RESEARCH PAPER
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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1
Department of Public Health, Chung Shan Medical University, Taichung, Taiwan
2
Department of Family and Community Medicine, Chung Shan Medical University Hospital, Taichung, Taiwan, ROC
3
School of Oral Hygiene, College of Oral Medicine, Taipei Medical University, Taipei, Taiwan
4
Department of Health Care Management, College of Management, Chang Gung University, Taoyuan, Taiwan
5
Department of Health Industry Management, Kainan University, Taoyuan, Taiwan
6
Graduate Institute of Epidemiology and Preventive Medicine, College of Public Health, National Taiwan University, Taipei, Taiwan
CORRESPONDING AUTHOR
Dih-Ling Luh   

Department of Public Health, Chung Shan Medical University, No.110, Sec. 1, Chien-Kuo N. Road, Taichung 40201, Taiwan
Publish date: 2016-04-23
 
Tobacco Induced Diseases 2016;14(April):15
KEYWORDS
ABSTRACT
Background:
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.

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.

 
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