A Randomized Pilot Study of Brief Intervention versus Simple Advice for Women Tobacco Users in an Urban Community in India

Jhanjee, Sonali; Lal, Rakesh; Mishra, Ashwani Kumar; Yadav, Deepak

doi:10.4103/0253-7176.203121

Cited by 8 publications

(12 citation statements)

References 20 publications

(24 reference statements)

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“…Overall, the RR (CI) ranged from 0.87 (0.7, 1.09) to 3.84 (2.33, 6.33). The one case-control pilot study conducted by Jhanjee et al 25 showed an RR (CI) of 1.80 (0.77, 4.25) at the end of three months of treatment (Table I). Therefore, the trials suggested a benefit of behavioural interventions in SLT cessation.…”

Section: Resultsmentioning

confidence: 97%

“…Twenty randomized controlled trials (RCTs) (case-control studies) on behavioural interventions for SLT cessation were reported; sixteen were conducted in the USA78910111213141516171819202122, three in India232425 while only one study was reported from Sweden26. Most studies had majority of adult participants while three were conducted among the youth132024.…”

Section: Resultsmentioning

confidence: 99%

“…Studies assessing the efficacy of SLT cessation interventions, especially behavioural interventions, must be carried out by all countries, especially those having a high burden of SLT consumption, as behavioural interventions have been found to have maximum benefit in SLT cessation as compared to pharmacotherapy7891011121314151617181920212223242526272829303132333435363738. The Cochrane review (2015) on the SLT cessation intervention trials also showed results along similar lines, with behavioural interventions proving most efficacious for SLT cessation6.…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Smokeless tobacco cessation interventions: A systematic review

Nethan¹,

Sinha²,

Kumar³

et al. 2018

Indian J Med Res

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Background & objectives:Smokeless tobacco (SLT) consumption is a global health issue with about 350 million users and numerous adverse health consequences like oral cancer and myocardial disorders. Hence, cessation of SLT use is as essential as smoking cessation. An update on the available literature on SLT cessation intervention studies is provided here.Methods:Through an extensive literature search on SLT cessation intervention studies, using keywords such as smokeless tobacco, cessation, interventions, quitlines, brief advice, nicotine replacement therapy, nicotine gum, nicotine lozenge, nicotine patch, bupropion, varenicline, mHealth, etc., 59 eligible studies were selected. Furthermore, efficacy of the interventions was assessed from the reported risk ratios (RRs) [confidence intervals (CIs)] and quit rates.Results:Studies were conducted in Scandinavia, India, United Kingdom, Pakistan and the United States of America, with variable follow up periods of one month to 10 years. Behavioural interventions alone showed high efficacy in SLT cessation; most studies were conducted among adults and showed positive effects, i.e. RR [CI] 0.87 [0.7, 1.09] to 3.84 [2.33, 6.33], quit rate between 9-51.5 per cent, at six months. Regular telephone support/quitlines also proved beneficial. Among pharmacological modalities, nicotine lozenges and varenicline proved efficacious in SLT cessation.Interpretation & conclusions:Globally, there is limited information available on SLT cessation intervention trials, research on which must be encouraged, especially in the low-resource, high SLT burden countries; behavioural interventions are most suitable for such settings. Appropriate training/sensitization of healthcare professionals, and school-based SLT use prevention and cessation programmes need to be encouraged.

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Section: Resultsmentioning

confidence: 97%

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Smokeless tobacco cessation interventions: A systematic review

Nethan¹,

Sinha²,

Kumar³

et al. 2018

Indian J Med Res

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“…First, a move away from the focus on tertiary-care for addictions is necessary, as it is not only expensive, but also has limited availability and access. Second, with most research in India being focused on BIs for tobacco use [ 76 – 78 ], expansion to other areas of addictions research is crucial. Third, there needs to be a move towards adoption and scaling up of contextually appropriate and evidence-based interventions.…”

Section: Discussionmentioning

confidence: 99%

Brief interventions for alcohol use disorders in low- and middle-income countries: barriers and potential solutions

Nadkarni

Bhatia

Bedendo

et al. 2022

Int J Ment Health Syst

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Global alcohol consumption and harmful use of alcohol is projected to increase in the coming decades, and most of the increase will occur in low- and middle-income countries (LMICs); which calls for cost-effective measures to reduce alcohol exposure in these countries. One such evidence based measure is screening and brief intervention (BI) for alcohol problems. Some of the characteristics of BI make them a particularly appealing choice of interventions in low-resource settings. However, despite evidence of effectiveness, implementation of BI in LMICs is rare. In this paper we discuss barriers to implementation of BI in LMICs, with examples from Latin America and India. Key barriers to implementation of BI in LMICs are the lack of financial and structural resources. Specialized services for alcohol use disorders are limited or non-existent. Hence primary care is often the only possible alternative to implement BI. However, health professionals in such settings generally lack training to deal with these disorders. In our review of BI research in these countries, we find some promising results, primarily in countries from Latin America, but so far there is limited research on effectiveness. Appropriate evaluation of efficacy and effectiveness of BI is undermined by lack of generalisability and methodological limitations. No systematic and scientific efforts to explore the implementation and evaluation of BI in primary and community platforms of care have been published in India. Innovative strategies need to be deployed to overcome supply side barriers related to specialist manpower shortages in LMICs. There is a growing evidence on the effectiveness of non-specialist health workers, including lay counsellors, in delivering frontline psychological interventions for a range of disorders including alcohol use disorders in LMICs. This paper is intended to stimulate discussion among researchers, practitioners and policy-makers in LMICs because increasing access to evidence based care for alcohol use disorders in LMICs would need a concerted effort from all these stakeholders.

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“…Health education and counseling enabled women of Mumbai in low socioeconomic status (SES) to quit SLT at one-year follow-up with the quit rate of 33.5% [ 32 ]. Subjects in the behavioral intervention group were two times more prone to ceasing tobacco use compared to individuals in the simple advice group, where in 94% of SLT users were from lower SES strata [ 33 ]. About 12.5% had undetectable cotinine at six months when behavior change intervention for SLT cessation was supported [ 34 ].…”

Section: Discussionmentioning

confidence: 99%

Effectiveness of Behavioral Counseling in Smokeless Tobacco Cessation Among Adult Users Reporting to a Dental Hospital in Pune: A Randomized Controlled Trial

Kumbhalwar¹,

Hegde²,

Kakodkar³

et al. 2022

Cureus

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Aim To assess the effectiveness of behavioral counseling for smokeless tobacco cessation among adult users in a dental hospital setting. Methods A total of 200 patients visiting a dental hospital who were exclusively using smokeless tobacco (SLT) were enrolled in the study. A randomized controlled trial with a concurrent parallel study design, which consisted of two arms, was conducted. Fagerstrom test for nicotine dependence level and the transtheoretical stage of change was assessed at the baseline. Behavioral cessation counseling and motivational interviewing were provided in the study arm and brief advice was given to those in the control arm. The counseling was provided at baseline and followed up till six months through telephone to assess the change in the frequency of use of SLT products and abstinence from SLT use. A biochemical validation with a urine cotinine test was done to confirm abstinence. Results At six months, there was a significant difference within and between the study and control groups, indicating the role played by behavioral tobacco cessation in reducing the frequency of consumption. About 24.4% of participants in the study group and 10% in the control group abstained from the habit at the sixth month, with an odd’s ratio (OR)=2.91 and with a loss to follow-up of 10% in each of the groups. The cotinine test, which was used for validation, revealed a significant difference between the study and the control group. The number needed to treat (NNT) shows that to motivate one additional person to give up the SLT habit, we need to intervene with about seven people. Conclusion Behavior intervention with motivational interviewing was considered an effective method in promoting smokeless tobacco cessation among adults. Transtheoretical stages of change have proven to be an effective model to assess the stage of behavior change of the population toward SLT use and was also helpful for changing the behavior.

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A Randomized Pilot Study of Brief Intervention versus Simple Advice for Women Tobacco Users in an Urban Community in India

Cited by 8 publications

References 20 publications

Smokeless tobacco cessation interventions: A systematic review

Smokeless tobacco cessation interventions: A systematic review

Brief interventions for alcohol use disorders in low- and middle-income countries: barriers and potential solutions

Effectiveness of Behavioral Counseling in Smokeless Tobacco Cessation Among Adult Users Reporting to a Dental Hospital in Pune: A Randomized Controlled Trial

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