Effectiveness of advice from physician and nurse on smoking cessation stage in Taiwanese male smokers attending a community-based integrated screening program
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Department of Public Health, Chung Shan Medical University, Taichung, Taiwan
Department of Family and Community Medicine, Chung Shan Medical University Hospital, Taichung, Taiwan, ROC
School of Oral Hygiene, College of Oral Medicine, Taipei Medical University, Taipei, Taiwan
Department of Health Care Management, College of Management, Chang Gung University, Taoyuan, Taiwan
Department of Health Industry Management, Kainan University, Taoyuan, Taiwan
Graduate Institute of Epidemiology and Preventive Medicine, College of Public Health, National Taiwan University, Taipei, Taiwan
Submission date: 2015-10-22
Acceptance date: 2016-04-12
Publication date: 2016-04-23
Corresponding author
Dih-Ling Luh   

Department of Public Health, Chung Shan Medical University, No.110, Sec. 1, Chien-Kuo N. Road, Taichung 40201, Taiwan
Tobacco Induced Diseases 2016;14(April):15
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.

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.

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)].

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.

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