Hostname: page-component-586b7cd67f-gb8f7 Total loading time: 0 Render date: 2024-11-27T00:14:45.320Z Has data issue: false hasContentIssue false
  • English
  • Français

Challenges for Smoking Cessation Intervention as Part of Primary Health Care Services in Developing Countries

Published online by Cambridge University Press:  09 December 2014

MN Aung ,
Motoyuki Yuasa ,
Saiyud Moolphate ,
Tustomu Kitajima ,
Hiroshi Fukuda ,
Thaworn Lorga  and
Eiji Marui
MN Aung*
Affiliation:
Faculty of Medicine, Chulalongkorn University, Bangkok Thailand
Motoyuki Yuasa
Affiliation:
Department of Public Health, Juntendo University, School of Medicine, Hongo 2-1-1, Bunkyo-ku, Tokyo, Japan
Saiyud Moolphate
Affiliation:
Department of Public Health, Faculty of Science and Technology, Chiang Mai Rajabhat University, Chiang Mai, Thailand
Tustomu Kitajima
Affiliation:
Graduate School of International Cooperation Studies, Kyorin University, Hachioji, Japan
Hiroshi Fukuda
Affiliation:
Department of General Medicine, Juntendo University School of Medicine, Tokyo, Japan
Thaworn Lorga
Affiliation:
Boromrajonani College of Nursing Nakhon Lampang (BCNLP), Lampang, Thailand
Eiji Marui
Affiliation:
Department of Human Arts Sciences, University of Human Arts and Sciences, Saitama, Japan
*
Corresponding Author Dr Myo Nyein Aung, WHO Collaborating Center for Medical Education, 4th Floor Academic affair division, Ananda Mahidol Building, Faculty of Medicine, Chulalongkorn university 1873 Henri Dunant Road, Pathumwan, Bangkok 10330THAILAND Email: [email protected]
Get access Rights & Permissions [Opens in a new window]

Abstract

Background: Smoking cessation is most needed but, least accessible public health intervention in developing countries. Practicality of smoking cessation interventions determines their feasibility to implement in resource-limited setting.

Objectives: This review aimed at identifying strategic mechanisms to launch accessible smoking cessation services within primary health care settings of developing countries.

Methods: The efficacy of smoking cessation methods were reviewed in Cochrane reviews and clinical trials. Relevant research with an outcome of smoking cessation for six months and articles published after 2000 indexed in the PubMed database were reviewed. The practicality of each intervention was narratively appraised with further reviewing relevant effectiveness trials and observational studies.

Finding and discussion: Contemporary evidence favours multi-components smoking cessation strategy combining more than one efficacy-proven methods such as brief advice, nicotine replacement therapy (NRT) and nursing intervention. Future trials to evaluate social and family influences on smoking behaviour in combination with above interventions are necessary. Moreover, training health care professionals in primary health care to implement smoking cessation intervention may overcome human resource insufficiency and ensure smokers’ access to cessation service within the community setting.

Keywords

smoking cessationprimary health caredeveloping countriestobacco
Type
Review Article
Information
Journal of Smoking Cessation , Volume 11 , Issue 4 , December 2016 , pp. 211 - 218
Copyright
Copyright © The Author(s) 2014 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Anthonisen, N. R., Skeans, M. A., Wise, R. A., Manfreda, J., Kanner, R. E., & Connett, J. E. (2005). The effects of a smoking cessation intervention on 14.5-year mortality: a randomized clinical trial. Annals of Internal Medicine, 142 (4), 233–239.Google Scholar
Aung, M. N., Yuasa, M., Lorga, T., Moolphate, S., Fukuda, H., Kitajima, T. et al. (2013). Evidence-based new service package vs. routine service package for smoking cessation to prevent high risk patients from cardiovascular diseases (CVD): Study protocol for randomized controlled trial. Trials, 14 (1), 419.Google Scholar
Aveyard, P., Begh, R., Parsons, A., & West, R. (2012). Brief opportunistic smoking cessation interventions: A systematic review and meta-analysis to compare advice to quit and offer of assistance. Addiction, 107 (6), 1066–1073.Google Scholar
Cabezas, C., Advani, M., Puente, D., Rodriguez-Blanco, T., Martin, C., & Group, Istaps Study. (2011). Effectiveness of a stepped primary care smoking cessation intervention: Cluster randomized clinical trial (ISTAPS study). Addiction, 106 (9), 1696–1706.Google Scholar
Cahill, K., Lancaster, T., & Green, N. (2010). Stage-based interventions for smoking cessation. Cochrane Database for Systematic Reviews, (11), CD004492.Google Scholar
Gilbert, A. R., Pinget, C., Bovet, P., Cornuz, J., Shamlaye, C., & Paccaud, F. (2004). The cost effectiveness of pharmacological smoking cessation therapies in developing countries: A case study in the Seychelles. Tobacco Control, 13 (2), 190–195.CrossRefGoogle ScholarPubMed
Hughes, J. R. (2007). Effects of abstinence from tobacco: Valid symptoms and time course. Nicotine and Tobacco Research, 9 (3), 315–327.CrossRefGoogle ScholarPubMed
Lai, D. T., Cahill, K., Qin, Y., & Tang, J. L. (2010). Motivational interviewing for smoking cessation. Cochrane Database for Systematic Reviews, (1), CD006936.Google Scholar
Lancaster, T., & Stead, L. F. (2005). Individual behavioural counselling for smoking cessation. Cochrane Database for Systematic Reviews, (2), CD001292.Google Scholar
Luker, K. A., Chalmers, K. I., Caress, A. L., & Salmon, M. P. (2007). Smoking cessation interventions in chronic obstructive pulmonary disease and the role of the family: A systematic literature review. Journal of Advanced Nursing, 59 (6), 559–568.Google Scholar
Maneewan, K., Silawan, P., Kulsawet, S., & Lorga, T. (2012). Process of Smoking Cessation among Thai Smokers: A Grounded Theory Study. Paper presented at the 2nd International Conference on Qualitative Research in Nursing & Health. Retrieved from http://www.bcnlp.ac.th/document/research/2556/Process%20Smoking%20Cessation%20POSTER.pdf Google Scholar
May, S., & West, R. (2000). Do social support interventions (‘buddy systems’) aid smoking cessation? A review. Tobacco Control, 9 (4), 415–422.Google Scholar
May, S., West, R., Hajek, P., McEwen, A., & McRobbie, H. (2006). Randomized controlled trial of a social support (‘buddy’) intervention for smoking cessation. Patient Education and Counseling, 64 (1–3), 235–241.Google Scholar
Moore, D., Aveyard, P., Connock, M., Wang, D., Fry-Smith, A., & Barton, P. (2009). Effectiveness and safety of nicotine replacement therapy assisted reduction to stop smoking: Systematic review and meta-analysis. British Medical Journal, 338. http://www.bmj.com/content/338/bmj.b1024.long.Google Scholar
Murray, R. L., Bauld, L., Hackshaw, L. E., & McNeill, A. (2009). Improving access to smoking cessation services for disadvantaged groups: A systematic review. Journal of Public Health, 31 (2), 258–277.CrossRefGoogle ScholarPubMed
Olano-Espinosa, E., Matilla-Pardo, B., Minué, C., Antón, E., Gómez-Gascón, T., & Ayesta, F. J. (2013). Effectiveness of a health professional training program for treatment of tobacco addiction. Nicotine and Tobacco Research, 15 (10), 1682–1689.Google Scholar
Park, E. W., Tudiver, F. G., & Campbell, T. (2012). Enhancing partner support to improve smoking cessation. Cochrane Database for Systematic Reviews, 7, CD002928.Google Scholar
Piné-Abata, H., McNeill, A., Murray, R., Bitton, A., Rigotti, N., & Raw, M. (2013). A survey of tobacco dependence treatment services in 121 countries. Addiction, 108 (8), 1476–1484.CrossRefGoogle ScholarPubMed
Rice, V. H., Hartmann-Boyce, J., & Stead, L. F. (2013). Nursing interventions for smoking cessation. Cochrane Database for Systematic Reviews, 8, CD001188.Google Scholar
Rigotti, N. A. (2013). Smoking cessation in patients with respiratory disease: Existing treatments and future directions. The Lancet Respiratory Medicine, 1 (3), 241–250.Google Scholar
Roig, L., Perez, S., Prieto, G., Martin, C., Advani, M., Armengol, A. et al. (2010). Cluster randomized trial in smoking cessation with intensive advice in diabetic patients in primary care. ITADI Study. BMC Public Health, 10 (1), 58.Google Scholar
Rungruanghiranya, S., Ekpanyaskul, C., Sakulisariyaporn, C., Watcharanat, P., & Akkalakulawas, K. (2012). Efficacy of fresh lime for smoking cessation. Journal of the Medical Association of Thailand, 95 (Suppl. 12), S76–S82.Google ScholarPubMed
Sangthong, R., Wichaidit, W., & Ketchoo, C. (2012). Current situation and future challenges of tobacco control policy in Thailand. Tobacco Control, 21 (1), 49–54.Google Scholar
Siddiqi, K., Khan, A., Ahmad, M., Dogar, O., Kanaan, M., Newell, J. N. et al. (2013). Action to stop smoking in suspected tuberculosis (ASSIST) in Pakistan a cluster randomized, controlled trial. Annals of Internal Medicine, 158 (9), 667–675.Google Scholar
Singal, A. G., Higgins, P. D. R., & Waljee, A. K. (2014). A primer on effectiveness and efficacy trials. (Clinical/Narrative Review). Clinical and Translational Gastroenterology, 5, e45.Google Scholar
Stead, L., F., Buitrago, D., Preciado, N., Sanchez, G., Hartmann-Boyce, J., & Lancaster, T. (2013). Physician advice for smoking cessation. Cochrane Database for Systematic Reviews, (5). Retrieved from http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD000165.pub4/abstract.doi:10.1002/14651858.CD000165.pub4 Google Scholar
Stead, L. F., & Lancaster, T. (2005). Group behaviour therapy programmes for smoking cessation. Cochrane Database for Systematic Reviews, (2), CD001007.Google Scholar
Stead, L. F., & Lancaster, T. (2012). Combined pharmacotherapy and behavioural interventions for smoking cessation. Cochrane Database for Systematic Reviews, 10, CD008286.Google Scholar
Stead, L. F., Perera, R., Bullen, C., Mant, D., Hartmann-Boyce, J., Cahill, K. et al. (2012). Nicotine replacement therapy for smoking cessation. Cochrane Database for Systematic Reviews, 11, CD000146.Google ScholarPubMed
Stewart, D. W., Adams, C. E., Cano, M. A., Correa-Fernández, V., Li, Y., Waters, A. J., et al. (2013). Associations between health literacy and established predictors of smoking cessation. American Journal of Public Health, 103 (7), e43–e49.Google Scholar
Sun, H.-Q., Guo, S., Chen, D.-F., Jiang, Z.-N., Liu, Y., Di, X.-L., et al. (2009). Family support and employment as predictors of smoking cessation success: A randomized, double-blind, placebo-controlled trial of nicotine sublingual tablets in Chinese smokers. American Journal of Drug & Alcohol Abuse, 35 (3), 183–188.Google Scholar
Thankappan, K. R., Mini, G. K., Daivadanam, M., Vijayakumar, G., Sarma, P. S., & Nichter, M. (2013). Smoking cessation among diabetes patients: Results of a pilot randomized controlled trial in Kerala, India. BMC Public Health, 13 (1), 47.Google Scholar
Wang, H., Harrell, J., & Funk, S. (2008). Factors associated with smoking cessation among male adults with coronary heart disease in Taiwan. Journal of Nursing Research (Taiwan Nurses Association), 16 (1), 55–64.Google Scholar
Ward, K. D., Asfar, T., Al, A. R., Rastam, S., Weg, M. W., Eissenberg, T., et al. (2013). Randomized trial of the effectiveness of combined behavioral/pharmacological smoking cessation treatment in Syrian primary care clinics. Addiction, 108 (2), 394–403.Google Scholar
West, R. (2004). ABC of smoking cessation: assessment of dependence and motivation to stop smoking. British Medical Journal, 328 (7435), 338.Google Scholar
Whittaker, R., McRobbie, H., Bullen, C., Borland, R., Rodgers, A., & Gu, Y. (2012). Mobile phone-based interventions for smoking cessation. Cochrane Database for Systematic Reviews, 11, CD006611.Google Scholar
World Health Organization: Cancer: Fact sheet. (2014). Retrieved 22.2.2014, from http://www.who.int/mediacentre/factsheets/fs297/en/ Google Scholar
World Health Organization: Global Health Observatory: Health system response and capacity to address and respond to NCDs. (2013). Retrieved 19.12.2013, from http://www.who.int/gho/ncd/health_system_response/en/ Google Scholar
World Health Organization: Model List of Essential Medicines: 18th list (April 2013). (2013). Retrieved 2.9.2014, from http://www.who.int/medicines/publications/essentialmedicines/en/ Google Scholar
World Health Organization: Report on the global tobacco epidemic, 2013. (2014). Retrieved 15.10.2013, from http://www.who.int/tobacco/global_report/2013/en/index.html Google Scholar
World Health Organization: Tobacco free initiative: Strengthening health systems for treating tobacco dependence in primary care. (2013). From http://www.who.int/tobacco/publications/building_capacity/training_package/treatingtobaccodependence/en/ Google Scholar
World Health Organization: Tobacco Free Initiative (TFI): Tobacco Fact. (2014). Retrieved 23.2.2014, from http://www.who.int/tobacco/mpower/tobacco_facts/en/ Google Scholar