Impact of additional counselling sessions through phone calls on smoking cessation outcomes among smokers in Penang State, Malaysia

BMC Public Health

Alfian Mohamed Zin³  Juman Abdulelah Dujaili¹  Mohamed Azmi Hassali²  Syed Azhar Syed Sulaiman¹  Ali Qais Blebil⁴ 

[1] Discipline of Clinical Pharmacy, School of Pharmaceutical Sciences, Universiti Sains Malaysia, 11800 Penang, Malaysia;Discipline of Social and Administrative Pharmacy, School of Pharmaceutical Sciences, Universiti Sains Malaysia, 11800 Penang, Malaysia;Quit Smoking Clinic, Penang General Hospital, Jalan Residensi, 10990 Penang, Malaysia;Department of Clinical Pharmacy, Faculty of Pharmaceutical Sciences, UCSI university, Jalan Menara Gading, UCSI Heights, 56000 Kuala Lumpur, Malaysia

关键词: Malaysia;    Smoking cessation;    Loading counselling;   

Others  :  1130618
DOI  :  10.1186/1471-2458-14-460

 received in 2013-12-02, accepted in 2014-05-12,  发布年份 2014

【 摘 要 】

Background

Studies all over the world reported that smoking relapses occur during the first two weeks after a quit date. The current study aimed to assess the impact of the additional phone calls counselling during the first month on the abstinence rate at 3 and 6 months after quit date among smokers in Penang, Malaysia.

Methods

The study was conducted at Quit Smoking Clinic of two major hospitals in Penang, Malaysia. All the eligible smokers who attended the clinics between February 1^st and October 31^st 2012 were invited. Participants were randomly assigned by using urn design method either to receive the usual care that followed in the clinics (control) or the usual care procedure plus extra counselling sessions through phone calls during the first month of quit attempt (intervention).

Results

Participants in our cohort smoked about 14 cigarettes per day on average (mean = 13.78 ± 7.0). At 3 months, control group was less likely to quit smoking compared to intervention group (36.9% vs. 46.7%, verified smoking status) but this did not reach statistical significance (OR = 0.669; 95% CI = 0.395-1.133, P = 0.86). However, at 6 months, 71.7% of the intervention group were successfully quit smoking (bio-chemically verified) compared to 48.6% of the control group (P < 0.001). The control group were significantly less likely to quit smoking (OR = 0.375; 95% CI = 0.217-0.645, P < 0.001).

Conclusions

Smoking cessation intervention consisting of phone calls counselling delivered during the first month of quit attempt revealed significantly higher abstinence rates compared with a standard care approach. Therefore, the additional counselling in the first few weeks after stop smoking is a promising treatment strategy that should be evaluated further.

Trial registration

TCTR20140504001

【 授权许可】

   
2014 Blebil et al.; licensee BioMed Central Ltd.

【 图 表 】

Figure 1.

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