 subjects receiving advice from physician and nurses (the PNA group), 39 receiving an informational leaflet (the leaflet group), and 308 control subjects.
Results
The overall rate of reaching the action stage was 25 %, 5.7 %, and 7.8 in the PNA group, the leaflet group, and the control group, respectively. In approximately 45–60 % of all participants, the stage remained unchanged. Such an association between the intervention groups and stage changes was statistically significant (p = 0.02). The PNA group was more likely to have the improvement of stage (forward transition toward action stage) than the control group [adjusted odds ratio (aOR) = 2.27 (1.07–4.84)]. Deterioration (backward transition toward precontemplation) in the PNA intervention group was 37 % lower than that in the control group [aOR = 0.63 (0.20–2.01)].
Conclusions
This study demonstrated that smoking cessation advice from physician and nurse is conducive to smoking cessation, as shown by greater movement toward and less movement away from smoking cessation through a community-based integrated screening platform. |
| first_indexed | 2024-12-21T11:41:15Z |
| format | Article |
| id | doaj.art-5f01097ad846421f9e5afa0d6894751e |
| institution | Directory Open Access Journal |
| issn | 1617-9625 |
| language | English |
| last_indexed | 2024-12-21T11:41:15Z |
| publishDate | 2016-04-01 |
| publisher | European Publishing |
| record_format | Article |
| series | Tobacco Induced Diseases |
| spelling | doaj.art-5f01097ad846421f9e5afa0d6894751e2022-12-21T19:05:18ZengEuropean PublishingTobacco Induced Diseases1617-96252016-04-0114April10.1186/s12971-016-0080-067234Effectiveness of advice from physician and nurse on smoking cessation stage in Taiwanese male smokers attending a community-based integrated screening programDih-Ling Luh0Sam Li-Sheng Chen1Amy Ming-Fang Yen2Sherry Yueh-Hsia Chiu3Ching-Yuan Fann4Hsiu-Hsi Chen5Department of Public Health, Chung Shan Medical University, Taichung, TaiwanSchool of Oral Hygiene, College of Oral Medicine, Taipei Medical University, Taipei, TaiwanSchool of Oral Hygiene, College of Oral Medicine, Taipei Medical University, Taipei, TaiwanDepartment of Health Care Management, College of Management, Chang Gung University, Taoyuan, TaiwanDepartment of Health Industry Management, Kainan University, Taoyuan, TaiwanGraduate Institute of Epidemiology and Preventive Medicine, College of Public Health, National Taiwan University, Taipei, TaiwanIntroduction A screening program provides a teachable moment for primary prevention such as encouraging smoking cessation. However, little is known about the efficacy of smoking cessation intervention delivered to the general population through a community-based screening program. Material and Methods A quasi-experimental untreated control design with pre-test and post-test was conducted with 42 subjects receiving advice from physician and nurses (the PNA group), 39 receiving an informational leaflet (the leaflet group), and 308 control subjects. Results The overall rate of reaching the action stage was 25 %, 5.7 %, and 7.8 in the PNA group, the leaflet group, and the control group, respectively. In approximately 45–60 % of all participants, the stage remained unchanged. Such an association between the intervention groups and stage changes was statistically significant (p = 0.02). The PNA group was more likely to have the improvement of stage (forward transition toward action stage) than the control group [adjusted odds ratio (aOR) = 2.27 (1.07–4.84)]. Deterioration (backward transition toward precontemplation) in the PNA intervention group was 37 % lower than that in the control group [aOR = 0.63 (0.20–2.01)]. Conclusions This study demonstrated that smoking cessation advice from physician and nurse is conducive to smoking cessation, as shown by greater movement toward and less movement away from smoking cessation through a community-based integrated screening platform.http://www.journalssystem.com/tid/Effectiveness-of-advice-from-physician-and-nurse-on-smoking-cessation-stage-in-Taiwanese-male-smokers-attending-a-community-based-integrated-screening-program,67234,0,2.htmlcommunityinterventionsmoking cessationtranstheoretical mode |
| spellingShingle | Dih-Ling Luh Sam Li-Sheng Chen Amy Ming-Fang Yen Sherry Yueh-Hsia Chiu Ching-Yuan Fann Hsiu-Hsi Chen Effectiveness of advice from physician and nurse on smoking cessation stage in Taiwanese male smokers attending a community-based integrated screening program Tobacco Induced Diseases community intervention smoking cessation transtheoretical mode |
| title | Effectiveness of advice from physician and nurse on smoking cessation stage in Taiwanese male smokers attending a community-based integrated screening program |
| title_full | Effectiveness of advice from physician and nurse on smoking cessation stage in Taiwanese male smokers attending a community-based integrated screening program |
| title_fullStr | Effectiveness of advice from physician and nurse on smoking cessation stage in Taiwanese male smokers attending a community-based integrated screening program |
| title_full_unstemmed | Effectiveness of advice from physician and nurse on smoking cessation stage in Taiwanese male smokers attending a community-based integrated screening program |
| title_short | Effectiveness of advice from physician and nurse on smoking cessation stage in Taiwanese male smokers attending a community-based integrated screening program |
| title_sort | effectiveness of advice from physician and nurse on smoking cessation stage in taiwanese male smokers attending a community based integrated screening program |
| topic | community intervention smoking cessation transtheoretical mode |
| url | http://www.journalssystem.com/tid/Effectiveness-of-advice-from-physician-and-nurse-on-smoking-cessation-stage-in-Taiwanese-male-smokers-attending-a-community-based-integrated-screening-program,67234,0,2.html |
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