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A Naturalistic Study of an Australian Smoking Cessation Model in a Victorian Community Health Service With 12-Month Follow-Up

Published online by Cambridge University Press:  21 February 2012

Christine Buckley ,
Diane O'Dowd ,
Katherine Gannon  and
Mark Brennan
Christine Buckley*
Affiliation:
Colac Area Health, Colac, Victoria, Australia. [email protected]
Diane O'Dowd
Affiliation:
Colac Area Health, Colac, Victoria, Australia.
Katherine Gannon
Affiliation:
Colac Area Health, Colac, Victoria, Australia.
Mark Brennan
Affiliation:
Colac Area Health, Colac, Victoria, Australia.
*
*Address for correspondence: Christine Buckley, Colac Area Health, 2–28 Connor Street, Colac VIC 3250, Australia.
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Abstract

The current practice of treating smokers as a homogenous group fails to recognise and adequately address the vast range (10–80ng/mL) of nicotine plasma levels (Russell, 1990) found among smokers. The Bittoun Model (Bittoun, 2006) individualises treatment according to the level of nicotine dependency. A total of 115 participants were enrolled in a 12-month program review based on the Bittoun Combination Nicotine Replacement Therapy (NRT) Algorithm (Bittoun, 2006). Participants found to be non nicotine dependent (Fagerstrom Test for Nicotine Dependence [FTND] = 0) (Heatherton et al., 1991) were excluded from the study. At 3 months, 52% (n = 99) of participants were total abstainers (self-reporting and expired CO ≤ 5ppm). Outcomes at 6 months (n = 58) and 12 months (n = 18; self-reporting) were 48% and 33% respectively. The Bittoun Model of Smoking Cessation offers an efficacious strategy for the assessment, management and delivery of tobacco intervention for the hard to treat smoker.

Type
Articles
Information
Journal of Smoking Cessation , Volume 2 , Issue 2 , 01 November 2007 , pp. 54 - 58
Copyright
Copyright © Cambridge University Press 2007

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