A survey of tobacco dependence treatment services in 121 countries

Piné-Abata, Hembadoon; McNeill, Ann; Murray, Rachael L; Bitton, Asaf; Rigotti, Nancy A.; Raw, Martin

doi:10.1111/add.12172

Cited by 96 publications

(93 citation statements)

References 17 publications

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“…As with the previous survey, we found a positive relationship between income level and treatment 4. This is not surprising, as many HIC had already had treatment infrastructure in place 7, 8, 9 prior to the FCTC entry into force in 2005, while for many middle‐ and low‐income countries, engagement with tobacco treatment might not have started before the adoption of the Article 14 implementation guidelines in 2010 3.…”

Section: Discussionsupporting

confidence: 81%

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Progress in implementation of WHO FCTC Article 14 and its guidelines: a survey of tobacco dependence treatment provision in 142 countries

et al. 2017

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AimsTo (1) estimate the number of Parties to the Framework Convention on Tobacco Control (FCTC) providing tobacco dependence treatment in accordance with the recommendations of Article 14 and its guidelines; (2) assess association between provision and countries’ income level; and (3) assess progress over time.DesignCross‐sectional study.SettingOnline survey from December 2014 to July 2015.ParticipantsContacts in 172 countries were surveyed, representing 169 of the 180 FCTC Parties at the time of the survey.MeasurementsA 26‐item questionnaire based on the Article 14 recommendations including tobacco treatment infrastructure and cessation support systems. Progress over time was assessed for those countries that also participated in our 2012 survey and did not change country income level classification.FindingsWe received responses from contacts in 142 countries, an 83% response rate. Overall, 54% of respondents reported that their country had an officially identified person responsible for tobacco dependence treatment, 32% an official national treatment strategy, 40% official national treatment guidelines, 25% a clearly identified budget for treatment, 17% text messaging, 23% free national quitlines and 26% specialized treatment services. Most measures were associated positively and significantly with countries’ income level (P < 0.001). Measures not associated significantly with income level included mandatory recording of tobacco use (30% of countries), offering help to health‐care workers (HCW) to stop using tobacco (44%), brief advice integrated into existing services (44%), and training HCW to give brief advice (81%). Reporting having an officially identified person responsible for tobacco cessation was the only measure with a statistically significant improvement over time (P = 0.0351).ConclusionFewer than half of countries that are Parties to the Framework Convention on Tobacco Control have implemented the recommendations of Article 14 and its guidelines, and for most measures, provision was greater the higher the country's income. There was little improvement in treatment provision between 2012 and 2015 in all countries.

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Section: Discussionsupporting

confidence: 81%

“…The Article 14 guidelines, adopted at the fourth Conference of the Parties in 2010 2 provide further details on the implementation of Article 14 3, including the key elements of basic treatment infrastructure and support systems that Parties should implement, and were outlined in our previous paper 4.…”

Section: Introductionmentioning

confidence: 99%

Progress in implementation of WHO FCTC Article 14 and its guidelines: a survey of tobacco dependence treatment provision in 142 countries

et al. 2017

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“…With the majority of countries not in compliance, the authors concluded that more than half the countries did not consider developing the treatment guideline as a priority. A similar observation was made in a compendium paper assessing treatment services [4].…”

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confidence: 73%

Commentary on Pine-Abataet al. (2013): Cessation guideline-to develop or not to develop? A question for each developing country

2013

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“…Guidelines for the implementation of Article 14 were adopted in November 2010 and outline what is needed to enable Parties to meet their obligations under that Article 4. Current evidence, however, indicates that only a small minority of countries, and very few low‐ and middle‐income countries, have the infrastructure and systems elements in place to be able to meet these obligations 5, 6.…”

Section: Introductionmentioning

confidence: 99%

Evaluating clinical stop‐smoking services globally: towards a minimum data set

et al. 2017

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Background and aimsBehavioural and pharmacological support for smoking cessation improves the chances of success and represents a highly cost‐effective way of preventing chronic disease and premature death. There is a large number of clinical stop‐smoking services throughout the world. These could be connected into a global network to provide data to assess what treatment components are most effective, for what populations and in what settings. To enable this, a minimum data set (MDS) is required to standardize the data captured from smoking cessation services globally.MethodsWe describe some of the key steps involved in developing a global MDS for smoking cessation services and methodologies to be considered for their implementation, including approaches for reaching consensus on data items to include in a MDS and for its robust validation. We use informal approximations of these methods to produce an example global MDS for smoking cessation. Our aim with this is to stimulate further discussion around the development of a global MDS for smoking cessation services.ResultsOur example MDS comprises three sections. The first is a set of data items characterizing treatments offered by a service. The second is a small core set of data items describing clients’ characteristics, engagement with the service and outcomes. The third is an extended set of client data items to be captured in addition to the core data items wherever resources permit.ConclusionsThere would be benefit in establishing a minimum data set (MDS) to standardize data captured for smoking cessation services globally. Once implemented, a formal MDS could provide a basis for meaningful evaluations of different smoking cessation treatments in different populations in a variety of settings across many countries.

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A survey of tobacco dependence treatment services in 121 countries

Cited by 96 publications

References 17 publications

Progress in implementation of WHO FCTC Article 14 and its guidelines: a survey of tobacco dependence treatment provision in 142 countries

Progress in implementation of WHO FCTC Article 14 and its guidelines: a survey of tobacco dependence treatment provision in 142 countries

Commentary on Pine-Abataet al. (2013): Cessation guideline-to develop or not to develop? A question for each developing country

Evaluating clinical stop‐smoking services globally: towards a minimum data set

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