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Effectiveness of a mobile smoking cessation service in reaching elderly smokers and predictors of quitting.

Abdullah AS, Lam TH, Chan SK, Leung GM, Chi I, Ho WW, Chan SS - BMC Geriatr (2008)

Bottom Line: Smoking less than 11 cigarettes per day and being adherent to NRT for 4 weeks or more were significant predictors of quitting.The average cost per contact was US$54 (smokers only); per smoker with counselling: US$168; per self-reported quitter: US$594; and per cotinine validated quitter: US$827.A mobile clinic is a promising model to reach the elderly and probably other hard to reach smokers.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Community Medicine, School of Public Health, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong, PR China. asma@bu.edu

ABSTRACT

Background: Different smoking cessation programmes have been developed in the last decade but utilization by the elderly is low. We evaluated a pilot mobile smoking cessation service for the Chinese elderly in Hong Kong and identified predictors of quitting.

Methods: The Mobile Smoking Cessation Programme (MSCP) targeted elderly smokers (aged 60 or above) and provided service in a place that was convenient to the elderly. Trained counsellors provided individual counselling and 4 week's free supply of nicotine replacement therapy (NRT). Follow up was arranged at 1 month by face-to-face and at 3 and 6 months by telephone plus urinary cotinine validation. A structured record sheet was used for data collection. The service was evaluated in terms of process, outcome and cost.

Results: 102 governmental and non-governmental social service units and private residential homes for the elderly participated in the MSCP. We held 90 health talks with 3266 elderly (1140 smokers and 2126 non-smokers) attended. Of the 1140 smokers, 365 (32%) received intensive smoking cessation service. By intention-to-treat, the validated 7 day point prevalence quit rate was 20.3% (95% confidence interval: 16.2%-24.8%). Smoking less than 11 cigarettes per day and being adherent to NRT for 4 weeks or more were significant predictors of quitting. The average cost per contact was US$54 (smokers only); per smoker with counselling: US$168; per self-reported quitter: US$594; and per cotinine validated quitter: US$827.

Conclusion: This mobile smoking cessation programme was acceptable to elderly Chinese smokers, with quit rate comparable to other comprehensive programmes in the West. A mobile clinic is a promising model to reach the elderly and probably other hard to reach smokers.

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Flow of subject recruitment in the Mobile Smoking Cessation Programme (MSCP).
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Figure 1: Flow of subject recruitment in the Mobile Smoking Cessation Programme (MSCP).

Mentions: After the health talks, all smokers were asked to enrol for an intensive smoking cessation service, including cognitive-behavoural stage matched counselling and use of NRT, which lasted for about half an hour, provision for free NRT supply for 4 weeks and follow up arrangements. Those who consented to participate were included in the programme (Figure 1). Ethical approval for this study was obtained from the Ethics Committee of the Faculty of Medicine, the University of Hong Kong.


Effectiveness of a mobile smoking cessation service in reaching elderly smokers and predictors of quitting.

Abdullah AS, Lam TH, Chan SK, Leung GM, Chi I, Ho WW, Chan SS - BMC Geriatr (2008)

Flow of subject recruitment in the Mobile Smoking Cessation Programme (MSCP).
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC2570661&req=5

Figure 1: Flow of subject recruitment in the Mobile Smoking Cessation Programme (MSCP).
Mentions: After the health talks, all smokers were asked to enrol for an intensive smoking cessation service, including cognitive-behavoural stage matched counselling and use of NRT, which lasted for about half an hour, provision for free NRT supply for 4 weeks and follow up arrangements. Those who consented to participate were included in the programme (Figure 1). Ethical approval for this study was obtained from the Ethics Committee of the Faculty of Medicine, the University of Hong Kong.

Bottom Line: Smoking less than 11 cigarettes per day and being adherent to NRT for 4 weeks or more were significant predictors of quitting.The average cost per contact was US$54 (smokers only); per smoker with counselling: US$168; per self-reported quitter: US$594; and per cotinine validated quitter: US$827.A mobile clinic is a promising model to reach the elderly and probably other hard to reach smokers.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Community Medicine, School of Public Health, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong, PR China. asma@bu.edu

ABSTRACT

Background: Different smoking cessation programmes have been developed in the last decade but utilization by the elderly is low. We evaluated a pilot mobile smoking cessation service for the Chinese elderly in Hong Kong and identified predictors of quitting.

Methods: The Mobile Smoking Cessation Programme (MSCP) targeted elderly smokers (aged 60 or above) and provided service in a place that was convenient to the elderly. Trained counsellors provided individual counselling and 4 week's free supply of nicotine replacement therapy (NRT). Follow up was arranged at 1 month by face-to-face and at 3 and 6 months by telephone plus urinary cotinine validation. A structured record sheet was used for data collection. The service was evaluated in terms of process, outcome and cost.

Results: 102 governmental and non-governmental social service units and private residential homes for the elderly participated in the MSCP. We held 90 health talks with 3266 elderly (1140 smokers and 2126 non-smokers) attended. Of the 1140 smokers, 365 (32%) received intensive smoking cessation service. By intention-to-treat, the validated 7 day point prevalence quit rate was 20.3% (95% confidence interval: 16.2%-24.8%). Smoking less than 11 cigarettes per day and being adherent to NRT for 4 weeks or more were significant predictors of quitting. The average cost per contact was US$54 (smokers only); per smoker with counselling: US$168; per self-reported quitter: US$594; and per cotinine validated quitter: US$827.

Conclusion: This mobile smoking cessation programme was acceptable to elderly Chinese smokers, with quit rate comparable to other comprehensive programmes in the West. A mobile clinic is a promising model to reach the elderly and probably other hard to reach smokers.

Show MeSH